Sleep Hygiene Practices and Bedtime Resistance in Low-Income Preschoolers: Does Temperament Matter?

Sleep Hygiene Practices and Bedtime Resistance in Low-Income Preschoolers: Does Temperament Matter?
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DOI:
10.1080/15402002.2014.940104
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发表时间:
2015
影响因子:
3.1
通讯作者:
Miller AL
Miller AL
中科院分区:
医学3区
文献类型:
--
作者:
Wilson KE;Lumeng JC;Kaciroti N;Chen SY;LeBourgeois MK;Chervin RD;Miller AL

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测试家庭睡眠卫生习惯与学龄前儿童睡前抵抗的关系,并确定这种关系是否因儿童气质而异。Head Start学龄前儿童(n=374,56%为非西班牙裔白色)完成问卷,包括儿童睡眠-觉醒量表的5项上床子量表(GTB;得分越高,反映睡前阻力越小),22项儿童睡眠卫生量表(CSHS;较高的分数反映了较好的睡眠卫生习惯)和儿童行为量表-简式愤怒,活动,和冲动分量表(我们对难相处气质的测量)。蒙特卡洛模拟调整了儿童年龄,性别,种族/民族,和母亲的教育,并测试了CSHS与GTB的关联,在儿童更困难与不太困难的气质。性格较难相处的儿童睡眠卫生习惯较差(p<0.0001),睡前阻力较大(p<0.0001)。在脾气更难相处的儿童中,更好的睡眠卫生与更少的睡前阻力呈线性相关(GTB β = 1.28,95% CI 0.77,1.78)。在性格不太难相处的孩子中,这种关联遵循分段线性趋势:当CSHS评分< 4.1分时,睡眠卫生与睡前抵抗无关(GTB β = 0.15,95% CI-4.87,3.13),但对于CSHS评分≥ 4.1,CSHS增加与睡前抵抗力降低相关(GTB β = 1.33,95% CI 1.00,1.79)。睡眠卫生习惯的一致性与较少的睡前阻力有关,并且可能特别有助于减少脾气更难的儿童的睡前阻力。
To test the association of home sleep hygiene practices with bedtime resistance among preschoolers, and to determine whether this association differs by child temperament. Parents of Head Start preschoolers (n=374, 56% non-Hispanic white) completed questionnaires, including the 5-item Going to Bed subscale of the Children’s Sleep-Wake Scale (GTB; higher score reflects less bedtime resistance), 22-item Children's Sleep Hygiene Scale (CSHS; higher score reflects better sleep hygiene practices) and Child Behavior Questionnaire-Short Form anger, activity, and impulsivity subscales (our measure of difficult temperament). Monte Carlo simulation adjusted for child age, gender, race/ethnicity, and maternal education and tested the association of CSHS with GTB in children with more difficult vs. less difficult temperaments. Children with more difficult vs. less difficult temperaments experienced worse sleep hygiene practices (p<.0001) and had more bedtime resistance (p<.0001). Among children with more difficult temperaments, better sleep hygiene was linearly associated with less bedtime resistance (GTB β = 1.28, 95% CI 0.77, 1.78). Among children with less difficult temperaments, the association followed a piecewise linear tread: sleep hygiene was not associated with bedtime resistance when CSHS scores were < 4.1 (GTB β = 0.15, 95% CI -4.87, 3.13), but for CSHS scores ≥ 4.1, an increase in CSHS was associated with lower bedtime resistance (GTB β = 1.33, 95% CI 1.00, 1.79). Consistency in sleep hygiene practices are associated with less bedtime resistance and may be especially helpful in reducing bedtime resistance among children with more difficult temperaments.
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