Sleep changes in Taiwanese first graders before and after school closure during the COVID-19 pandemic

Han-Yi Tsai1,2, Wei-Wen Wu1,3, Chia-Chun Tang1,3

  • 1School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.

Insights

During the COVID-19 pandemic, first graders experienced later bedtimes but increased total sleep. Parental work changes were linked to more child parasomnia symptoms and less delayed sleep-wake patterns.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Public Health

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic led to widespread school closures.
  • Disruptions in daily routines can significantly impact children's sleep patterns and overall well-being.

Purpose of the Study:

  • To investigate sleep changes in first-grade children before and after school closures.
  • To explore the relationship between parental work adjustments and children's sleep alterations during the COVID-19 pandemic.

Main Methods:

  • Observational study involving 103 parents of first-graders.
  • Children's sleep habits were assessed using a questionnaire before and after school closure.
  • Paired t-tests and general linear models were used for data analysis.

Main Results:

  • Children exhibited delayed bedtimes and wake times, yet their total sleep duration increased.
  • Parents reporting work rearrangements perceived more child parasomnia symptoms (p=0.029).
  • Parental work rearrangement was associated with fewer delayed sleep-wake patterns in children.

Conclusions:

  • Children's sleep patterns serve as an indicator of behavioral responses to the COVID-19 pandemic.
  • Parents should monitor for parasomnia symptoms amid routine changes.
  • Nursing interventions should focus on promoting daytime external cues during home confinement to support healthy sleep.
Abstract