Sleep Duration and Regularity are Associated with Behavioral Problems in 8-year-old Children

International Journal of Behavioral Medicine - Tập 17 - Trang 298-305 - 2009
Anu-Katriina Pesonen1, Katri Räikkönen2, E. Juulia Paavonen3, Kati Heinonen2, Niina Komsi2, Jari Lahti2, Eero Kajantie3,4, Anna-Liisa Järvenpää5, Timo Strandberg6
1Department of Psychology and Institute of Clinical Medicine, University of Helsinki, Helsinki, Finland
2Department of Psychology, University of Helsinki, Helsinki, Finland
3National Institute for Health and Welfare, Helsinki, Finland
4Hospital for Children and Adolescents, Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
5Hospital for Children and Adolescents, University of Helsinki, Helsinki, Finland
6Department of Health Sciences/Geriatrics, Unit of General Practice, University of Oulu and Oulu University Hospital, Oulu, Finland

Tóm tắt

Relatively little is known about the significance of normal variation in objectively assessed sleep duration and its regularity in children's psychological well-being. We explored the associations between sleep duration and regularity and behavioral and emotional problems in 8-year-old children. A correlational design was applied among an epidemiological sample of children born in 1998. Sleep was registered with an actigraph for seven nights (range 3 to 14) in 2006. Mothers (n = 280) and fathers (n = 190) rated their child's behavioral problems with the Child Behavior Checklist. Children with short sleep duration had an increased risk for behavioral problems, thought problems, and Diagnostic and Statistical Manual of Mental Disorders, 4th Edition-based attention-deficit hyperactivity problems according to maternal ratings. Based on paternal ratings, short sleep duration was associated with more rule-breaking and externalizing symptoms. Irregularity in sleep duration from weekdays to weekends was associated with an increased risk for specifically internalizing symptoms in paternal ratings. The results highlight the importance of sufficient sleep duration and regular sleep patterns from weekdays to weekends. Short sleep duration was associated specifically with problems related to attentional control and externalizing behaviors, whereas irregularity in sleep duration was, in particular, associated with internalizing problems.

Tài liệu tham khảo

Carskadon MA, Acebo C, Jenni OG. Regulation of adolescent sleep: implications for behavior. Ann N Y Acad Sci. 2004;1021:276–91.

Cohen-Zion M, Ancoli-Israel S. Sleep in children with attention-deficit hyperactivity disorder (ADHD): a review of naturalistic and stimulant intervention studies. Sleep Med Rev. 2004;8:379–402.

DeVincent CJ, Gadow KD, Delosh D, Geller L. Sleep disturbance and its relation to DSM-IV psychiatric symptoms in preschool-age children with pervasive developmental disorder and community controls. J Child Neurol. 2007;22:161–9.

Fricke-Oerkermann L, Pluck J, Schredl M, Heinz K, Mitschke A, Wiater A, et al. Prevalence and course of sleep problems in childhood. Sleep. 2007;30:1371–7.

Meltzer LJ, Mindell JA. Sleep and sleep disorders in children and adolescents. Psychiatr Clin North Am. 2006;29:1059–76. abstract x.

Smaldone A, Honig JC, Byrne MW. Sleepless in America: inadequate sleep and relationships to health and well-being of our nation's children. Pediatrics. 2007;119(Suppl 1):S29–37.

El-Sheikh M, Buckhalt JA, Mark Cummings E, Keller P. Sleep disruptions and emotional insecurity are pathways of risk for children. J Child Psychol Psychiatry. 2007;48:88–96.

El-Sheikh M, Erath SA, Keller PS. Children's sleep and adjustment: the moderating role of vagal regulation. J Sleep Res. 2007;16:396–405.

Sadeh A, Gruber R, Raviv A. Sleep, neurobehavioral functioning, and behavior problems in school-age children. Child Dev. 2002;73:405–17.

Nixon GM, Thompson JM, Han DY, Becroft DM, Clark PM, Robinson E, et al. Short sleep duration in middle childhood: risk factors and consequences. Sleep. 2008;31:71–8.

Aronen ET, Paavonen EJ, Fjallberg M, Soininen M, Torronen J. Sleep and psychiatric symptoms in school-age children. J Am Acad Child Adolesc Psych. 2000;39:502–8.

Tran KD, Nguyen CD, Weedon J, Goldstein NA. Child behavior and quality of life in pediatric obstructive sleep apnea. Arch Otolaryngol Head Neck Surg. 2005;131:52–7.

Owens JA, Mehlenbeck R, Lee J, King MM. Effect of weight, sleep duration, and comorbid sleep disorders on behavioral outcomes in children with sleep-disordered breathing. Arch Pediatr Adolesc Med. 2008;162:313–21.

Paavonen EJ, Räikkönen K, Lahti J, Komsi N, Heinonen K, Pesonen AK, et al. Short sleep duration and behavioral symptoms of attention-deficit/hyperactivity disorder in healthy 7- to 8-year-old children. Pediatrics. 2009;123:e857–64.

Giannotti F, Cortesi F, Sebastiani T, Ottaviano S. Circadian preference, sleep and daytime behaviour in adolescence. J Sleep Res. 2002;11:191–9.

Strandberg TE, Järvenpää AL, Vanhanen H, McKeigue PM. Birth outcome in relation to licorice consumption during pregnancy. Am J Epidemiol. 2001;153:1085–8.

Achenbach T. Manual for the Child Behavior Checklist/4–18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry; 1991.

Krol NP, De Bruyn EE, Coolen JC, van Aarle EJ. From CBCL to DSM: a comparison of two methods to screen for DSM-IV diagnoses using CBCL data. J Clin Child Adolesc Psychol. 2006;35:127–35.

Spatola CA, Fagnani C, Pesenti-Gritti P, Ogliari A, Stazi MA, Battaglia M. A general population twin study of the CBCL/6–18 DSM-oriented scales. J Am Acad Child Adolesc Psych. 2007;46:619–27.

Hvolby A, Jorgensen J, Bilenberg N. Actigraphic and parental reports of sleep difficulties in children with attention-deficit/hyperactivity disorder. Arch Pediatr Adolesc Med. 2008;162:323–9.

Fallone G, Acebo C, Arnedt JT, Seifer R, Carskadon MA. Effects of acute sleep restriction on behavior, sustained attention, and response inhibition in children. Percept Mot Skills. 2001;93:213–29.

Fallone G, Acebo C, Seifer R, Carskadon MA. Experimental restriction of sleep opportunity in children: effects on teacher ratings. Sleep. 2005;28:1561–7.

Gregory AM, Van der Ende J, Willis TA, Verhulst FC. Parent-reported sleep problems during development and self-reported anxiety/depression, attention problems, and aggressive behavior later in life. Arch Pediatr Adolesc Med. 2008;162:330–5.

Touchette E, Petit D, Seguin JR, Boivin M, Tremblay RE, Montplaisir JY. Associations between sleep duration patterns and behavioral/cognitive functioning at school entry. Sleep. 2007;30:1213–9.

Thorleifsdottir B, Bjornsson JK, Benediktsdottir B, Gislason T, Kristbjarnarson H. Sleep and sleep habits from childhood to young adulthood over a 10-year period. J Psychosom Res. 2002;53:529–37.

Gau SS, Shang CY, Merikangas KR, Chiu YN, Soong WT, Cheng AT. Association between morningness-eveningness and behavioral/emotional problems among adolescents. J Biol Rhythms. 2007;22:268–74.

Wolfson AR, Carskadon MA. Sleep schedules and daytime functioning in adolescents. Child Dev. 1998;69:875–87.

Werner H, Molinari L, Guyer C, Jenni OG. Agreement rates between actigraphy, diary, and questionnaire for children's sleep patterns. Arch Pediatr Adolesc Med. 2008;162:350–8.

Acebo C, Sadeh A, Seifer R, Tzischinsky O, Wolfson AR, Hafer A, et al. Estimating sleep patterns with activity monitoring in children and adolescents: how many nights are necessary for reliable measures?. Sleep. 1999;22:95–103.

Rescorla LA. Assessment of young children using the Achenbach system of empirically based assessment (ASEBA). Ment Retard Dev Disabil Res Rev. 2005;11:226–37.

Konold TR, Walthall JC, Pianta RC. The Behavior of Child Behavior Ratings: measurement structure of the child behavior checklist across time, informants, and child gender. Behav Disord. 2004;29:372–83.

Kerr DC, Lunkenheimer ES, Olson SL. Assessment of child problem behaviors by multiple informants: a longitudinal study from preschool to school entry. J Child Psychol Psychiatry. 2007;48:967–75.

Thông tin
Thông tin xuất bản

International Journal of Behavioral Medicine

Tập 17

298-305

Thông tin tác giả