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母亲压力与儿童睡眠质量之间的关联:全国性的ECHO前性队列研究

Sarah Dee Geiger^1,2, Aruna Chandran³, Marie L Churchill³

¹Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL, USA. smurphy7@illinois.edu.

Pediatric research

|October 11, 2024

概括

怀孕期间和分娩后母亲的压力与儿童睡眠问题有关. 产后压力显著介导产前压力对儿童睡眠质量的影响.

科学领域:

儿童心理学和发育健康.
母亲心理健康及其对后代的影响.
睡眠科学和儿科健康结果.

背景情况:

儿童睡眠质量对于身体,认知和行为发展至关重要.
童年的睡眠质量可以预测成年人的睡眠模式.
发育性暴露显著影响儿童睡眠.

研究的目的:

调查怀孕期间母亲的压力与儿童的睡眠质量之间的联系.
为了确定产后母亲的压力是否在这种关系中起到调解作用.

主要方法:

利用了环境影响儿童健康结果队列的数据.
使用感知压力尺度 (PSS) 测量母亲的压力.
通过儿童行为检查表 (CBCL) 和患者报告结果测量信息系统评估儿童睡眠质量睡眠障碍家长代理简单表格4a (PSD4a) 在4-8岁.
采用线性混合效应回归模型,对相关的共变量进行调整.

主要成果:

产前感知压力量表 (PSS) 的得分与CBCL和PSD4a睡眠结果得分有显著的相关性.
产后感知压力介导了产前压力对儿童睡眠结果总影响的很大一部分 (CBCL为66.3%,PSD4a为95.9%).

结论:

产前和产后母亲的感知压力都会影响儿童早期的睡眠质量.
产前压力与儿童睡眠问题有很大关系,而产后压力起到了关键的调解作用.
研究结果强调了解决母亲心理社会压力的公共卫生重要性,以改善儿童的睡眠.

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