Childhood sleep problems, early onset of substance use and behavioral problems in adolescence.
Childhood sleep problems, early onset of substance use and behavioral problems in adolescence.
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DOI：
10.1016/j.sleep.2008.06.015
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发表时间：
2009-08
期刊：
影响因子：
4.8
通讯作者：
Zucker, Robert A.
中科院分区：
文献类型：
--
作者：
Wong, Maria M.;Brower, Kirk J.;Zucker, Robert A.
关键词：
很少有前瞻性研究调查儿童睡眠问题和随后的药物使用之间的关系。在这项研究中，我们研究了3-8岁时的睡眠问题如何预测青少年饮酒、吸烟和吸食大麻的情况。我们还调查了儿童睡眠问题与青少年内化和外化问题之间的关系。在一项正在进行的纵向研究中，研究参与者是来自高危家庭社区样本的292名男孩和94名女孩。在父母酒精中毒的控制下，3-8岁时的睡眠问题预示着男孩开始使用酒精、香烟和大麻，女孩开始使用酒精。儿童睡眠问题与母亲对男孩和女孩青春期内化和外化问题的评分有关。对这些问题进行调整并没有削弱睡眠问题对药物使用的影响。据我们所知，这是第一个前瞻性地研究睡眠问题和早期药物使用之间的性别差异的研究。儿童时期的睡眠问题预示着男孩较早开始使用药物，而女孩则不然。如果儿童睡眠问题确实增加了药物滥用的可能性，父母对儿童和青少年睡眠问题的更多关注可能会有改善的长期影响。鼓励父母探索不同的方法来帮助他们的孩子睡得更好，包括从他们的初级保健医生那里获得信息和建议。
Very few prospective studies examine the relationship between childhood sleep problems and subsequent substance use. In this study, we examined how sleep problems at ages 3–8 predicted onset of alcohol, cigarette, and marijuana use in adolescence. We also investigated the relationships between childhood sleep problems and adolescent internalizing and externalizing problems. Study participants were 292 boys and 94 girls from a community sample of high-risk families and controls in an ongoing longitudinal study. Controlling for parental alcoholism, sleep problems at ages 3–8 predicted onset of alcohol, cigarette, and marijuana use among boys and onset of alcohol use among girls. Childhood sleep problems were related to maternal ratings of internalizing and externalizing problems during adolescence for both boys and girls. Adjusting for these problems did not weaken the effects of sleep problems on onset of substance use. This is to our knowledge the first study that prospectively examines gender differences in the relationship between sleep problems and early onset of substance use. Childhood sleep problems predicted early onset of substance use for boys but not girls. If childhood sleep problems indeed increase the probability of substance use onset, greater attention by parents to sleep problems in children and adolescents would potentially have ameliorative long-term effects. Parents are encouraged to explore different ways to help their children sleep better, including obtaining information and suggestions from their primary care physicians.
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