6 至 7 岁儿童睡眠习惯与行为问题及适应能力的关系：A-CHILD 研究结果。

Association of sleep habits with behavior problems and resilience of 6- to 7-year-old children: results from the A-CHILD study.

机构信息

Department of Global Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.

出版信息

Sleep Med. 2018 May;45:62-68. doi: 10.1016/j.sleep.2017.12.015. Epub 2018 Feb 7.

DOI:10.1016/j.sleep.2017.12.015

PMID:29680430

Abstract

BACKGROUND

Childhood sleep habits are associated with mental health development; however, little is known about the impact of irregular bedtimes on the mental health of early school-aged children. The aims of this study were to examine the effect of weekday sleep habits (varying bedtimes depending on the night of the week and later than 22:00 h bedtime) on behavior problems, prosocial behavior, and resilience of children aged 6-7 years.

METHODS

Data were taken from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study, which involved the participation of 4291 caregivers of first-grade children (6-7 years old) living in Adachi City, Tokyo. Resilience (using the Children's Resilient Coping Scale), behavior problems (using the Strength and Difficulties Questionnaire), both modified to range 0-100, and sleep habits were measured via a questionnaire filled out by caregivers. Propensity-score matching was used to determine the associations between irregular and late bedtime, behavior problems, prosocial behavior, and resilience.

RESULTS

A total of 320 (7.5%) children showed irregular bedtime on school nights and 540 (13.6%) children went to bed later than 22:00 h. Children with irregular bedtimes on weekdays showed lower resilience (β = -3.50, 95% confidence interval (CI) = -5.90 to -1.10) and higher levels of behavior problems (β = 3.29, 95% CI = 1.13-5.46), especially hyperactivity/inattention (β = 5.76, 95% CI = 2.03 to 9.49) and peer relationship problems (β = 3.79, 95% CI = 1.02-6.55). On the other hand, no association between bedtime after 22:00 h and resilience or behavior problems was found.

CONCLUSION

Among early school-aged children, irregular bedtime on weekdays may be a risk factor for lower resilience and behavior problems.

摘要

背景

儿童睡眠习惯与心理健康发展有关；然而，对于不规律的就寝时间对 6-7 岁儿童心理健康的影响知之甚少。本研究旨在探讨工作日睡眠习惯（根据一周中的夜晚不同而改变就寝时间，且晚于 22:00 就寝）对 6-7 岁儿童行为问题、亲社会行为和适应力的影响。

方法

数据来自于东京足立区儿童生活困难对健康影响（A-CHILD）研究，该研究涉及 4291 名居住在足立区的一年级儿童（6-7 岁）的照顾者。使用儿童适应力量表（儿童适应力量表）测量适应力（范围为 0-100），采用经过修改的强项和困难问卷（Strength and Difficulties Questionnaire）测量行为问题。通过照顾者填写的问卷来测量睡眠习惯。采用倾向评分匹配来确定不规律和晚睡就寝时间与行为问题、亲社会行为和适应力之间的关联。

结果

共有 320 名（7.5%）儿童在上学日的晚上就寝时间不规律，540 名（13.6%）儿童晚于 22:00 就寝。工作日就寝时间不规律的儿童适应力较低（β=-3.50，95%置信区间（CI）=-5.90 至-1.10），行为问题水平较高（β=3.29，95%CI=1.13-5.46），特别是多动/注意力不集中（β=5.76，95%CI=2.03-9.49）和同伴关系问题（β=3.79，95%CI=1.02-6.55）。另一方面，晚于 22:00 就寝时间与适应力或行为问题之间没有关联。