Trajectories of sleep in Child Protective Services (CPS)-referred children predict externalizing and internalizing symptoms in early childhood.

Trajectories of sleep in Child Protective Services (CPS)-referred children predict externalizing and internalizing symptoms in early childhood.
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DOI:
10.1016/j.chiabu.2020.104433
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发表时间:
2020-05
影响因子:
4.8
通讯作者:
Dozier M
Dozier M
中科院分区:
心理学2区
文献类型:
--
作者:
Zajac L;Prendergast S;Feder KA;Cho B;Kuhns C;Dozier M

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之前的研究已经确定了睡眠不佳与负面发育结果之间的联系。然而,目前尚不清楚受到虐待的幼儿是否表现出非典型的睡眠模式,以及睡眠时间是否与情绪和行为问题有关。探索儿童保护服务(CPS)推荐的儿童的睡眠轨迹,并检查睡眠时间是否与外化和内化症状显著相关,即使在控制家庭环境时也是如此。参与者包括197名儿童(首次评估时MAGE=10.24个月,SD=6.39),他们的父母因被指控虐待而被转介到CPS。父母在孩子大约2岁时(MAGE=26.40个月,SD=3.36)完成最多五个时间点的睡眠日记和学龄前版本的儿童行为检查表(CBCL)。家庭环境测量观察量表(HOME)评估了早期家庭环境的质量。潜伏期生长曲线模拟结果显示,CPS参照组儿童在基线(即4.1月龄)24小时内的睡眠时间有显著差异(B=3.28,SE=0.9,p<.001),而24小时内的总睡眠时间随着时间的推移而显著减少(B=−0.03,SE=0.01,p<.001)。在控制了家庭环境的特征后,基线24小时的总睡眠显著地反向预测儿童早期的外化症状(B=−1.03,SE=0.06,p<.001)和内化症状(B=−0.19,SE=0.03,p<.001)。这项研究是探索CPS参照儿童睡眠轨迹的重要第一步。研究结果表明,睡眠是旨在促进监管的干预措施的一个有希望的目标,并强调了未来研究的必要性,以检验受虐待儿童的睡眠是否可以预测未来的发育结果。
Previous studies have established links between poor sleep and negative developmental outcomes. However, it remains unclear whether young maltreated children demonstrate atypical sleep patterns and whether sleep duration is associated with emotional and behavioral problems. Explore trajectories of sleep among Child Protective Services (CPS)-referred children and examine whether sleep duration is significantly associated with externalizing and internalizing symptoms, even when controlling for the home environment. Participants included 197 children (Mage at first assessment = 10.24 months, SD = 6.39) whose parents were referred to CPS due to allegations of maltreatment. Parents completed sleep diaries for their children at up to five time-points and the preschool version of the Child Behavior Checklist (CBCL) when children were approximately 2 years of age (Mage = 26.40 months, SD = 3.36). The Home Observation for Measurement of the Environment Scale (HOME) assessed the quality of the early home environment. Results from latent growth curve modeling demonstrated that CPS-referred children significantly varied (B = 3.28, SE = 0.90, p < .001) in the amount they slept in a 24-hour period at baseline (i.e., 4.1 months of age), and the amount of total sleep in a 24-hour period significantly decreased across time (Bi = −0.03, SE = 0.01, p < .001). When controlling for characteristics of the home environment, total sleep in a 24-hour period at baseline significantly inversely predicted externalizing (B = −1.03, SE = 0.06, p < .001) and internalizing symptoms (B = −0.19, SE = 0.03, p < .001) in early childhood. This study is an important first step in exploring trajectories of sleep among CPS-referred children. Findings underscore sleep as a promising target for interventions aimed at promoting regulation and highlight the need for future research to examine sleep in maltreated children as a predictor of later developmental outcomes.
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