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Sleep ecology, sleep characteristics and behavior problems in young maltreated children: A scoping review
Sabrina Servot1, Annick St-Amand1, Michel Rousseau1
1Department of Psychoeducation, Université du Québec à Trois-Rivières, Québec, Canada; Centre de recherche universitaire sur les jeunes et les familles, Québec, Canada.
Insights
Research on sleep in maltreated children is limited. Poor sleep is linked to behavior problems, but sleep ecology needs more investigation to understand these connections.
Area of Science:
- Child Psychology
- Sleep Science
- Developmental Pediatrics
Background:
- Behavior problems are common in young maltreated children.
- Poor sleep is linked to behavioral issues in children.
- Inadequate sleep environments can cause sleep problems.
Purpose of the Study:
- To map knowledge on sleep ecology and characteristics in young maltreated children (1-5 years).
- To examine associations between sleep and behavior problems in this population.
Main Methods:
- A scoping review was conducted following PRISMA-SR guidelines.
- Searched bibliographic databases from 1993 to May 2020.
- Included studies reporting on sleep in young maltreated children.
Main Results:
- Nine studies met the criteria; only one detailed sleep ecology.
- Eight studies showed minor sleep differences between maltreated and non-maltreated children.
- Four studies linked shorter sleep duration to increased externalizing behaviors.
Conclusions:
- Literature on sleep ecology and behavior problems in maltreated children is scarce.
- Sleep ecology requires further investigation in this vulnerable group.
- Future research should use longitudinal designs, comparison groups, and validated sleep measures.
Background:
Behavior problems are highly prevalent in young maltreated children. Their etiology is multifactorial and has been widely documented. Lately, researchers paid increased attention to the role of sleep in non-maltreated children's behavior problems. They showed that poor sleep (e.g., short sleep duration, nocturnal awakenings) increased behavior problems. In addition, an inadequate sleep ecology (e.g., lack of sleep hygiene or bedtime routine) may lead to sleep problems.
Objective:
As maltreated children often live in disorganized environments, this study aims to map knowledge about sleep ecology and sleep characteristics, as well as their associations with behavior problems in young maltreated children from one to five years old.
Method:
A scoping review was performed according to the PRISMA-SR checklist. Bibliographic databases were searched from 1993 to May 2020.
Results:
From the 650 studies screened, nine reported results about sleep ecology or sleep characteristics or their associations with behavior problems in young maltreated children. Only one study described their sleep ecology. Eight studies documented or compared sleep characteristics, showing slight differences between maltreated and non-maltreated children (e.g., longer nighttime sleep duration or shorter naps in maltreated children). Four studies revealed associations between sleep characteristics and behavior problems in young maltreated children (e.g., shorter sleep duration was associated with more externalizing behaviors).
Conclusion:
Literature about sleep ecology, sleep characteristics, as well as with their associations with behavior problems in young maltreated children is scarce. Their sleep ecology especially deserves to be investigated. Longitudinal studies, studies with comparison groups, combining objective and subjective validated sleep measures, and taking into account maltreatment characteristics and children's developmental stage should be pursued.
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