Ricci C, Poulain T, Keil J, Rothenbacher D, Genuneit J
Pediatric Epidemiology, Department of Pediatrics, Medical Faculty, Leipzig University, Leipzig, Germany.
LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Sleep Adv. 2022 Jun 24;3(1):zpac020. doi: 10.1093/sleepadvances/zpac020. eCollection 2022.
The objective of the study was to investigate the association of sleep quality, media use and book reading on internalizing, externalizing and prosocial behavior in early childhood.
In this cross-sectional study, we investigated a data set consisting of three consecutive yearly waves of the prospective Ulm SPATZ Health Study, conducted in southern Germany with 565, 496, and 421 children of 4-6 years of age, respectively.Standardized effects of the overall score and subscales of the Children's Sleep Habits Questionnaire, parent-reported child media use and book reading as well as their interaction term on the total score of the Strengths and Difficulties Questionnaire along with its externalizing, internalizing and prosocial subscales were estimated by multivariate adjusted random intercept mixed models.
Overall sleep quality was associated more with internalizing than externalizing behavior; parasomnias associated with both behaviors. Night waking and sleep anxiety associated only with internalizing behavior. High levels of media use were associated with less internalizing behavior. More book reading resulted in less externalizing and internalizing behavior but more prosocial behavior. Finally, book reading and media use do not interact to determine child's behavior.
The current work supports a strategy of monitoring sleep quality, reducing media use and promoting book reading in order to avoid behavioral problems in early childhood.
本研究旨在调查睡眠质量、媒体使用和阅读书籍与幼儿内化行为、外化行为和亲社会行为之间的关联。
在这项横断面研究中，我们调查了一个数据集，该数据集由德国南部进行的乌尔姆前瞻性SPATZ健康研究连续三年的数据组成，分别有565名、496名和421名4至6岁的儿童。通过多变量调整随机截距混合模型，估计儿童睡眠习惯问卷的总分和子量表、家长报告的儿童媒体使用和阅读书籍情况及其交互项对优势与困难问卷总分及其外化、内化和亲社会子量表的标准化效应。
总体睡眠质量与内化行为的关联比与外化行为的关联更强；异态睡眠与两种行为均有关联。夜间醒来和睡眠焦虑仅与内化行为有关。大量使用媒体与较少的内化行为有关。更多的阅读书籍导致较少的外化和内化行为，但更多的亲社会行为。最后，阅读书籍和媒体使用之间不存在相互作用来决定儿童的行为。
目前的研究支持一种监测睡眠质量、减少媒体使用和促进阅读书籍的策略，以避免幼儿出现行为问题。
