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Published on: October 11, 2018
Nocturnal awakenings and pediatric injury risk
David C Schwebel1, Carl M Brezausek
1Department of Psychology, University of Alabama at Birmingham, 1300 University Blvd, CH 415, Birmingham AL 35294, USA. schwebel@uab.edu
Insights
Persistent nocturnal awakenings in toddlers are linked to a higher risk of unintentional injuries. This finding holds true even when considering various other factors, highlighting a potential area for early intervention.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Injury Prevention
Background:
- Nocturnal awakenings are common in toddlers.
- Unintentional injuries are a leading cause of morbidity in early childhood.
- Understanding risk factors for toddler injuries is crucial for prevention.
Purpose of the Study:
- To investigate the association between patterns of nocturnal awakenings and the risk of unintentional injuries in toddlers.
- To determine if this relationship persists after accounting for confounding variables.
Main Methods:
- Longitudinal study of 799 children from birth to 36 months.
- Parent-reported nocturnal awakenings assessed at multiple time points (6, 15, 24, 36 months).
- Quarterly reporting of injury events and measurement of covariates (affect, behavior, maternal factors, socioeconomic status).
Main Results:
- A persistent pattern of very mild nocturnal awakening was significantly associated with an increased risk of unintentional injury.
- This association remained robust after controlling for a comprehensive set of potential covariates.
Conclusions:
- Persistent nocturnal awakenings represent a potential risk factor for unintentional injuries in toddlers.
- Early identification of persistent sleep disturbances may aid in injury prevention strategies.
Objective:
This study was designed to examine relations between nocturnal awakenings and unintentional injury risk among toddlers.
Methods:
A nationally representative sample of 799 children was followed longitudinally from birth through 36 months. Patterns of nocturnal awakening were assessed by parent-report at ages 6, 15, 24 and 36 months, and injury events were reported at quarterly intervals over the same time period. A range of external covariates, including positive and negative affect and externalizing behavior; maternal stress, maternal depression, and parenting style; and family socioeconomic status were measured.
Results:
A persistent pattern of very mild nocturnal awakening was related to increased risk of injury during the toddler years, and that relation held after controlling for a range of potential covariates.
Conclusions:
A pattern of persistent nocturnal awakening appears to be related to unintentional injury risk in toddlers.
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