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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
Sleep and behavioral/emotional problems in children: a population-based study
S Carvalho Bos1, A Gomes, V Clemente
1Institute of Medical Psychology, Faculty of Medicine, Coimbra, Portugal. sbos@fmed.uc.pt
Insights
Bedtime resistance in children is linked to hyperactivity and conduct issues. Longer sleep durations may also correlate with hyperactive or emotional problems in school-aged children.
Area of Science:
- Child Psychology
- Sleep Medicine
- Behavioral Science
Background:
- The relationship between sleep-wake behaviors and emotional/disruptive problems in healthy school-aged children requires further investigation.
- Existing research has not clearly established these connections.
Purpose of the Study:
- To explore the association between sleep-wake behaviors and emotional, hyperactivity, and conduct problems in school-aged children.
- To identify specific sleep patterns linked to behavioral issues.
Main Methods:
- A parental questionnaire assessed children's sleep patterns (duration, bedtime resistance, awakenings, daytime sleepiness).
- The Rutter Scale B2, completed by teachers, evaluated psychiatric symptomatology (emotional, hyperactivity, conduct problems).
- The study included 779 children aged 6-11 years.
Main Results:
- Bedtime resistance was associated with hyperactivity and conduct problems in boys.
- Hyperactivity in boys correlated with longer weekend sleep durations.
- Conduct and emotional problems in girls were linked to earlier school-day bedtimes and longer sleep durations.
Conclusions:
- Bedtime resistance emerged as a significant sleep behavior associated with hyperactivity and conduct problems.
- Longer sleep durations were more common in children experiencing hyperactive or emotional difficulties.
- Promoting good sleep hygiene practices at bedtime may aid parents in establishing sleep limits.
Background:
The potential relationships between sleep-wake behaviors and emotional/disruptive problems in otherwise healthy school-aged children are unclear.
Methods:
A parental questionnaire was developed for the epidemiologic survey of children's sleep and wake behavioral patterns. The questions covered a wide range of features including sleep length (school days, weekends), time to fall asleep, night awakenings, bedtime and nighttime sleep-related behaviors, daytime sleepiness, irritability, and tiredness. To assess psychiatric symptomatology, the Rutter Scale B2 was completed by teachers. In addition to the total score, sub-scores of emotional, hyperactivity, and conduct problems were obtained. The representative population sample comprised 779 children (403 girls), with an age range of 6-11 years.
Results:
Hyperactivity and conduct problems at school in boys were both associated with parental reports of bedtime resistance. Hyperactivity was also associated with longer sleep duration during weekends. Conduct and emotional problems in girls were associated with earlier bedtime during school days. Emotional problems in girls were also associated with longer sleep durations in school days and weekends.
Conclusion:
Bedtime resistance was the only sleep behavior associated with either hyperactivity or conduct problems in children, and longer sleep durations appear to occur more frequently in children with both hyperactive or emotional problems. Information about good sleep hygiene at bedtime may help parents setting sleep limits.
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