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Published on: October 11, 2018
Sleep disturbance and injury risk in young children
Judith A Owens1, Sandra Fernando, Melissa Mc Guinn
1Division of Pediatric Ambulatory Medicine, Rhode Island Hospital, Providence 02903, USA. owensleep@aol.com
Insights
Children experiencing sleep disturbances, especially anxiety around sleep, are more prone to injuries. This study highlights sleep problems as a potential risk factor for injuries in young children.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Injury Prevention
Background:
- Sleep disturbances are common in young children.
- The link between sleep issues and childhood injuries requires further investigation.
Purpose of the Study:
- To examine the association between sleep disturbance and injury rates in children aged 3-7 years.
- To explore the relationship between sleep disturbance and injury-prone behaviors in preschool and early school-age children.
Main Methods:
- Cross-sectional study involving 71 pediatric patients (ages 3-7).
- Utilized the Children's Sleep Habits Questionnaire and Injury Behavior Checklist.
- Included chart review for injury data.
Main Results:
- Children with higher injury rates reported significantly more sleep problems, particularly sleep anxiety.
- Increased parent-reported injury-prone behaviors correlated with greater sleep disturbance.
- Daytime sleepiness did not significantly differ between injury groups.
Conclusions:
- Sleep disturbances are more prevalent in young children with higher injury rates and injury-prone behaviors.
- Sleep disturbance may serve as a significant risk factor for pediatric injuries.
- Further research is warranted to understand the mechanisms linking sleep and injury.
Abstract:
The objective of this study was to investigate the relationship between sleep disturbance and both injury rates and injury-prone behaviors in preschool-age and early school-age children, using cross-sectional surveys of sleep disturbance (Children's Sleep Habits Questionnaire) and injury-related behaviors (Injury Behavior Checklist), and chart review of injuries. Participants were 71 patients enrolled in a pediatric clinic in a children's teaching hospital, ages 3 through 7 years, coming either for well-child care in a pediatric primary care clinic or for pediatric emergency room treatment of minor injuries. Results suggest that children with more frequent injuries had significantly more sleep problems overall, particularly anxiety around sleep, than did children with low injury rates. Children with more parent-reported injury-prone behaviors also had significantly more sleep disturbance. Daytime sleepiness-related items did not differ between injury history or injury behavior groups. Results of this study support an increased prevalence of sleep disturbances in young children with higher injury rates and more injury-prone behavior. Sleep disturbance may be a potential risk factor for increased injuries in this age group.
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