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Sleep Disturbances and Mental Well-Being of Preschool Children during the COVID-19 Pandemic in Mexico
Daniela León Rojas1, Fabiola Castorena Torres1, Salomon Alvarado Ramos1
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Ave. Morones Prieto 3000, Monterrey 64710, NL, Mexico.
Insights
COVID-19 confinement disrupted preschool children's routines, leading to significant sleep disturbances and mental health challenges. Increased screen time near bedtime worsened these issues, highlighting the need for targeted interventions.
Area of Science:
- Child Psychology
- Pediatric Sleep Medicine
- Public Health
Background:
- The COVID-19 pandemic and associated confinement measures altered family dynamics and children's daily routines globally.
- Early research indicated negative impacts on child mental health, including sleep disturbances, necessitating further investigation.
Purpose of the Study:
- To assess sleep parameters and mental well-being in preschool-aged children (3-6 years) during COVID-19 confinement in Mexico.
- To identify factors associated with sleep disturbances and mental health issues in this population.
Main Methods:
- A cross-sectional study involving 51 preschool children (mean age 5.2 years).
- Parental surveys collected data on confinement, routines, and electronics use.
- Standardized questionnaires assessed children's sleep habits and mental well-being (Strengths and Difficulties Questionnaire).
- Objective sleep data was gathered using wrist actigraphy for seven days.
Main Results:
- A high prevalence of sleep disturbances (68.6%) was observed in preschool children.
- Use of electronic tablets in the bedroom before sleep was linked to sleep disturbances.
- Symptoms of mental health deterioration, such as emotional distress and behavioral difficulties, correlated with sleep problems.
Conclusions:
- Confinement-related routine changes during the COVID-19 pandemic significantly affected preschool children's sleep and overall well-being.
- Interventions should be developed to address the specific needs of children at higher risk for sleep and mental health issues.
Abstract:
COVID-19 pandemic confinement caused changes in families and children's routines worldwide. Studies conducted at the beginning of the pandemic have examined the harmful effects of these changes on mental health, including sleep disturbances. As sleep is essential for optimal childhood development, this study was designed to determine preschool-aged (3-6 years old) children's sleep parameters and mental well-being during the COVID-19 pandemic in Mexico. Using a cross-sectional design, a survey was applied to parents of preschool children, inquiring about their children's confinement status, routine changes, and electronics use. The parents responded to the Children's Sleep Habits Questionnaire and the Strengths and Difficulties Questionnaire to assess children's sleep and mental well-being. To provide objective sleep data, the children wore wrist actigraphy for seven days. Fifty-one participants completed the assessment. The children's mean age was 5.2 years, and the prevalence of sleep disturbances was 68.6%. The use of electronic tablets in the bedroom near bedtime and symptoms of mental health deterioration (i.e., emotional distress and behavioral difficulties) were associated with sleep disturbances and their severity. The COVID-19 pandemic's confinement-related routine changes greatly impacted preschool children's sleep and well-being. We recommend establishing age-tailored interventions to manage children at higher risk.
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