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Associating sleep quality, quality of life and child poly-victimization
Qiqi Chen1, Ko Ling Chan2, Mengtong Chen3
1Department of Social Work, Xiamen University, China.
Insights
Child poly-victimization is linked to lower pediatric quality of life (PedsQL), with sleep problems like parasomnia playing a key role. Early detection of child poly-victims can be improved by screening for sleep changes.
Area of Science:
- Child Psychology
- Pediatric Health
- Sleep Science
Background:
- Child poly-victimization's impact on pediatric quality of life (PedsQL) is understudied.
- The role of sleep disturbances in this relationship requires further investigation.
Purpose of the Study:
- To examine the association between child victimization, poly-victimization, and PedsQL.
- To investigate the moderating effect of sleep quality patterns on these associations.
Main Methods:
- Cross-sectional school survey in Hong Kong (N=5,567).
- Two-stage stratified sampling across kindergartens, primary, and secondary schools.
- Multi-phase regression and simple slope analyses to assess moderation effects.
Main Results:
- Children with higher poly-victimization (≥4 types) reported more parasomnia and daytime dysfunction.
- Significant negative association found between child poly-victimization and PedsQL.
- Parasomnia and daytime dysfunction moderated the relationship between poly-victimization and PedsQL.
Conclusions:
- Sleep disturbances are significantly linked to reduced PedsQL in poly-victimized children.
- Clinicians should consider screening for sleep changes alongside victimization assessment.
- Holistic screening for early detection of child poly-victims is recommended.
Background:
The role of sleep deprivation in the relationship between child poly-victimization and pediatric quality of life (PedsQL) has received little attention.
Objective:
This study aims to provide a profile of the association between child victimization and poly-victimization and PedsQL among children, examining the role of sleep quality patterns in these relationships.
Participants And Setting:
We conducted a cross-sectional school survey study of family structure and child victimization among families in Hong Kong in 2016-17 with two-stage stratified sampling. The final sample consisted of 5, 567 students recruited from a representative sample of 107 kindergartens, primary schools, and secondary schools in all districts of Hong Kong.
Methods:
Multi-phase regression analysis and simple slope analysis were conducted to examine the moderating effects of sleep quality between child victimization and PedsQL.
Results:
The findings showed that children who experienced four or more types of victimization were more likely to show parasomnia and daytime dysfunction symptoms than those experiencing one to three types of victimization and non-victims. It also revealed significant relationships between child poly-victimization and lower levels of PedsQL, which were moderated by parasomnia and daytime dysfunction.
Conclusions:
This study has implications for clinicians in targeting the pattern of sleep changes combined with holistic screening in outpatient services for early detection of child poly-victims.
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