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Published on: October 11, 2018
Short sleep duration and irregular bedtime are associated with increased behavioral problems among Japanese
Yoko Komada1, Takashi Abe, Isa Okajima
1Department of Somnology, Tokyo Medical University, Tokyo, Japan. ykoma@tokyo-med.ac.jp
Insights
Poor sleep habits in preschoolers are linked to behavioral issues like aggression and attention problems. Ensuring adequate and regular sleep, managed by mothers, is crucial for children
Area of Science:
- Child Psychology
- Sleep Medicine
- Developmental Pediatrics
Background:
- Sleep problems are established risk factors for emotional and behavioral difficulties in children and adolescents.
- Limited research exists on the specific links between sleep habits and behavioral problems in large, nonclinical preschool populations.
Purpose of the Study:
- To investigate the relationships between sleep habits and behavioral problems in preschool-aged children (2-5 years).
- To identify factors associated with the sleep habits of preschool children.
Main Methods:
- Survey of 1,746 mothers regarding their children's sleep habits, behavior problems, and their own sleep/work schedules.
- Analysis of data collected from Tokyo metropolitan public nursery schools.
- Statistical analysis including univariate and multivariate logistic regression.
Main Results:
- Short sleep duration in 2-3 year olds correlated with higher aggression scores.
- Irregular bedtimes in 4-5 year olds were associated with higher aggression and attention problem scores.
- Children's late bedtimes linked to mothers' late waking, leaving, and returning home times.
Conclusions:
- A significant association exists between behavioral problems and poor sleep habits in preschool children.
- Adequate and regular sleep is essential for mitigating behavioral issues in young children.
- Maternal management of children's sleep is vital for promoting sleep-related health.
Abstract:
Sleep problems are known to be risk factors for subsequent emotional and behavioral difficulties in childhood and adolescence. To date, there has been no study investigating the relationships between sleep habits and behavioral problems in a large nonclinical sample of preschool age children. The aim of this study was to examine these relationships and factors associated with the sleep habits of preschool age (2 to 5 year old) children. Their mothers (n = 1,746) completed a multiple-choice questionnaire about the sleep habits and behavior problems of their children, as well as their own sleep habits and working hours at Tokyo metropolitan public nursery schools. The short sleep duration group showed significantly higher aggressive scores than the long sleep duration group among 2- to 3-year-old children, and the irregular bedtime group showed significantly higher aggressive and attention problem scores than the regular bedtime group among 4- to 5-year-old children. Univariate and multivariate logistic regression analyses revealed that children's late bedtime was associated with their mother's late waking-up time, and late schedule of both the mother's leaving and returning home. This study recognized an association between behavioral problems and poor sleep habits among preschool-age children. It is important for children to sleep regularly and adequately in order to decrease their behavior problems. In conclusion, appropriate management of children's sleep by their mothers is necessary for promoting sleep-related health of children.
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