在学龄前儿童中睡眠障碍和情绪和行为困难
Yujiao Deng1, Zichen Zhang2,3,4, Yiding Gui2,3,4
1Department of Neurology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
JAMA network open
|December 14, 2023
概括
儿童睡眠障碍与情绪和行为障碍 (EBD) 有关. 解决学龄前儿童的睡眠问题可能会改善他们的心理社会福祉,并减少EBD.
科学领域:
- 儿童心理学 儿童心理学
- 发育儿科 发育儿科
- 睡眠医学 睡眠医学
背景情况:
- 睡眠障碍和心理健康问题,特别是情绪和行为障碍 (EBD),在儿童中很常见,并且相互联系.
- 睡眠障碍的进展与EBD随着时间的推移的发展或解决之间的关系尚未得到充分量化.
研究的目的:
- 研究睡眠障碍的自然史与学龄前儿童的EBD解决或发病率之间的关联.
主要方法:
- 一项基于人口的前性队列研究,涉及中国上海17,233名年龄在3-4岁的儿童.
- 使用儿童睡眠习惯问卷评估睡眠障碍,并在2年的随访期间使用优点和困难问卷测量EBD.
- 用多级回归模型来分析数据.
主要成果:
- 患有偶发或稳定睡眠障碍的儿童的EBD解决的可能性显著降低 (OR分别为0.50和0.47).
- 相反,经历睡眠障碍的儿童与没有睡眠障碍的儿童相比,发生EBD的可能性显著更高 (OR分别为2.58和2.29).
- 在研究期间,EBD的患病率从27.8%降至18.7%,睡眠障碍从41.3%降至31.5%.
结论:
- 在学前儿童中睡眠障碍的自然过程与情绪和行为困难的解决和发病率显著相关.
- 早期查和针对睡眠障碍的有针对性的干预措施对于促进幼儿的心理社会福祉至关重要.
相关概念视频
Nightmares and Night Terrors
93
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
93
Socioemotional Development during Infancy
55
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
55
Oppositional Defiant Disorder
25
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
25
Attention-Deficit/Hyperactivity Disorder
68
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
68
Information Processing Approach
41
The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is...
41
Autism Spectrum Disorder
100
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
100


