Inconsistent sleep schedules and daytime behavioral difficulties in school-aged children

被引:100
作者
Biggs, Sarah N. [1 ,4 ]
Lushington, Kurt [2 ]
van den Heuvel, Cameron J. [1 ]
Martin, A. James [1 ,3 ]
Kennedy, J. Declan [1 ,3 ]
机构
[1] Univ Adelaide, Discipline Paediat, Childrens Res Ctr, Adelaide, SA 5000, Australia
[2] Univ S Australia, Sch Psychol Social Work & Social Policy, Adelaide, SA 5000, Australia
[3] Womens & Childrens Hosp, Child Youth & Womens Hlth Serv, Adelaide, SA 5006, Australia
[4] Monash Univ, Ritchie Ctr, Monash Inst Med Res, Melbourne, Vic 3004, Australia
基金
英国医学研究理事会;
关键词
Children; Sleep duration; Sleep schedules; Behavior; Strengths and difficulties questionnaire; Factor analysis; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; EXPLORATORY FACTOR-ANALYSIS; PSYCHOMETRIC PROPERTIES; ADOLESCENTS SLEEP; CONTROLLED-TRIAL; QUESTIONNAIRE; STRENGTHS; DURATION; PATTERNS; TIME;
D O I
10.1016/j.sleep.2011.03.017
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: Current recommendations for healthy sleep in school-aged children are predominantly focused on optimal sleep duration (9-11 h). However, given the importance of routine for circadian health, the stability of sleep/wake schedules may also be important, especially for daytime behavioral functioning. We examined the relationship between short sleep duration, sleep schedule instability and behavioral difficulties in a community sample of Australian children. Methods: Children, aged 5-10 years (N = 1622), without chronic health or psychological conditions, were recruited from primary schools in Adelaide, South Australia. A parent-report questionnaire was used to assess sleep/wake behavior. Behavioral functioning was assessed using the Strengths and Difficulties Questionnaire. Results: Most children met sleep duration recommendations with approximately 5% reporting <9 h and 3% >12 h. Weekly variability of bed and rise times >1 h were reported in up to 50% of children. Multinomial regression analysis revealed sleep duration <10 h, bedtime latency >60 min, and bed and rise time variability >60 min significantly increased the risk of scoring in the 95th percentile for behavioral subscales. Conclusions: Inconsistent sleep schedules were common and, similar to short sleep duration, were associated with behavioral difficulties. Considering the lack of study in this area, further research is needed for the development of new recommendations, education and sleep health messages. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:780 / 786
页数:7
相关论文
共 50 条
[1]  
[Anonymous], 1990, International Classification of Sleep Disorders
[2]   Sleep and circadian rhythms in mood disorders [J].
Armitage, R. .
ACTA PSYCHIATRICA SCANDINAVICA, 2007, 115 :104-115
[3]   Sleep and psychiatric symptoms in school-age children [J].
Aronen, ET ;
Paavonen, EJ ;
Fjällberg, M ;
Soininen, M ;
Törrönen, J .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 2000, 39 (04) :502-508
[4]  
Australian Bureau of Statistics, INF PAP INTR SOC IND
[5]   Sleep and adjustment in preschool children: Sleep diary reports by mothers relate to behavior reports by teachers [J].
Bates, JE ;
Viken, RJ ;
Alexander, DB ;
Beyers, J ;
Stockton, L .
CHILD DEVELOPMENT, 2002, 73 (01) :62-74
[6]  
BORBELY AA, 1989, J BIOL RHYTHM, V4, P149
[7]   AN ANALYSIS OF TRANSFORMATIONS [J].
BOX, GEP ;
COX, DR .
JOURNAL OF THE ROYAL STATISTICAL SOCIETY SERIES B-STATISTICAL METHODOLOGY, 1964, 26 (02) :211-252
[8]   The sleep disturbance scale for children (SDSC) construction and validation of an instrument to evaluate sleep disturbances in childhood and adolescence [J].
Bruni, O ;
Ottaviano, S ;
Guidetti, V ;
Romoli, M ;
Innocenzi, M ;
Cortesi, F ;
Giannotti, F .
JOURNAL OF SLEEP RESEARCH, 1996, 5 (04) :251-261
[9]   Sleep disturbances in children with attention-deficit/hyperactivity disorder [J].
Corkum, P ;
Tannock, R ;
Moldofsky, H .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1998, 37 (06) :637-646
[10]   WHAT IS COEFFICIENT ALPHA - AN EXAMINATION OF THEORY AND APPLICATIONS [J].
CORTINA, JM .
JOURNAL OF APPLIED PSYCHOLOGY, 1993, 78 (01) :98-104