Varma Prerna, Conduit Russell, Junge Moira, Jackson Melinda L
School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Sleep Health Foundation, Blacktown, Sydney, Australia.
Nat Sci Sleep. 2020 Oct 30;12:865-874. doi: 10.2147/NSS.S271140. eCollection 2020.
The current study examined sleep and mood associations in parents of children with sleep disturbances across a sample of typically developing children and children with neurodevelopmental disorders. The mediating effect of children's sleep on the relationship between parents' sleep and mood was also assessed. The study explored differences in parents' sleep based on whether 1) the child had a sleep disturbance, and 2) the child was typically developing or had a neurodevelopmental disorder.
A total of 293 parents of children aged 2-12 years completed an online questionnaire. Parental sleep was examined using the Pittsburgh Sleep Quality Index, the Glasgow Sleep Effort Scale and the Pre-sleep Arousal Scale, and mood was assessed using the Profile of Mood States-short form. Measures for children included the Child's Sleep Habits Questionnaire (CSHQ) and the Strengths and Difficulties Questionnaire.
Across the overall sample, children's sleep disturbances were associated with parents' sleep disturbances, accounting for 22% of the change in parental sleep quality. Children's sleep partially mediated parents' sleep and mood. Significant differences were observed for sleep and mood outcomes in parents of children with sleep disturbances (CSHQ scores ≥41). However, no significant differences were reported for children's sleep disturbances and parents' sleep quality based on whether the child was typically developing or had a neurodevelopmental disorder.
Parents of children with sleep disturbances experience poor sleep and high pre-sleep arousal, indicative of insomnia. Given that these parents experience cognitive arousal and insomnia, it is recommended that parents' sleep problems are addressed and treated in clinical settings.
本研究在一组正常发育儿童和神经发育障碍儿童样本中，考察了睡眠障碍儿童的父母的睡眠与情绪之间的关联。同时评估了儿童睡眠在父母睡眠与情绪关系中的中介作用。该研究基于以下两点探讨了父母睡眠的差异：1）孩子是否存在睡眠障碍；2）孩子是正常发育还是患有神经发育障碍。
共有293名2至12岁儿童的父母完成了一份在线问卷。使用匹兹堡睡眠质量指数、格拉斯哥睡眠努力量表和睡前觉醒量表来考察父母的睡眠情况，使用简版情绪状态剖面图来评估情绪。针对儿童的测量工具包括儿童睡眠习惯问卷（CSHQ）和长处与困难问卷。
在整个样本中，儿童的睡眠障碍与父母的睡眠障碍相关，占父母睡眠质量变化的22%。儿童睡眠部分中介了父母的睡眠与情绪。在睡眠障碍儿童（CSHQ得分≥41）的父母中，睡眠和情绪结果存在显著差异。然而，基于孩子是正常发育还是患有神经发育障碍，儿童睡眠障碍与父母睡眠质量之间未报告显著差异。
睡眠障碍儿童的父母睡眠质量差且睡前觉醒水平高，表明存在失眠问题。鉴于这些父母存在认知觉醒和失眠问题，建议在临床环境中对父母的睡眠问题进行处理和治疗。
