Goldsmiths, University of London, London, UK.
J Sleep Res. 2009 Dec;18(4):422-6. doi: 10.1111/j.1365-2869.2009.00747.x. Epub 2009 Aug 16.
The objective of the study was to determine whether associations between dysfunctional beliefs and attitudes about sleep and sleep disturbance are evident in children. Cross-sectional data were collected from 123 children aged 8-10 years (49% boys). The participants came from ethnically diverse backgrounds from two inner-city schools in London, UK. Children completed the Sleep Self-Report (SSR) and the Dysfunctional Beliefs and Attitudes about Sleep (DBAS) questionnaire (which was adapted for use with children). Parents completed the Child Sleep Habits Questionnaire (CSHQ). The total DBAS score was associated with sleep disturbances defined as total SSR score (beta = 0.40, P < 0.001, r(2) = 0.15), the SSR insomnia items (beta = 0.29, P < 0.01, r(2) = 0.08) and the total CSHQ score (beta = 0.22, P < 0.05, r(2) = 0.04). Some dysfunctional beliefs about sleep predicted sleep disturbance to a greater extent than others. For example, when controlling for the other DBAS subscales, the 'control and predictability of sleep' subscale, but not the 'sleep requirements expectations' subscale, predicted total SSR score and SSR insomnia items. Given this preliminary evidence that dysfunctional beliefs and attitudes about sleep appear to be associated with sleep difficulties in children, future work is needed to further developmentally adapt a version of the DBAS appropriate for use with children.
本研究旨在确定儿童睡眠障碍与睡眠相关的功能失调信念和态度之间是否存在关联。横断面数据来自英国伦敦两所内城学校的 123 名 8-10 岁儿童（49%为男孩）。参与者来自不同种族背景。儿童完成了睡眠自我报告（SSR）和睡眠功能失调信念与态度问卷（DBAS）（该问卷经过改编，适用于儿童）。家长完成了儿童睡眠习惯问卷（CSHQ）。总的 DBAS 评分与睡眠障碍有关，定义为总 SSR 评分（β=0.40，P<0.001，r(2)=0.15）、SSR 失眠项目（β=0.29，P<0.01，r(2)=0.08）和总 CSHQ 评分（β=0.22，P<0.05，r(2)=0.04）。一些关于睡眠的功能失调信念比其他信念更能预测睡眠障碍。例如，在控制其他 DBAS 子量表的情况下，“睡眠的控制和可预测性”子量表，但不是“睡眠需求期望”子量表，预测了总 SSR 评分和 SSR 失眠项目。鉴于有初步证据表明，睡眠相关的功能失调信念和态度与儿童睡眠困难有关，未来需要进一步开发适合儿童使用的 DBAS 版本。
