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睡眠问题从 6 个月减少到 24 个月,没有证据表明睡眠障碍与以后的发育问题有关。

Sleep problems reduced from 6 to 24 months of age with no evidence of links between disturbed sleep and later developmental problems.

机构信息

Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP), Oslo, Norway.

Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.

出版信息

Acta Paediatr. 2022 Jul;111(7):1354-1361. doi: 10.1111/apa.16313. Epub 2022 Mar 2.

Abstract

AIM

Sleep is essential for infant development. We assessed the prevalence of sleep problems in infants at 6, 12 and 24 months, investigated the relationship between infants' sleep problems and development, and determined to what extent sleep problems at 6 months were related to changes in the developmental course.

METHODS

Infant sleep problems were measured by a parent-reported sleep questionnaire. The Ages and Stages Questionnaires were used to measure developmental skills in a sample of 1555 infants recruited from 9 well-baby clinics in Norway. ASQ scores were compared between infants with and without sleep problems by using two-sample t-tests. The relationship between infant sleep problems at 6 months and changes in Ages and Stages Questionnaires scores over time was investigated using linear mixed-effects models.

RESULTS

The prevalence of infant sleep problems were 14.6% at 6 months, 7.4% at 12 months and 3.3% at 24 months. There was no clear evidence of differences in ASQ or ASQ:SE scores by sleep problems from 6 to 24 months, but communication and problem-solving scores for infants with sleep problems increased faster.

CONCLUSION

Prevalence of sleep problems decreased with age. There was no clear evidence of early sleep disturbance and later development problems.

摘要

目的

睡眠对婴儿发育至关重要。我们评估了 6、12 和 24 个月婴儿睡眠问题的发生率,调查了婴儿睡眠问题与发育之间的关系,并确定 6 个月时的睡眠问题在多大程度上与发育过程的变化有关。

方法

通过家长报告的睡眠问卷来测量婴儿的睡眠问题。使用年龄和阶段问卷(Ages and Stages Questionnaires)在挪威 9 家婴儿诊所招募的 1555 名婴儿样本中测量发育技能。使用两样本 t 检验比较有睡眠问题和无睡眠问题的婴儿之间的 ASQ 评分。使用线性混合效应模型调查 6 个月时婴儿睡眠问题与随时间推移的年龄和阶段问卷评分变化之间的关系。

结果

婴儿睡眠问题的发生率为 6 个月时 14.6%,12 个月时 7.4%,24 个月时 3.3%。从 6 个月到 24 个月,睡眠问题对 ASQ 或 ASQ:SE 评分没有明显差异,但有睡眠问题的婴儿的沟通和解决问题评分增长更快。

结论

睡眠问题的发生率随年龄而下降。没有明确的早期睡眠障碍和后期发育问题的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f938/9314144/aba516331368/APA-111-1354-g002.jpg

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