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Σάββατο 17 Μαρτίου 2018

Association of sleep habits with behavior problems and resilience of 6- to 7-year-old children: results from the A-CHILD study

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Publication date: May 2018
Source:Sleep Medicine, Volume 45
Author(s): Satomi Doi, Takeo Fujiwara, Manami Ochi, Aya Isumi, Tsuguhiko Kato
BackgroundChildhood sleep habits are associated with mental health development; however, little is known about the impact of irregular bedtimes on the mental health of early school-aged children. The aims of this study were to examine the effect of weekday sleep habits (varying bedtimes depending on the night of the week and later than 22:00 h bedtime) on behavior problems, prosocial behavior, and resilience of children aged 6–7 years.MethodsData were taken from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study, which involved the participation of 4291 caregivers of first-grade children (6–7 years old) living in Adachi City, Tokyo. Resilience (using the Children's Resilient Coping Scale), behavior problems (using the Strength and Difficulties Questionnaire), both modified to range 0–100, and sleep habits were measured via a questionnaire filled out by caregivers. Propensity-score matching was used to determine the associations between irregular and late bedtime, behavior problems, prosocial behavior, and resilience.ResultsA total of 320 (7.5%) children showed irregular bedtime on school nights and 540 (13.6%) children went to bed later than 22:00 h. Children with irregular bedtimes on weekdays showed lower resilience (β = −3.50, 95% confidence interval (CI) = −5.90 to −1.10) and higher levels of behavior problems (β = 3.29, 95% CI = 1.13–5.46), especially hyperactivity/inattention (β = 5.76, 95% CI = 2.03 to 9.49) and peer relationship problems (β = 3.79, 95% CI = 1.02–6.55). On the other hand, no association between bedtime after 22:00 h and resilience or behavior problems was found.ConclusionAmong early school-aged children, irregular bedtime on weekdays may be a risk factor for lower resilience and behavior problems.



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