Adverse associations of sleep problems in Australian preschoolers: National population study
Adverse associations of sleep problems in Australian preschoolers: National population study
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DOI：
10.1542/peds.2006-1757
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发表时间：
2007-01-01
期刊：
影响因子：
8
通讯作者：
Wake, Melissa
中科院分区：
文献类型：
--
作者：
Hiscock, Harriet;Canterford, Louise;Wake, Melissa
OBJECTIVE.与学龄儿童相比，睡眠问题对学龄前儿童的影响并没有很好的记录。我们的目的是确定学龄前儿童睡眠问题与儿童行为、健康相关生活质量、语言、识字前和早期算术技能、注意力缺陷/多动障碍的诊断和损伤之间的关系。参与者包括家庭（n = 4983）参加了第一波的纵向研究澳大利亚儿童，澳大利亚儿童的全国代表性研究，年龄在4至5岁的调查，从2004年3月至11月。措施包括主要照顾者的报告，他们的孩子是否有睡眠问题（无vs轻度vs中度/重度）;特定睡眠模式每周>= 4晚;健康相关生活质量（通过使用儿科生活质量量表4.0）;行为（通过使用优势和困难问卷）和父母报告的注意力缺陷/多动障碍诊断;在过去的12个月里需要医疗护理的受伤。接受性词汇和识字前/算术技能的测试（通过使用我是谁？直接对每个儿童进行发展评估和改编的皮博迪图片词汇测试，第三版）。睡眠问题很常见，与没有睡眠问题的儿童相比，有睡眠问题的儿童与儿童健康相关的生活质量较差，行为问题较多，注意力缺陷/多动障碍的发生率较高。入睡困难和早晨疲劳比打鼾或夜醒有更大的不良关联。鉴于睡眠问题非常普遍，这里显示的不良结果可能会影响大量学龄前儿童向学校的过渡。
OBJECTIVE. In contrast to school-aged children, the impact of sleep problems in preschool-aged children is not well documented. We aimed to determine relationships between preschool-aged child sleep problems and child behavior; health-related quality of life; verbal, preliteracy, and early numeracy skills; diagnosis of attention-deficit/hyperactivity disorder; and injury.PARTICIPANTS AND METHODS. Participants included families (n = 4983) participating in the first wave of the Longitudinal Study of Australian Children, a nationally representative study of Australian children aged 4 to 5 years surveyed from March to November 2004. Measures consisted of a primary caregiver's report of whether their child had a sleep problem (none versus mild versus moderate/severe); specific sleep patterns occurring >= 4 nights per week; health-related quality of life (by using the Pediatric Quality of Life Inventory 4.0); behavior (by using the Strengths and Difficulties Questionnaire) and parent-reported diagnosis of attention-deficit/hyperactivity disorder; and injury requiring medical attention in the past 12 months. Tests of receptive vocabulary and preliteracy/numeracy skills (by using the Who Am I? developmental assessment and the adapted Peabody Picture Vocabulary Test, 3rd Edition) were directly administered to each child.RESULTS. Sleep problems were common, and compared with children without sleep problems, children with sleep problems had poorer child health-related quality of life, more behavior problems, and higher rates of attention-deficit/hyperactivity disorder. Difficulty going to sleep and morning tiredness had greater adverse associations than snoring or night waking.CONCLUSIONS. Given that sleep problems are very common, the adverse outcomes shown here could affect the transition to school for a very large number of preschoolers.