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Sleep Characteristics and Temperament in Preterm Children at Two Years of Age
Barbara Caravale1, Stefania Sette1, Eleonora Cannoni1
1Department of Developmental and Social Psychology, Sapienza University of Rome, Rome, Italy.
Insights
Preterm children experience more sleep disturbances and negative emotionality than full-term peers. These sleep issues are linked to attention deficits and increased motor activity in preterm infants.
Area of Science:
- Developmental Pediatrics
- Sleep Medicine
- Child Psychology
Background:
- Preterm birth can impact neurodevelopment and behavior.
- Understanding sleep patterns and temperament in early childhood is crucial for development.
Purpose of the Study:
- Compare sleep characteristics and temperament between preterm and full-term 2-year-olds.
- Examine the relationship between sleep patterns, habits, and temperament in these groups.
Main Methods:
- Included 51 preterm and 57 full-term children (mean age ~21 months).
- Utilized Sleep Disturbance Scale for Children (SDSC), Brief Infant Sleep Questionnaire (BISQ), and Italian Temperament Questionnaires (QUIT).
Main Results:
- Preterm children had more sleep difficulties (restlessness, breathing issues) but needed less sleep support.
- Preterm children exhibited lower attention and higher negative emotionality.
- Sleep problems correlated with motor activity, social orientation, attention, and emotionality.
Conclusions:
- Preterm children demonstrate significant sleep pattern disturbances and negative emotionality.
- Attention problems and negative emotionality are associated with sleep disruption in preterm infants.
Study Objectives:
We aimed to compare 2-year-old children born preterm with children born full term regarding: (1) sleep characteristics, (2) temperament, and (3) relations between sleep pattern and habits and temperament.
Methods:
The study included 51 preterm children with normal cognitive, language, and motor development (mean = 20.94 months, standard deviation [SD] = 4.08) and 57 full-term children (mean = 21.19, SD = 4.32). To assess sleep-related difficulties and habits and child temperament, mothers completed the following questionnaires: the (1) Sleep Disturbance Scale for Children-adapted (SDSC); (2) Brief Infant Sleep Questionnaire (BISQ); and (3) Italian Temperament Questionnaires-version 12-36 months (QUIT).
Results:
Preterm children needed less support to fall asleep and fell asleep more often alone in their own bed compared to those born at full term; however, preterm children showed more frequent sleep difficulties, such as restlessness and breathing problems during the night. In addition, preterm children had lower scores in the temperamental dimension of attention and higher scores in negative emotionality than full-term children. Finally, sleep problems were correlated with higher motor activity, lower social orientation and attention, and increased negative emotionality; a shorter nocturnal sleep duration was related to higher motor activity and lower inhibition to novelty whereas an earlier rise time was associated with lower attention and social orientation.
Conclusions:
Preterm children showed sleep pattern problems and disturbance, predominance of attention problems, and negative emotionality related to sleep disruption.
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