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有睡前问题的儿童同床共眠与单独睡眠:儿童情绪问题及父母困扰

Cosleeping versus solitary sleeping in children with bedtime problems: child emotional problems and parental distress.

作者信息

Cortesi Flavia, Giannotti Flavia, Sebastiani Teresa, Vagnoni Cristina, Marioni Patrizia

机构信息

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

出版信息

Behav Sleep Med. 2008;6(2):89-105. doi: 10.1080/15402000801952922.

Abstract

This study investigated sleep, behavioral and emotional problems, and parental relationships and psychological distress in a group of school-aged children with bedtime problems and persistent cosleeping, compared to solitary sleepers and controls. Participants were 148 school-aged children with bedtime problems (44 cosleepers, 104 solitary sleepers) and 228 healthy peers. Results suggested that cosleepers have a significantly later bedtime, shorter nighttime sleep duration, higher Children's Sleep Habits Questionnaire (CSHQ) bedtime resistance and sleep anxiety scores, and more behavioral and emotional problems compared to other groups. Parents of cosleepers have a significantly higher level of psychological and couple distress. A past history of sleep problems, couple and maternal distress, CSHQ bedtime resistance, sleep anxiety, and night wakings subscale scores, and nighttime fears were significantly predictive of cosleeping. Thus, when cosleeping is present, the child's emotional adjustment, family relationships, and parental psychological problems should be investigated.

摘要

本研究调查了一组有就寝问题且持续同床睡眠的学龄儿童的睡眠、行为和情绪问题、亲子关系及心理困扰,并与独自睡眠者和对照组进行了比较。参与者包括148名有就寝问题的学龄儿童(44名同床睡眠者,104名独自睡眠者)和228名健康同龄人。结果表明,与其他组相比,同床睡眠者的就寝时间明显更晚,夜间睡眠时间更短,儿童睡眠习惯问卷(CSHQ)的就寝抗拒和睡眠焦虑得分更高,行为和情绪问题更多。同床睡眠者的父母心理和夫妻困扰水平明显更高。过去的睡眠问题史、夫妻和母亲的困扰、CSHQ就寝抗拒、睡眠焦虑和夜间醒来分量表得分以及夜间恐惧是同床睡眠的显著预测因素。因此,当存在同床睡眠时,应调查孩子的情绪调节、家庭关系和父母的心理问题。

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