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Prevalence and course of sleep problems in childhood
Leonie Fricke-Oerkermann1, Julia Plück, Michael Schredl
1Department of Child and Adolescent Psychiatry and Psychotherapy, University of Cologne, Germany. Leonie.Fricke@uni-koeln.de
Insights
Many children experience sleep onset difficulties, with about 30-40% affected. These sleep problems can be transient or persistent, highlighting the need for early intervention in children and adolescents.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
Background:
- Sleep difficulties are common in childhood.
- Understanding the prevalence and course of these issues is crucial for effective intervention.
Purpose of the Study:
- To investigate the prevalence and longitudinal course of sleep onset and sleep maintenance difficulties in children.
- To compare self-reports and parental reports on childhood sleep problems.
Main Methods:
- Longitudinal study design involving 832 children (mean age 9.4-11.7 years) and their parents.
- Annual surveys using questionnaires over three years.
- Data collected through self-reports and parental reports.
Main Results:
- Approximately 30-40% of children reported difficulties initiating sleep at the first assessment.
- One year later, 60% of those with initial difficulties continued to experience them, while 40% improved.
- Difficulties maintaining sleep were less prevalent than difficulties initiating sleep.
- Children generally reported more sleep difficulties than their parents.
Conclusions:
- Childhood sleep difficulties, particularly initiating sleep, can be persistent.
- Inclusion of children and adolescents in diagnostic and therapeutic processes for sleep disorders is recommended.
Study Objectives:
The Cologne Children's Sleep Study intended to provide information on prevalence and course of difficulties of initiating and maintaining sleep in childhood.
Design:
Longitudinal study.
Setting:
Children of the fourth grade of elementary schools in Cologne.
Participants:
832 children and their parents; the mean age of the children was 9.4, 10.7, and 11.7 years at the 3 assessments.
Measurements And Results:
Children and parents were surveyed using questionnaires 3 times on an annual basis. In self- and parental reports, about 30%-40% of the children of the longitudinal sample had problems falling asleep at the first assessment. One year later, about 30% to 40% of these children did not describe any difficulties initiating sleep, whereas about 60% did report continuing difficulties initiating sleep. Difficulties maintaining sleep are less common in childhood. The analysis of self- and parental reports revealed that in general children described significantly more difficulties initiating and maintaining sleep than their parents report.
Conclusions:
Difficulties initiating and maintaining sleep may be transient or persistent. In practice, children and adolescents should be included in the diagnostic and therapeutic process.
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