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A population-based study exploring association of parasomnia symptoms with sleep onset delay among school-aged

Ruoyu Lu1, Rong Li1, Yiting Chen1

  • 1School of Public Health, Shanghai Jiao Tong University, Shanghai, 200025, China.

Sleep Medicine
|March 9, 2024
PubMed

Insights

Parasomnia symptoms, including sleepwalking and nightmares, are linked to a higher risk of sleep onset delay in children. This association persists regardless of sleep duration, highlighting a significant connection between parasomnias and difficulty falling asleep.

Area of Science:

  • Pediatric Sleep Medicine
  • Neuroscience
  • Epidemiology

Background:

  • Limited evidence exists on the role of parasomnia in children's sleep patterns.
  • Parasomnias may influence sleep architecture and onset.
  • Investigating this link is crucial for understanding childhood sleep disturbances.

Purpose of the Study:

  • To examine the association between parasomnia symptoms and sleep onset delay in children.
  • To conduct a large-scale epidemiological study to validate these findings.
  • To explore potential dose-dependent relationships and effects of sleep duration.

Main Methods:

  • Cross-sectional study involving 21,704 children aged 3-11 in Shanghai and Sanya.
  • Children's Sleep Habits Questionnaire (CSHQ) used for sleep evaluation.
  • Propensity score matching and logistic regression models applied to analyze associations.

Main Results:

  • 38.2% of children experienced sleep onset delay.
  • Parasomnia symptoms (NREM, REM, sleepwalking, sleep terror, nightmares) significantly increased the risk of sleep onset delay.
  • A dose-dependent relationship was observed, with more symptoms correlating to higher risk.

Conclusions:

  • Parasomnia symptoms are independently associated with increased risk of sleep onset delay in children.
  • Further research is needed to clarify the complex interactions between parasomnias and sleep parameters.
  • Findings underscore the importance of addressing parasomnias in pediatric sleep health.
Abstract

Keywords:
ParasomniaSleepSleep disordersSleep durationSleep latencySleep quality

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