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美国非裔幼儿睡眠与行为的每日动态:一个复杂的二元组?

Daily dynamics in sleep and behavior of young African-American children: A convoluted dyad?!

作者信息

Spruyt Karen, Alaribe Calista U, Nwabara Odochi U

机构信息

Faculty of Psychology and Educational Sciences, Pleinlaan 2, 1050, Vrije Universiteit Brussel, Belgium; GKC-Rett Expertise Center - MHeNS, Maastricht University, PO Box 616, 6200 MD Maastricht, Netherlands; Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center affiliated with Shanghai Jiaotong University School of Medicine, 1678 Dongfang Road, Pudong, Shanghai, China.

College of Health Sciences, Department of Health Studies, Chicago State University, 9501 S King Dr, Chicago, IL 60628, USA.

出版信息

Int J Psychophysiol. 2016 Jan;99:57-66. doi: 10.1016/j.ijpsycho.2015.11.003. Epub 2015 Nov 6.

DOI:10.1016/j.ijpsycho.2015.11.003
PMID:26548618
Abstract

Prior research has provided evidence that in children sleep and behavior are related. We aimed to determine the association between naturalistic daily variations in sleep and behavioral functioning. African American children, 5.4±1.7years old, living on the south side of Chicago participated in a repeated measures study to assess this sleep-behavior link. Data was obtained from three separate two-week periods of 24-hour actigraphy and the parental version of the Behavioral Assessment System for Children. Canonical correlations analyses were applied to investigate the relation between individual changes in sleep and behavior. After 1-month, weekday average sleep duration primarily related to internalizing behaviors, while within-child variability of sleep related to behavioral changes which may involve internalizing and externalizing symptoms. Week-weekend differences in sleep associated with maladaptive social skills. Over a 6-week period, sleep onset latency and sleep offset latency related to behavioral symptoms and maladaptive skills. Over a period of 3-months, sleep associated with symptomatic behaviors while the adverse impact of within-child variability of sleep attenuated. Alternatively, the week-weekend differences in bedtime, wake-up time, wake after sleep onset and sleep onset latency in particular related to internalizing and externalizing behavior problems. Findings showed that poor sleep related to dysfunctional behaviors. While maladaptive at the beginning, they may develop into symptomatic behaviors with potentially internalizing characteristics. As time goes on, individual changes in sleep onset and offset might be important clinical markers of a chronic 'social dysregulation'. Continued sufficient and regular sleep may improve daytime and nighttime behavioral regulation in early childhood.

摘要

先前的研究已提供证据表明,儿童的睡眠与行为有关。我们旨在确定睡眠的自然主义日常变化与行为功能之间的关联。居住在芝加哥南区的5.4±1.7岁非裔美国儿童参与了一项重复测量研究,以评估这种睡眠 - 行为联系。数据来自三个独立的为期两周的24小时活动记录仪监测期以及儿童行为评估系统的家长版。应用典型相关分析来研究睡眠和行为的个体变化之间的关系。1个月后,工作日平均睡眠时间主要与内化行为有关,而睡眠的个体内变异性与可能涉及内化和外化症状的行为变化有关。睡眠的周 - 周末差异与适应不良的社交技能相关。在6周的时间里,入睡潜伏期和睡眠偏移潜伏期与行为症状和适应不良技能有关。在3个月的时间里,睡眠与症状性行为相关,而睡眠的个体内变异性的不利影响减弱。另外,尤其是就寝时间、起床时间、睡眠中觉醒和入睡潜伏期的周 - 周末差异与内化和外化行为问题有关。研究结果表明,睡眠不佳与功能失调行为有关。虽然一开始是适应不良的,但它们可能会发展成具有潜在内化特征的症状性行为。随着时间的推移,入睡和起床的个体变化可能是慢性“社会失调”的重要临床标志。持续充足且规律的睡眠可能会改善幼儿期白天和夜间的行为调节。

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