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Associations between disturbed sleep and behavioural difficulties in 635 children aged six to eight years: a study
H Smedje1, J E Broman, J Hetta
1Child Psychiatric Clinic, Gävle County Hospital, SE-801 87 Gävle, Sweden.
Insights
Sleep problems in children are linked to behavior issues. Specific sleep disturbances, like night terrors or difficulty sleeping, correlate with distinct behavioral and emotional challenges in children.
Area of Science:
- Child Psychology
- Sleep Medicine
- Behavioral Science
Background:
- Childhood sleep disturbances are common.
- Behavioral problems in children can impact development and well-being.
- The relationship between specific sleep issues and behavioral dimensions requires further elucidation.
Purpose of the Study:
- To investigate associations between sleep habits and behavior in children aged six to eight years.
- To identify specific links between sleep disturbances and various behavioral and emotional dimensions.
Main Methods:
- Utilized parental responses to a sleep habits questionnaire.
- Employed the Strengths and Difficulties Questionnaire (SDQ) for behavioral screening.
- Analyzed data from 635 children aged six to eight years.
Main Results:
- Global sleep problems were reported in 4.9% of children, associated with behavior problems in 36% of cases.
- Hyperactivity linked to tossing/turning and sleepwalking; conduct problems to bedtime resistance.
- Emotional symptoms associated with night terrors, difficulty sleeping, and daytime somnolence; peer problems with shorter sleep time.
Conclusions:
- Sleep and behavior problems are significantly associated in children.
- Specific sleep disturbances correlate with particular behavioral and emotional dimensions.
- Understanding these associations can inform targeted interventions for children's well-being.
Abstract:
Associations between sleep and behaviour in 635 children, aged six to eight years, were investigated using parental responses to a sleep habits questionnaire, and to a behavioural screening form, the Strengths and Difficulties Questionnaire (SDQ). Global reports of sleep problems in 4.9% of the children were associated with a total SDQ score indicative of behaviour problems in 36% of the cases. Conversely, 15% of children with behaviour problems had global reports of sleep problems. Associations between specific sleeping features and different dimensions of behaviour and emotions were also explored. Hyperactivity was associated with tossing and turning during sleep, and with sleep walking; conduct problems were related to bedtime resistance; and emotional symptoms were associated with night terrors, difficulty falling asleep and daytime somnolence. Peer problems were associated with somewhat shorter total sleep time. Finally, a total SDQ score indicative of behaviour problems was associated with bedwetting, nightmares, tossing and turning during sleep and sleep walking, as well as with a slightly shorter total sleep time. We conclude that sleep and behaviour problems are associated in children, and that characteristic associations exist between particular sleep disturbances and specific dimensions of behaviour.
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