Division of Pulmonary Medicine, Sleep Center, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Department of Child & Adolescent Psychiatry & Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Child Psychol Psychiatry. 2020 Oct;61(10):1092-1103. doi: 10.1111/jcpp.13303. Epub 2020 Jul 26.
This study examined whether distinct sleep problem trajectories from infancy through middle childhood were associated with multiple aspects of child well-being at ages 10-11 years.
Data were from the first six waves of the Longitudinal Study of Australian Children - Birth Cohort (5,107 children recruited at birth). Caregivers reported on child sleep problems at each time point. A combination of caregiver-reported, teacher-reported and child-completed tasks were used to index child well-being outcomes at ages 10-11 years including emotional/behavioural functioning (internalizing and externalizing symptoms; self-control), health-related quality of life, cognitive skills and academic achievement.
Latent class analysis identified five distinct sleep problem trajectories over time: persistent sleep problems through middle childhood (7.7% of the sample), limited infant/preschool sleep problems (9.0%), increased middle childhood sleep problems (17.0%), mild sleep problems over time (14.4%) and no sleep problems (51.9%). Compared to those with no sleep problems, children with persistent sleep problems had the greatest impairments across all outcomes except cognitive skills (perceptual reasoning), with moderate to large effect sizes. Children with increased middle childhood sleep problems similarly experienced greater internalizing and externalizing symptoms and worse quality of life, but few academic impairments. Both the limited infant/preschool sleep problems and mild increases over time trajectories also showed internalizing concerns and worse caregiver-reported quality of life, although effects were smaller than the other sleep trajectories.
The linkages between sleep problems and negative child outcomes across domains underscore the importance of early identification and targeted intervention to address sleep problems and promote child well-being.
本研究考察了从婴儿期到儿童中期不同的睡眠问题轨迹是否与 10-11 岁儿童的多个福祉方面有关。
数据来自澳大利亚儿童纵向研究-出生队列的前六波（在出生时招募了 5107 名儿童）。在每个时间点，看护者报告儿童睡眠问题。使用 caregiver 报告、教师报告和儿童完成的任务的组合，在 10-11 岁时对儿童福祉结果进行索引，包括情绪/行为功能（内化和外化症状；自我控制）、健康相关生活质量、认知技能和学业成绩。
潜在类别分析确定了五个随时间变化的不同睡眠问题轨迹：贯穿整个儿童中期的持续睡眠问题（样本的 7.7%）、有限的婴儿/学龄前睡眠问题（9.0%）、增加的儿童中期睡眠问题（17.0%）、随时间轻度睡眠问题（14.4%）和无睡眠问题（51.9%）。与无睡眠问题的儿童相比，持续睡眠问题的儿童在所有结果中都有最大的障碍，除了认知技能（感知推理），其效应大小为中等至大。有增加的儿童中期睡眠问题的儿童也经历了更大的内化和外化症状和更差的生活质量，但学业障碍较少。有限的婴儿/学龄前睡眠问题和随时间轻度增加的轨迹也显示出内化问题和较差的 caregiver 报告的生活质量，尽管影响小于其他睡眠轨迹。
睡眠问题与各个领域的负面儿童结果之间的联系强调了早期识别和有针对性的干预的重要性，以解决睡眠问题和促进儿童福祉。
