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Published on: October 2, 2019
Association between children's sleep patterns and problematic behaviors at age 5
Masao Suda1, Shinichiro Nagamitsu1, Hitoshi Obara2
1Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Japan.
Insights
Poor sleep patterns and excessive TV time in 5-year-olds are linked to behavioral issues. Improving sleep, reducing screen time, and increasing fatherly support may help mitigate these problems.
Area of Science:
- Child Psychology
- Pediatric Sleep Medicine
- Behavioral Pediatrics
Background:
- Night-shift lifestyles can negatively impact children's sleep and behavior.
- Existing research suggests a link between sleep disturbances and behavioral problems in children.
Purpose of the Study:
- To investigate associations among sleep patterns, individual/environmental factors, and problematic behaviors in 5-year-old children.
- To identify key factors influencing children's behavioral outcomes related to sleep.
Main Methods:
- Utilized health-checkup records for 8,689 5-year-old children.
- Analyzed data on sleep patterns (bedtime, duration), individual/environmental factors, and various problematic behaviors.
- Employed a tree-form model to identify statistically significant factors.
Main Results:
- Late bedtime and short sleep duration were significantly associated with increased problematic behaviors (OR: 1.07 and 0.92, respectively).
- Long television watching time, birth abnormalities, and lack of father's support also significantly increased problematic behaviors (OR: 2.34).
- These environmental factors also significantly influenced sleep duration and bedtime.
Conclusions:
- Significant associations exist between sleep patterns, environmental factors, and problematic behaviors in young children.
- Interventions focusing on improving sleep hygiene, reducing screen time, and enhancing paternal support are recommended.
- These strategies may effectively reduce the incidence of problematic behaviors in 5-year-olds.
Background:
Night-shift lifestyles affect children as well as adults, and are associated with sleep and behavioral problems among children. This study aimed to investigate associations among sleep patterns, individual/environmental factors, and problematic behaviors in children at age 5 years.
Methods:
Data for sleep patterns, individual / environmental factors, and problematic behaviors for 8,689 5-year-old children were collected from health-checkup records. Problematic behaviors investigated were anxious behavior (being afraid, difficulty being separated from the mother), developmental behavior (violence, restlessness, rebellious behavior, restrictive diet, stereotypic play), personal habits (thumb-sucking, nail-biting, tic, masturbation), and excretory problems. The relationships between sleep patterns (bedtime, sleep duration) and the presence of these behaviors were analyzed. Individual / environmental factors that affected problematic behaviors were statistically identified using a tree-form model.
Results:
Late bedtime and short sleep duration showed significant adverse effects on children's problematic behaviors - odds ratio (OR): 1.07, 95% confidence interval (CI): 1.03-1.11 and OR: 0.92, 95% CI: 0.87-0.97, respectively. Long television watching time, abnormality at birth, and lack of father's support also showed significant adverse effects on problematic behaviors (OR: 2.34, 95% CI: 1.87-2.94), and significantly affected late bedtime and short sleep duration.
Conclusions:
There were significant associations among sleep patterns, individual / environmental factors, and problematic behaviors in 5-year-old children. Improving children's sleep patterns, reducing the duration of television watching, and improving support from fathers may reduce problematic behaviors.
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