Sleep disturbance has the largest impact on children's behavior and emotions.

Sleep disturbance has the largest impact on children's behavior and emotions.
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DOI:
10.3389/fped.2022.1034057
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发表时间:
2022
影响因子:
2.6
通讯作者:
--
中科院分区:
医学3区
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--
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儿童的行为和情绪受睡眠障碍、亲子关系、媒体观看时间以及父母和照顾者的社会地位的影响。我们进行了问卷调查,以确定对儿童行为和情绪影响最大的因素,以及这些因素之间的关系。对一所公立小学的家长进行问卷调查。问卷包括家庭环境(如家庭结构、媒体和游戏接触、课外课程、照顾者的工作安排)和身体信息,以及优势与困难问卷(SDQ)、儿童睡眠习惯问卷(CSHQ)和匹兹堡睡眠质量指数(PSQI),用于评估父母的睡眠状况。通过绘制路径图来假设各因素之间复杂的相互关系,并采用结构方程模型估计路径系数。我们确定了几个显著影响SDQ评分的因素。CSHQ总分的影响最大,其次是课外课程、单亲妈妈家庭和孩子的性别。此外,导致CSHQ得分的几个间接途径(即从看电视时间通过儿童就寝时间到CSHQ得分的途径,以及单亲母亲家庭通过PSQI总分到CSHQ得分的途径)显著影响SDQ得分。受多种环境因素影响的儿童睡眠习惯对儿童行为和情绪的影响最大,这表明儿童的行为问题可以通过以睡眠习惯为重点的干预措施得到改善,例如睡眠卫生指导。
Children's behavior and emotions are affected by sleep disturbances, the parent-child relationship, media viewing time, and the social status of parents and caregivers. We conducted a questionnaire survey to identify the factors that have the greatest impact on children's behavior and emotions and how these factors relate to each other. A parental questionnaire survey was performed at a public elementary school. The questionnaire comprised questions on the family environment (e.g., family structure, media and game exposure, after-school lessons, and caregiver's work schedule) and physical information, the Strengths and Difficulties Questionnaire (SDQ), the Children's Sleep Habits Questionnaire (CSHQ), and the Pittsburgh Sleep Quality Index (PSQI) for parents' sleep condition. A path diagram was drawn to hypothesize the complex interrelationships among factors, and structural equation modeling was used to estimate the path coefficients. We identified several factors that significantly affected the SDQ score. The CSHQ total score had the largest impact, followed by after-school lessons, single-mother families, and children's sex. In addition, several indirect pathways that led to the CSHQ score (i.e., a pathway from time spent watching television to CSHQ score via children's bedtime and a pathway from single-mother family to CSHQ score via PSQI total score) significantly affected the SDQ score. Children's sleep habits that were influenced by several environmental factors had the greatest impact on children's behavior and emotions, which suggested that children's behavioral problems can be improved by interventions focused on sleep habits, such as sleep hygiene instructions.
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