Sleep disordered breathing symptoms and daytime sleepiness are associated with emotional problems and poor school performance in children

被引:48
作者
Liu, Jianghong [1 ]
Liu, Xianchen [2 ]
Ji, Xiaopeng [1 ]
Wang, Yingjie [1 ]
Zhou, Guoping [3 ]
Chen, Xinyin [4 ]
机构
[1] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
[2] Shandong Univ, Sch Publ Hlth, Jinan, Peoples R China
[3] Jintan Peoples Hosp, Jintan, Peoples R China
[4] Univ Penn, Sch Educ, Philadelphia, PA 19104 USA
关键词
Sleep disordered breathing; Daytime sleepiness; Emotional problems; Behavior outcomes; School performance; Chinese children; AGED CHILDREN; YOUNG-CHILDREN; INTERMITTENT HYPOXIA; DEPRESSIVE SYMPTOMS; CHINESE ADOLESCENTS; PRESCHOOL-CHILDREN; RISK-FACTORS; PREVALENCE; APNEA; BEHAVIOR;
D O I
10.1016/j.psychres.2016.05.017
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This study examined the prevalence of sleep disordered breathing (SDB) symptoms and their associations with daytime sleepiness, emotional problems, and school performance in Chinese children. Participants included 3979 children (10.99 +/- 0.99 years old) from four elementary schools in Jintan City, Jiangsu Province, China. Children completed a self-administered questionnaire on sleep behavior and emotional problems, while parents completed the Child Sleep Habit Questionnaire (CSHQ). SDB symptoms included 3 items: loud snoring, stopped breathing, and snorting/gasping during sleep. Teachers rated the children's school performance. The prevalence rates of parent- and self-reported SDB symptoms were 17.2% and 10.1% for "sometimes" and 8.9% and 5.6% for "usually". SDB symptoms, more prevalent in boys than in girls, increased the risks for depression, loneliness, and poor school performance. Daytime sleepiness mediated the relationship between SDB symptoms and depression, loneliness, and poor school performance. This study suggests the importance of early screening and intervention of SDB and daytime sleepiness in child behavioral and cognitive development. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:218 / 225
页数:8
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