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Mental health and sleep habits/problems in children aged 3-4 years: a population study
Fumie Horiuchi1,2, Kentaro Kawabe3,4, Yasunori Oka5
1Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Shitsukawa, Ehime, Toon City, Japan. matsufu@m.ehime-u.ac.jp.
Insights
Poor mental health in 3-4-year-olds is linked to sleepiness and snoring. Addressing sleep problems like irregular sleep-wake patterns is crucial for early childhood mental well-being.
Area of Science:
- Child Psychology
- Sleep Medicine
- Pediatric Mental Health
Background:
- Sleep is vital for mental health across all age groups.
- Research on sleep's impact on early childhood mental health remains limited.
- This study investigates the connection between mental health and sleep in 3-4-year-old children.
Purpose of the Study:
- To examine the association between mental health and sleep habits/problems in preschool-aged children.
- To identify specific sleep-related issues that may correlate with poor mental health in early childhood.
Main Methods:
- Recruited 415 children aged 3-4 years from the community.
- Assessed mental health using the Strengths and Difficulties Questionnaire (SDQ).
- Evaluated sleep habits and problems with the Child and Adolescent Sleep Checklist.
Main Results:
- No significant differences in general sleep habits (total sleep time, bedtime, wake time, nap conditions) were found between groups.
- Children with poor mental health exhibited higher rates of anxiety before sleep, circadian rhythm abnormalities, and daytime sleepiness.
- Poor mental health status was significantly associated with sleepiness and snoring.
Conclusions:
- Preschoolers' mental health status is linked to specific sleep problems, including sleepiness and snoring.
- Healthcare providers should monitor irregular sleep-wake patterns in young children.
- Interventions promoting appropriate sleep hygiene can alleviate psychological distress for children and families.
Background:
Sleep is essential for mental health at all ages, but few studies have investigated the importance of sleep for mental health in early childhood. Therefore, this study examined the association between mental health and sleep habits/problems in children aged 3-4 years.
Methods:
Children aged 3 to 4 years who were living in the community (n = 415; 211/204 boys/girls) were recruited for this study. Their mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ), and their sleep habits/problems were evaluated using the Child and Adolescent Sleep Checklist.
Results:
Based on the total difficulties score of the SDQ, the children were divided into two groups: a poor mental health group (n = 76) and a control group (n = 339). In terms of sleep habits, which included total sleep time, bedtime, wake time, and nap conditions, there were no differences between the two groups. Regarding sleep-related problems, however, anxiety before going to sleep (p = 0.026), circadian rhythm abnormalities (p = 0.014), and sleepiness during classes outside of naptimes (p = 0.031) were significantly higher in the poor mental health group than in the control group. Multiple regression analysis showed that poor mental health status was significantly associated with sleepiness and snoring (p = 0.017 and p = 0.018, respectively).
Conclusions:
The mental health status of 3-4-year-old children was associated with sleep-related problems, namely sleepiness and snoring. Healthcare providers should pay attention to children's irregular sleep-wake patterns; moreover, interventions for appropriate sleep hygiene will reduce the psychological burden on both children and their families.
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