Prevalence of insomnia symptoms in a general population sample of young children and preadolescents: gender effects.
Prevalence of insomnia symptoms in a general population sample of young children and preadolescents: gender effects.
复制标题
DOI：
10.1016/j.sleep.2013.08.787
复制
发表时间：
2014-01
期刊：
影响因子：
4.8
通讯作者：
Bixler, Edward O.
中科院分区：
文献类型：
--
作者：
Calhoun, Susan L.;Fernandez-Mendoza, Julio;Vgontzas, Alexandros N.;Liao, Duanping;Bixler, Edward O.
这项以人群为基础的研究调查了青少年和青春期前儿童失眠症状的患病率及其社会人口学、主观和多导睡眠图（PSG）睡眠风险因素。横断面研究了700名5-12岁的儿童，他们接受了9小时的PSG，父母完成了睡眠和发育问卷（宾夕法尼亚州立大学儿童队列）。失眠症状定义为父母报告的跌倒和/或保持睡眠困难和睡眠呼吸障碍（SDB），呼吸暂停低通气指数≥1。失眠症状的患病率为19.3%，排除SDB后无显著变化（20.2%）。性别和年龄之间的显著相互作用表明，失眠症的患病率在11-12岁的女孩中最高（30.6%）。这种性别差异与11-12岁女孩和男孩在焦虑和抑郁症状方面的显著差异无关。相比之下，11-12岁有失眠症状的女孩，而同一组的男孩则没有，与没有失眠症状的女孩相比，表现出临床显著的PSG睡眠障碍。这些数据表明，一般人群中有五分之一的幼儿和青春期前儿童有失眠症状。重要的是，失眠症的患病率在11-12岁的女孩中达到顶峰，并且与客观的睡眠障碍有关，这可能与青春期开始时激素的变化有关，而不是焦虑和抑郁本身。
This population-based study examines the prevalence of insomnia symptoms as well as its sociodemographic, subjective, and polysomnographic (PSG) sleep risk factors in young and preadolescent children. Cross-sectional study of 700 children, ages 5–12 who underwent a 9-hour PSG and parent completed sleep and development questionnaires (Penn State Child Cohort). Insomnia symptoms were defined as parent report of difficulty falling and/or staying asleep and sleep disordered breathing (SDB) as an apnea hypopnea index of ≥ 1. The prevalence of insomnia symptoms was 19.3% and did not significantly change (20.2%) when children with SDB were excluded. A significant interaction between gender and age revealed that the prevalence of insomnia symptoms was highest in girls age 11–12 (30.6%). This gender difference was not associated with significant differences between girls and boys 11–12 yrs old in terms of anxiety and depressive symptoms. In contrast girls’11–12 years old with insomnia symptoms, but not boys of the same group, demonstrated clinically significant PSG sleep disturbances compared to those without insomnia symptoms. These data suggest that one out of five young children and preadolescents of the general population have insomnia symptoms. Importantly, the prevalence of insomnia symptoms peaks in girls age 11–12 and is associated with objective sleep disturbances that maybe related to hormonal changes associated with the onset of puberty rather than anxiety and depression per se.
登录
查看更多内容
影响因子：
2.8
作者：
Basta, Maria;Chrousos, George P.;Vgontzas, Alexandros N.
通讯作者：
Vgontzas, Alexandros N.
影响因子：
5.6
作者：
Calhoun, Susan L.;Vgontzas, Alexandros N.;Bixler, Edward O.
通讯作者：
Bixler, Edward O.
DOI：
10.1097/00004703-200002000-00004
发表时间：
2000-02-01
影响因子：
2.4
作者：
Owens, JA;Spirito, A;Nobile, C
通讯作者：
Nobile, C
影响因子：
3.6
作者：
Ali, NJ;Pitson, D;Stradling, JR
通讯作者：
Stradling, JR
影响因子：
7.4
作者：
Alfano, Candice A.;Zakem, Alan H.;Weems, Carl F.
通讯作者：
Weems, Carl F.