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婴儿期和幼儿期睡眠问题与 5 岁和 14 岁时注意力问题之间的关系:来自队列研究的证据。

The link between sleep problems in infancy and early childhood and attention problems at 5 and 14 years: Evidence from a birth cohort study.

机构信息

Griffith University, Gold Coast, Australia.

出版信息

Early Hum Dev. 2010 Jul;86(7):419-24. doi: 10.1016/j.earlhumdev.2010.05.020. Epub 2010 Jun 19.

Abstract

BACKGROUND

Little research has examined the associations between early sleep problems and attention problems over several developmental periods.

AIMS

To examine whether sleep problems in infancy and early childhood are independently related to attention difficulty at 5 and 14 years, and to the continuity of attention difficulties from 5 to 14 years.

STUDY DESIGN

The study was a prospective, population-based birth cohort study.

SUBJECTS

7223 women who delivered a live, singleton child between 1981 and 1983 were recruited at the first antenatal visit. Of these, 4204 had complete information on all key measures.

OUTCOME MEASURES

Attention problems were assessed with items from the Child Behaviour Checklist (CBCL) and were classified as adolescent onset (i.e. problems at 14 but not at 5); early remitter (problems at 5, no problem at 14); and persistent (i.e. at both 5 and 14).

RESULTS

At 6 months, sleep problems 'sometimes' were associated with the early remitter group in boys. For sleep problems between 2 and 4 years of age, findings were generally similar for boys and girls with strong associations with adolescent attention. Sleep problems 'often' were independently associated with early remitter and persistent attention problems, and 'sometimes' with early remitter and adolescent onset attention problems.

CONCLUSIONS

Sleep problems in early childhood are an indicator of subsequent attention problems that may persist into adolescence. Whether these associations are causal requires further research, however their presence provides an opportunity for early intervention and monitoring.

摘要

背景

很少有研究探讨早期睡眠问题与多个发育阶段注意力问题之间的关系。

目的

检验婴儿期和幼儿期的睡眠问题是否与 5 岁和 14 岁时的注意力困难以及从 5 岁到 14 岁期间注意力困难的连续性独立相关。

研究设计

这是一项前瞻性、基于人群的出生队列研究。

受试者

1981 年至 1983 年间,共有 7223 名女性在首次产前检查时招募了一名活产、单胎的孩子。其中,有 4204 人拥有所有关键指标的完整信息。

研究结果

在 6 个月时,男孩中“有时”出现睡眠问题与早期缓解组有关。对于 2 至 4 岁之间的睡眠问题,男孩和女孩的发现基本相似,与青少年注意力问题有很强的关联。“经常”出现睡眠问题与早期缓解和持续注意力问题独立相关,“有时”出现睡眠问题与早期缓解和青少年发病注意力问题相关。

结论

幼儿期的睡眠问题是后续注意力问题的一个指标,这些问题可能会持续到青春期。然而,这些关联是否具有因果关系需要进一步研究,但它们的存在为早期干预和监测提供了机会。

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