Prevalence, Patterns, and Persistence of Sleep Problems in the First 3 Years of Life
Prevalence, Patterns, and Persistence of Sleep Problems in the First 3 Years of Life
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DOI：
10.1542/peds.2011-0372
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发表时间：
2012-02-01
期刊：
影响因子：
8
通讯作者：
Beebe, Dean W.
中科院分区：
文献类型：
--
作者：
Byars, Kelly C.;Yolton, Kimberly;Beebe, Dean W.
目的：调查父母报告的前3年睡眠问题的患病率、模式和持续性。方法：359对母子参与了一项前瞻性出生队列研究。在孩子6个月、12个月、24个月和36个月大的时候，对母亲进行了睡眠问卷调查。睡眠变量包括父母对是否存在睡眠问题的非特定问题的反应，以及8个特定的睡眠结果领域：睡眠开始潜伏期、睡眠维持时间、24小时睡眠时间、白天睡眠/午睡、睡眠位置、躁动/发声、噩梦/夜惊和打鼾声。结果：在所有评估时间段，父母报告的睡眠问题患病率为10%。夜间醒来和睡眠时间较短与父母报告的婴儿期和幼儿早期(6-24个月)的睡眠问题有关，而噩梦和不安的睡眠与报告的发育后期(24-36个月)的睡眠问题有关。在整个研究期间，睡眠潜伏期的延长与父母报告的睡眠问题有关。相比之下，午睡、睡眠位置和打呼噜与父母报告的睡眠问题无关。21%的婴儿期有睡眠问题的儿童(与6%的无睡眠问题的儿童相比)在生命的第三年有睡眠问题。结论：据报道，10%的儿童在儿童早期的任何时候都有睡眠问题，并且这些问题在相当一部分儿童的整个早期发育过程中持续存在。父母对单项非特异性睡眠询问的反应可能会忽略与临床发病率相关的睡眠行为和症状。儿科2012；129：e276-e284
OBJECTIVE: Examine the prevalence, patterns, and persistence of parent-reported sleep problems during the first 3 years of life.METHODS: Three hundred fifty-nine mother/child pairs participated in a prospective birth cohort study. Sleep questionnaires were administered to mothers when children were 6, 12, 24, and 36 months old. Sleep variables included parent response to a nonspecific query about the presence/absence of a sleep problem and 8 specific sleep outcome domains: sleep onset latency, sleep maintenance, 24-hour sleep duration, daytime sleep/naps, sleep location, restlessness/vocalization, nightmares/night terrors, and snoring.RESULTS: Prevalence of a parent-reported sleep problem was 10% at all assessment intervals. Night wakings and shorter sleep duration were associated with a parent-reported sleep problem during infancy and early toddlerhood (6-24 months), whereas nightmares and restless sleep emerged as associations with report of a sleep problem in later developmental periods (24-36 months). Prolonged sleep latency was associated with parent report of a sleep problem throughout the study period. In contrast, napping, sleep location, and snoring were not associated with parent-reported sleep problems. Twenty-one percent of children with sleep problems in infancy (compared with 6% of those without) had sleep problems in the third year of life.CONCLUSIONS: Ten percent of children are reported to have a sleep problem at any given point during early childhood, and these problems persist in a significant minority of children throughout early development. Parent response to a single-item nonspecific sleep query may overlook relevant sleep behaviors and symptoms associated with clinical morbidity. Pediatrics 2012;129:e276-e284