Post-graduate Program in Health and Environment, University of Joinville Region, Rua Paulo Malschitzki, nº 10, Joinville, SC, CEP 89.219-710, Brazil.
Nursing Department, University of Joinville Region - UNIVILLE, Joinville, SC, Brazil.
Matern Child Health J. 2020 Jan;24(1):62-72. doi: 10.1007/s10995-019-02843-z.
To evaluate the effect of maternal depression and anxiety symptoms on daily sleep duration in 4-5-year-old children.
Data were obtained from the PREDI Study, a larger cohort study conducted in Brazil. The current study is a cross-sectional study carried out in the homes of the participants between July 2016 and August 2017. The participants were submitted to anthropometric assessment and demographic, socioeconomic and psychological data were obtained. Total sleep time was self-reported by the women and classified as ≥ 10 or < 10 h of sleep/day. Maternal depression and anxiety symptoms were assessed using the Beck Depression Inventory and Beck Anxiety Inventory, respectively.
Of the 216 children included in the study, 77.3% and 22.7% had ≥ 10 and < 10 h of sleep/day, respectively. Regarding the women, 20.0% and 19.5% had moderate/severe depression and anxiety symptoms, respectively. Moderate/severe symptoms of maternal depression were associated with < 10 h of sleep/day (p = 0.034). Unadjusted analysis showed that children whose mothers had moderate/severe depression symptoms were significantly more likely to sleep < 10 h/day at 4-5 years of age than those whose mothers had minimal/mild depression symptoms (OR 2.38, p = 0.037). This association continued to be significant and increased to an OR of 3.99 (p = 0.006) after adjusting for potential confounders.
Our study showed that sleeping less than 10 h/day at preschool age was associated with moderate/severe maternal depression symptoms. These results are important from a public health perspective since strategies designed to treat depression in women with school-age children may help improve their child's sleep quality and, consequently, his cognitive performance and related behavioral and emotional problems in the future.
评估母亲抑郁和焦虑症状对 4-5 岁儿童每日睡眠时间的影响。
数据来自巴西开展的一项较大队列研究 PREDI 研究。本研究为横断面研究，于 2016 年 7 月至 2017 年 8 月在参与者家中进行。参与者接受了人体测量评估以及人口统计学、社会经济和心理学数据采集。女性报告总睡眠时间，并分为每天睡眠时间≥10 小时或＜10 小时。使用贝克抑郁量表和贝克焦虑量表评估母亲的抑郁和焦虑症状。
在纳入研究的 216 名儿童中，77.3%和 22.7%的儿童每天睡眠时间分别≥10 小时和＜10 小时。关于女性，分别有 20.0%和 19.5%患有中度/重度抑郁和焦虑症状。母亲中度/重度抑郁症状与每天睡眠时间＜10 小时相关（p=0.034）。未调整分析显示，与母亲有轻度/无症状抑郁的儿童相比，母亲有中度/重度抑郁症状的儿童 4-5 岁时每天睡眠时间＜10 小时的可能性显著更高（OR 2.38，p=0.037）。调整潜在混杂因素后，这种关联仍然显著，OR 增加至 3.99（p=0.006）。
本研究表明，学龄前儿童每天睡眠时间少于 10 小时与母亲中度/重度抑郁症状有关。这些结果从公共卫生角度来看很重要，因为针对有学龄儿童的女性设计的治疗抑郁策略可能有助于改善其子女的睡眠质量，进而在未来改善其认知表现以及相关行为和情绪问题。
