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Sleep disordered breathing symptoms and daytime sleepiness are associated with emotional problems and poor school

Jianghong Liu1, Xianchen Liu2, Xiaopeng Ji1

  • 1University of Pennsylvania, School of Nursing, Philadelphia, PA, USA.

Psychiatry Research
|June 13, 2016
PubMed

Insights

Sleep disordered breathing (SDB) symptoms in Chinese children are linked to emotional issues and lower school performance. Early screening for SDB and daytime sleepiness is crucial for healthy child development.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Child Psychology

Background:

  • Sleep disordered breathing (SDB) is a growing concern in pediatric populations.
  • Understanding the impact of SDB on children's well-being and academic achievement is essential.

Purpose of the Study:

  • To investigate the prevalence of SDB symptoms in Chinese children.
  • To examine the associations between SDB symptoms, daytime sleepiness, emotional problems, and school performance.

Main Methods:

  • A cross-sectional study involving 3979 elementary school children in Jintan City, China.
  • Utilized self-administered questionnaires for sleep behavior and emotional problems, parent-completed Child Sleep Habit Questionnaire (CSHQ), and teacher ratings of school performance.
  • Defined SDB symptoms as loud snoring, stopped breathing, and snorting/gasping during sleep.

Main Results:

  • Prevalence of parent-reported SDB symptoms was 17.2% ('sometimes') and 8.9% ('usually').
  • SDB symptoms were more common in boys and significantly associated with increased risks of depression, loneliness, and poor school performance.
  • Daytime sleepiness acted as a mediator between SDB symptoms and negative outcomes in emotional and academic domains.

Conclusions:

  • SDB symptoms are prevalent in Chinese children and negatively impact emotional well-being and academic success.
  • Daytime sleepiness plays a critical role in mediating the adverse effects of SDB.
  • Early screening and intervention for SDB and associated daytime sleepiness are recommended for optimal child development.

Keywords:
Behavior outcomesChinese childrenDaytime sleepinessEmotional problemsSchool performanceSleep disordered breathing

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