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睡眠质量、睡眠时间和嗜睡对儿童和青少年学习成绩的影响:荟萃分析综述。

The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review.

机构信息

Department of Education, Faculty of Social and Behavior Science, University of Amsterdam, Nieuwe Prinsengracht 130, 1018 VZ Amsterdam, The Netherlands.

出版信息

Sleep Med Rev. 2010 Jun;14(3):179-89. doi: 10.1016/j.smrv.2009.10.004. Epub 2010 Jan 21.

Abstract

Insufficient sleep, poor sleep quality and sleepiness are common problems in children and adolescents being related to learning, memory and school performance. The associations between sleep quality (k=16 studies, N=13,631), sleep duration (k=17 studies, N=15,199), sleepiness (k=17, N=19,530) and school performance were examined in three separate meta-analyses including influential factors (e.g., gender, age, parameter assessment) as moderators. All three sleep variables were significantly but modestly related to school performance. Sleepiness showed the strongest relation to school performance (r=-0.133), followed by sleep quality (r=0.096) and sleep duration (r=0.069). Effect sizes were larger for studies including younger participants which can be explained by dramatic prefrontal cortex changes during (early) adolescence. Concerning the relationship between sleep duration and school performance age effects were even larger in studies that included more boys than in studies that included more girls, demonstrating the importance of differential pubertal development of boys and girls. Longitudinal and experimental studies are recommended in order to gain more insight into the different relationships and to develop programs that can improve school performance by changing individuals' sleep patterns.

摘要

睡眠不足、睡眠质量差和嗜睡是儿童和青少年常见的问题,与学习、记忆和学校表现有关。本研究通过三项元分析,分别考察了睡眠质量(k=16 项研究,N=13631)、睡眠时长(k=17 项研究,N=15199)和嗜睡(k=17 项研究,N=19530)与学校表现之间的关联,并将影响因素(如性别、年龄、参数评估)作为调节变量。所有三种睡眠变量与学校表现均呈显著但适度相关。嗜睡与学校表现的相关性最强(r=-0.133),其次是睡眠质量(r=0.096)和睡眠时长(r=0.069)。包含年轻参与者的研究中,效应大小更大,这可以用(早期)青春期前额叶皮质的剧烈变化来解释。关于睡眠时长与学校表现之间的关系,在包含更多男孩的研究中,年龄效应大于在包含更多女孩的研究中,这表明男孩和女孩青春期发育的差异非常重要。建议进行纵向和实验研究,以便更深入地了解不同的关系,并制定通过改变个体睡眠模式来提高学校表现的方案。

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