Reeves Gloria, Blaisdell Carol, Lapidus Manana, Langenberg Patricia, Ramagopal Maya, Cabassa Johanna, Bollinger Mary Beth, Nijjar Gagan Virk, Anthony Bruno, Achenbach Thomas, Postolache Teodor T
Division of Child and Adolescent Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Int J Adolesc Med Health. 2010 Oct-Dec;22(4):535-45. doi: 10.1515/ijamh.2010.22.4.535.
To investigate the association between sleep disordered breathing (SDB) and parent report of attention and behavioral problems in children, as well as the association between sleep stage duration and measures of child functioning in a clinically referred sample.
A chart review was conducted of 95 children with clinical history of SDB who completed an overnight polysomnography study in a pediatric sleep laboratory. Child functioning was assessed at the time of the sleep study by parent report on the Child Behavior Checklist (CBCL). The apnea hypopnea index was used as a measure of SDB severity.
The apnea hypopnea index was associated with externalizing behavior, but not attention problems on the CBCL. In children 2-3 years old, stage 4 sleep duration was associated with externalizing behavior. In children 4-16 years old, REM sleep duration was associated with externalizing behavior.
Children with increased SDB severity may be at greater risk for behavioral problems. Differences between the association of sleep stages and externalizing behavior in toddlers compared with older children suggests possible developmental differences in the association between sleep and behavior.
探讨睡眠呼吸障碍（SDB）与家长报告的儿童注意力及行为问题之间的关联，以及在临床转诊样本中睡眠阶段时长与儿童功能指标之间的关联。
对95名有SDB临床病史的儿童进行病历回顾，这些儿童在儿科睡眠实验室完成了一项夜间多导睡眠图研究。在睡眠研究时，通过家长填写儿童行为量表（CBCL）对儿童功能进行评估。呼吸暂停低通气指数用作SDB严重程度的指标。
呼吸暂停低通气指数与外化行为相关，但与CBCL上的注意力问题无关。在2至3岁的儿童中，第4阶段睡眠时间与外化行为相关。在4至16岁的儿童中，快速眼动睡眠时间与外化行为相关。
SDB严重程度增加的儿童可能有更高的行为问题风险。与大龄儿童相比，幼儿睡眠阶段与外化行为之间关联的差异表明睡眠与行为之间的关联可能存在发育差异。
