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Published on: October 2, 2019
Presleep arousal and sleep disturbances in children
Alice M Gregory1, Thomas A Willis, Luci Wiggs
1Goldsmiths College, University of London, London, UK. a.gregory@gold.ac.uk
Insights
Presleep arousal, both cognitive and somatic, is linked to sleep disturbances in children. Cognitive arousal showed a stronger association, suggesting it may be a key factor in childhood sleep problems.
Area of Science:
- Pediatric Sleep Science
- Child Psychology
- Behavioral Sleep Medicine
Background:
- Sleep disturbances are common in children.
- Presleep arousal, encompassing cognitive and somatic components, is known to affect adult sleep.
- The relationship between presleep arousal and sleep disturbance in children is less understood.
Purpose of the Study:
- To investigate the association between presleep arousal and sleep disturbances in children.
- To determine if the adult-child pattern of arousal-sleep disturbance association holds true for pediatric populations.
Main Methods:
- Linear regression analyses were employed to examine the predictive power of somatic and cognitive presleep arousal on sleep disturbances.
- Data were collected from 123 children aged 8-10 years using self-report measures (Sleep Self-Report, Pre-sleep Arousal Scale) and parent reports (Child Sleep Habits Questionnaire).
Main Results:
- Both somatic and cognitive presleep arousal significantly predicted total sleep disturbance scores in children.
- Cognitive arousal demonstrated a stronger predictive relationship with sleep disturbances compared to somatic arousal.
- These findings were partially supported by parent-reported data, with cognitive arousal being a significant predictor.
Conclusions:
- Presleep arousal, particularly cognitive arousal, is associated with sleep disturbances in children.
- The findings suggest that cognitive factors play a crucial role in pediatric sleep disturbances.
- Further research into cognitive aspects of childhood sleep problems is recommended, potentially informing future therapeutic interventions.
Study Objectives:
To determine if associations between presleep arousal and sleep disturbance reported in adults are also characteristic of children.
Design:
Linear regression analyses examined whether somatic and cognitive presleep arousal predicted sleep disturbances.
Setting:
Two inner city schools, London, U.K.
Participants:
One hundred twenty-three children aged 8 to 10 years, 49% boys, from ethnically diverse backgrounds.
Interventions:
N/A.
Measurements And Results:
Children completed the Sleep Self-Report and the Pre-sleep Arousal Scale (comprising somatic and cognitive subscales). Parents completed the Child Sleep Habits Questionnaire. In separate models, both somatic (beta = 0.44, P < 0.001, R2 = 0.19) and cognitive (beta = 0.48, P < 0.001, R2 = 0.23) presleep arousal predicted the Sleep Self-Report total score. Somatic (beta = 0.28, P <.01, R2 = 0.08) and cognitive (beta = 0.37, P < 0.001, R2 = 0.14) arousal also predicted Sleep Self-Report insomnia items in separate models. These results were partially replicated when using the parent report of the Child Sleep Habits Questionnaire. When somatic and cognitive items were included in the same models, cognitive but not somatic arousal significantly predicted (most definitions of) sleep disturbance.
Conclusions:
Cognitive, and to a lesser extent somatic, presleep arousal appears to be associated with sleep disturbances in children. This suggests that further research into cognitive aspects of sleep disturbance in children is warranted-as incorporating this information into treatments may eventually prove fruitful.
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