Sleep habits and sleep disturbance in elementary school-aged children

Sleep habits and sleep disturbance in elementary school-aged children
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DOI:
10.1097/00004703-200002000-00004
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发表时间:
2000-02-01
影响因子:
2.4
通讯作者:
Nobile, C
Nobile, C
中科院分区:
医学4区
文献类型:
--
作者:
Owens, JA;Spirito, A;Nobile, C

文献摘要

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关于学龄儿童的睡眠习惯、睡眠障碍以及睡眠障碍的后果,人们所知相对较少。这项描述性研究调查了一组494名小学儿童的各种常见睡眠行为,从幼儿园到四年级,使用一系列睡眠问卷,包括家长,老师和自我报告调查。父母定义的睡眠问题的患病率从3.7%(睡眠呼吸障碍)到15.1%(睡前阻力)不等,总样本中有37%被描述为至少在一个睡眠领域有明显的睡眠问题。年龄较小的孩子比年龄较大的孩子更容易出现父母注意到的睡眠问题(特别是睡前挣扎和夜间醒来),以及老师和自我报告。孩子们倾向于通过自我报告发现更多的睡眠问题,特别是睡眠延迟和夜间觉醒,而不是他们的父母。总的来说,大约10%的样本被所有三种测量方法确定为有明显的日间嗜睡问题。这项研究的结果强调了在临床环境中对这一年龄组进行睡眠障碍筛查的重要性。还讨论了关于使用睡眠筛查工具和学龄儿童“问题”睡眠的定义达成共识的必要性。
Relatively little is known about sleep habits, sleep disturbances, and the consequences of disordered sleep in school-aged children. This descriptive study examined a variety of common sleep behaviors in a group of 494 elementary school children, grades kindergarten through fourth, using a battery of sleep questionnaires that included parent, teacher, and self-report surveys. The prevalence of parent-defined sleep problems ranged from 3.7% (Sleep-Disordered Breathing) to 15.1% (Bedtime Resistance), with 37% of the overall sample described as having significant sleep problems in at least one sleep domain. Younger children were more likely than older children to have sleep problems noted by parents (particularly bedtime struggles and night wakings), as well as by teacher and self-report. Children tended to identify more sleep problems by self-report, particularly sleep-onset delay and night wakings, than did their parents. Overall, approximately 10% of the sample was identified by all three measures as having significant problems with daytime sleepiness. The results of this study emphasize the importance of screening for sleep disorders in this age group in the clinical setting. The need for consensus regarding the use of sleep screening instruments and the definition of "problem" sleep in school-aged children is also discussed.