Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents.

Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents.
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DOI:
10.1016/j.pcl.2011.03.002
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发表时间:
2011-06
影响因子:
2.6
通讯作者:
Beebe, Dean W.
Beebe, Dean W.
中科院分区:
医学3区
文献类型:
--
作者:
Beebe, Dean W.

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在过去的几十年里,使用多种研究设计的研究已经研究了儿童和青少年时期的睡眠是否与认知,行为和白天功能的其他方面有关。本文总结了最近的相关性,病例对照,准实验和实验研究,强调每个研究设计的优势和局限性是如何互补的,从而使一个更自信地得出结论时,作为一个整体的研究文献。以这种方式来看,已发表的研究结果表明,睡眠质量和/或睡眠量不足可能导致嗜睡、注意力不集中,并且很可能导致其他认知和行为缺陷,这些缺陷在重要的功能环境中(例如,学校)。然后,本文整合了发展精神病理学模型的纵向研究的结果。在这个模型中,睡眠不足被视为有害的暴露,随着时间的推移,可以从根本上改变儿童或青少年的发展,导致更差的长期结果。重要的研究问题仍然存在,但现有的证据支持将睡眠筛查和干预纳入常规临床护理,并支持倡导公共政策变化,以改善儿童和青少年的睡眠。
During the past few decades, studies using multiple research designs have examined whether sleep during childhood and adolescence is related to cognition, behavior, and other aspects of daytime functioning. This paper summarizes recent correlational, case-control, quasi-experimental, and experimental studies, highlighting how the strengths and limitations of each research design are complementary, thereby allowing one to more confidently draw conclusions when viewing the research literature as a whole. Viewed in this manner, published findings suggest that inadequate sleep quality and/or quantity can cause sleepiness, inattention and, very likely, other cognitive and behavioral deficits that significantly impact children and adolescents in important functional settings (e.g., school). This paper then integrates findings from longitudinal studies within a developmental psychopathology model. In this model, inadequate sleep is viewed as a noxious exposure that can, over time, fundamentally alter a child or adolescent's development, resulting in poorer long-term outcomes. Important research questions remain, but the available evidence supports the integration of sleep screening and interventions into routine clinical care and also supports advocacy for public policy changes to improve the sleep of children and adolescents.
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