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The association between child maltreatment and sleep disturbances among preschoolers
Zijing Wang1, Wen Li2, Naixue Cui3
1Pediatric Translational Medicine Institute, Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China; Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Shanghai, China.
Insights
Child maltreatment (CM) is linked to sleep problems in young children. Preventing CM is crucial for improving children's sleep and overall health.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Public Health
Background:
- Child maltreatment (CM) has lasting negative effects, but its impact on young children's sleep is not well understood.
- Existing research has not clearly defined the association between various forms of CM and sleep disturbances in early childhood.
Purpose of the Study:
- To examine the relationship between child maltreatment and sleep disturbances in Chinese preschoolers.
- To investigate the association between CM and short sleep duration among young children in China.
Main Methods:
- A large-scale study involving 17,023 preschoolers (aged ~6 years) in Shanghai.
- Parental reports of child maltreatment and the Children's Sleep Habits Questionnaire (CSHQ) were used.
- Logistic regression analysis was employed to assess the risks associated with CM and sleep issues.
Main Results:
- Over 73% of children experienced sleep disturbances, and 17.7% had short sleep duration.
- Physical and emotional abuse were significantly associated with global sleep disturbances.
- Physical abuse, physical neglect, and emotional abuse were linked to short sleep duration. A cumulative effect of multiple CM types was observed.
Conclusions:
- Child maltreatment is significantly associated with sleep disturbances and short sleep duration in young children.
- Interventions aimed at preventing and reducing child maltreatment are essential for promoting healthy sleep patterns and overall well-being in children.
Background:
Child maltreatment (CM) can result in lifelong detrimental consequences, but its association with sleep disturbances in young children remains unclear.
Objective:
This study aimed to investigate the association of CM with sleep disturbances and short sleep duration among Chinese preschoolers.
Participants And Setting:
Data were from a representative sample of 17,023 children (6.17 ± 0.29 years old, 51.96% boys) at their graduation year of preschool in September 2019, as a subset of the Shanghai Children's Health, Education and Lifestyle Evaluation-Preschool (SCHEDULE-P) study.
Methods:
Parents reported children's CM of different types and the Children's Sleep Habits Questionnaire (CSHQ). Logistic regression was used to evaluate the risk of sleep disturbances and short sleep duration linked to CM.
Results:
Of the children, 12,583(73.92%) demonstrated sleep disturbances (CSHQ total score > 41) and 3017(17.72%) demonstrated short sleep duration (<9 h/night). After adjusting covariates, physical abuse (aOR = 1.16, 95%CI = 1.05-1.28) and emotional abuse (aOR = 1.50, 95% CI = 1.39-1.62) were associated with global sleep disturbances. Physical abuse (aOR = 1.16, 95% CI = 1.06-1.28), physical neglect (aOR = 1.29, 95%CI = 1.12-1.49), and emotional abuse (aOR = 1.19, 95% CI = 1.09-1.30) were associated with short sleep duration. Sexual abuse was not significantly associated with global sleep disturbances or short sleep duration. A cumulative association was noted that more CM types were associated with increased global sleep disturbances and short sleep duration.
Conclusions:
CM is associated with sleep disturbances and short sleep duration in young children. This highlights the efforts to prevent and reduce CM in favor of optimal sleep and whole health in young children.
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