TY - JOUR
T1 - Sleep and behavioral/emotional problems in children
T2 - a population-based study
AU - Bos, S. Carvalho
AU - Gomes, A.
AU - Clemente, V.
AU - Marques, M.
AU - Pereira, A. T.
AU - Maia, B.
AU - Soares, M. J.
AU - Cabral, A. S.
AU - Macedo, A.
AU - Gozal, D.
AU - Azevedo, M. H.
N1 - Copyright:
Copyright 2009 Elsevier B.V., All rights reserved.
PY - 2009/1
Y1 - 2009/1
N2 - Background: The potential relationships between sleep-wake behaviors and emotional/disruptive problems in otherwise healthy school-aged children are unclear. Methods: A parental questionnaire was developed for the epidemiologic survey of children's sleep and wake behavioral patterns. The questions covered a wide range of features including sleep length (school days, weekends), time to fall asleep, night awakenings, bedtime and nighttime sleep-related behaviors, daytime sleepiness, irritability, and tiredness. To assess psychiatric symptomatology, the Rutter Scale B2 was completed by teachers. In addition to the total score, sub-scores of emotional, hyperactivity, and conduct problems were obtained. The representative population sample comprised 779 children (403 girls), with an age range of 6-11 years. Results: Hyperactivity and conduct problems at school in boys were both associated with parental reports of bedtime resistance. Hyperactivity was also associated with longer sleep duration during weekends. Conduct and emotional problems in girls were associated with earlier bedtime during school days. Emotional problems in girls were also associated with longer sleep durations in school days and weekends. Conclusion: Bedtime resistance was the only sleep behavior associated with either hyperactivity or conduct problems in children, and longer sleep durations appear to occur more frequently in children with both hyperactive or emotional problems. Information about good sleep hygiene at bedtime may help parents setting sleep limits.
AB - Background: The potential relationships between sleep-wake behaviors and emotional/disruptive problems in otherwise healthy school-aged children are unclear. Methods: A parental questionnaire was developed for the epidemiologic survey of children's sleep and wake behavioral patterns. The questions covered a wide range of features including sleep length (school days, weekends), time to fall asleep, night awakenings, bedtime and nighttime sleep-related behaviors, daytime sleepiness, irritability, and tiredness. To assess psychiatric symptomatology, the Rutter Scale B2 was completed by teachers. In addition to the total score, sub-scores of emotional, hyperactivity, and conduct problems were obtained. The representative population sample comprised 779 children (403 girls), with an age range of 6-11 years. Results: Hyperactivity and conduct problems at school in boys were both associated with parental reports of bedtime resistance. Hyperactivity was also associated with longer sleep duration during weekends. Conduct and emotional problems in girls were associated with earlier bedtime during school days. Emotional problems in girls were also associated with longer sleep durations in school days and weekends. Conclusion: Bedtime resistance was the only sleep behavior associated with either hyperactivity or conduct problems in children, and longer sleep durations appear to occur more frequently in children with both hyperactive or emotional problems. Information about good sleep hygiene at bedtime may help parents setting sleep limits.
KW - Bedtime resistance
KW - Behavioral/emotional problems
KW - Primary-school aged children
KW - Rutter scale B2
KW - School days/weekends
KW - Sleep problems
UR - http://www.scopus.com/inward/record.url?scp=58149347207&partnerID=8YFLogxK
U2 - 10.1016/j.sleep.2007.10.020
DO - 10.1016/j.sleep.2007.10.020
M3 - Article
C2 - 18276186
AN - SCOPUS:58149347207
SN - 1389-9457
VL - 10
SP - 66
EP - 74
JO - Sleep Medicine
JF - Sleep Medicine
IS - 1
ER -