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意大利学龄儿童的同床睡眠与睡眠行为

Cosleeping and sleep behavior in Italian school-aged children.

作者信息

Cortesi Flavia, Giannotti Flavia, Sebastiani Teresa, Vagnoni Cristina

机构信息

Center of Pediatric Sleep Disorders, Department of Developmental Neurology and Psychiatry, University of Rome La Sapienza, Italy.

出版信息

J Dev Behav Pediatr. 2004 Feb;25(1):28-33. doi: 10.1097/00004703-200402000-00005.

Abstract

The prevalence and predictors of cosleeping were investigated in 901 healthy school-aged children. Parent reports on the Children's Sleep Habits Questionnaire and Child Behavior Checklist were used to assess children's sleep and behavioral problems. Regular, long-lasting cosleeping was present in 5% of our sample. Cosleepers rated higher on the Children's Sleep Habits Questionnaire total score and Bedtime Resistance, Sleep Anxiety, Nightwakings, and Parasomnias subscales than solitary sleepers. No significant behavioral problems were found in cosleepers. Regression results showed that low socioeconomic status, one parent who is a shiftworker, one-parent families, one parent who coslept as a child, prolonged breastfeeding, and previous and current sleep problems significantly predicted cosleeping. The high incidence of parents reporting having coslept as a child also suggested a lifestyle choice. Thus, cosleeping seems to reflect a parent's way to cope with sleep problems, and the long persistence of this practice may be related to the lifestyle of families.

摘要

对901名健康学龄儿童的同床睡眠患病率及预测因素进行了调查。采用家长填写的儿童睡眠习惯问卷和儿童行为清单来评估儿童的睡眠和行为问题。我们的样本中有5%的儿童存在规律、长期的同床睡眠情况。同床睡眠儿童在儿童睡眠习惯问卷总分以及上床睡觉抗拒、睡眠焦虑、夜间醒来和异态睡眠分量表上的得分高于单独睡眠的儿童。未发现同床睡眠儿童存在明显的行为问题。回归结果显示,社会经济地位低、父母一方为轮班工作者、单亲家庭、父母一方小时候有过同床睡眠经历、延长母乳喂养时间以及既往和当前的睡眠问题是同床睡眠的显著预测因素。很多家长表示自己小时候有过同床睡眠经历,这一高比例也表明这是一种生活方式的选择。因此,同床睡眠似乎反映了家长应对睡眠问题的方式,而这种做法的长期存在可能与家庭生活方式有关。

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