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Updated: Oct 10, 2025

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children
Published on: March 1, 2019
Sleep Characteristics in Italian Children During Home Confinement Due to Covid-19 Outbreak
Valeria Bacaro1,2, Marco Chiabudini2, Carlo Buonanno2
1Human Sciences Department, University of Rome Guglielmo Marconi (Rome, IT).
Insights
The COVID-19 pandemic
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Public Health
Background:
- The COVID-19 pandemic led to widespread home confinement and social distancing measures.
- These measures may have adversely affected children's sleep patterns and increased sleep disorders.
- Sleep disturbances in children can be linked to altered emotional processing.
Purpose of the Study:
- To investigate clinical aspects of sleep, insomnia, and emotions in Italian children (0-12 years) during COVID-19 home confinement.
- To identify factors associated with childhood insomnia during this period.
Main Methods:
- An online survey was distributed across Italy via educational authorities and schools.
- Parents of children aged 0-12 years completed the survey.
- Data collected included sociodemographics, sleep habits, sleep behaviors, sleep disorders, and mood.
Main Results:
- 2361 children participated (mean age 8.1 years).
- Late bedtimes were common across all age groups (most after 9 p.m.).
- 59.4% of children met criteria for childhood insomnia, associated with younger age, negative mood, parental insomnia, being an only child, other sleep disorders, and poor sleep hygiene.
Conclusions:
- An alarming increase in childhood insomnia was observed during COVID-19 confinement in Italy.
- Insomnia was linked to poor sleep hygiene and negative mood.
- Clinical programs addressing pediatric insomnia, sleep behaviors, and emotional health are recommended for primary care settings.
Objective:
Italy faced one of the first large clusters of COVID-19 infections worldwide. Home confinement and social distancing could have negatively impacted sleep habits and prevalence of sleep disorders in children, which may be also linked with altered emotional processes. The present study focused on clinical aspects related to sleep, insomnia and emotions in Italian children aged 0-to-12 years during home confinement due to COVID-19 outbreak.
Method:
An online survey was systematically distributed in all Italian territories by contacting regional offices of the Italian Ministry of Instruction, University and Research (MIUR) and schools with available contact. All respondents had to be parents of at least one child aged 0 to 12 years old. Information on sociodemographic variables, sleep habits, sleep health behaviors, sleep disorders and mood were collected.
Results:
Parents of 2361 children (mean age: 8.1 ± 2.62 years; 1148 females; 1213 males) answered the survey. 1.2% of children was between 0 and 2 years old; 15.3% within 3 to 5 years and 83.3% within 6 and 12 years. In all group ages, late bedtime was observed (most of them after 9 p.m.). 59.4% of all children presented at least one clinical diagnostic criterion for childhood insomnia. Logistic regression model showed that presence of at least one criterion for childhood insomnia was associated to younger age, negative mood, current parental insomnia, being the only child, presence of any other sleep disorder, and sleep hygiene behaviors.
Conclusions:
Data indicate an alarming increase of prevalence of insomnia related problems in Italian children during home confinement with respect to previous data. This was found to be associated with poor sleep hygiene and negative mood. Clinical programs targeting insomnia, sleep health behaviors and emotional processes should be implemented in pediatric primary care in order to prevent the development of sleep problems in a post-pandemic situation.
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