Sleep and psychiatric symptoms in young child psychiatric outpatients - a Follow-up study.

IF 1.8 4区医学 Q3 PSYCHIATRY

Clinical Child Psychology and Psychiatry Pub Date : 2023-10-01 Epub Date: 2022-12-07 DOI:10.1177/13591045221143575

Tiia Kuha, Taru Saarelainen, Hanna Huhdanpää, Katri Maasalo, E Juulia Paavonen, Eeva T Aronen

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Abstract

Background: Knowledge of the continuity of sleep problems and the associations between sleep and psychiatric symptoms in child psychiatric patients is scarce.

Objectives: To investigate the persistency of sleep problems and how sleep at preschool age predicts sleep problems and psychiatric symptoms at school age in child psychiatric patients.

Methods: Participants (n = 68) were child psychiatry outpatients at Helsinki University Hospital in 2015-2017. Caregivers evaluated sleep with the Sleep Disturbance Scale for Children (SDSC) and psychiatric symptoms with the Child Behavior Checklist (CBCL) at baseline (age 4-7 years) and again at follow-up (age 8-13 years). Family background information was collected at both time points.

Results: Sleep problems at preschool age predicted sleep problems at school age (R2Adjusted = .48, p < .001). Persistent sleep problems associated strongly with the intensity of psychiatric symptoms (p = .001). Internalizing symptoms were predicted by sleep problems (p = .038) even after controlling for age, sex, and psychiatric symptoms at preschool age.

Conclusion: Sleep problems are prevalent and persistent and relate to psychiatric symptoms in children treated at child psychiatry clinics. These results emphasize the need for identification and treatment of sleep problems in these children.

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幼儿精神科门诊患者的睡眠和精神症状——一项随访研究。

背景：对儿童精神病患者睡眠问题的连续性以及睡眠与精神症状之间的联系知之甚少。目的：研究儿童精神病患者睡眠问题的持续性，以及学龄前睡眠如何预测学龄期的睡眠问题和精神症状。方法：参与者（n=68）是2015-2017年赫尔辛基大学医院的儿童精神病学门诊患者。护理人员在基线（4-7岁）和随访（8-13岁）时分别用儿童睡眠障碍量表（SDSC）和儿童行为检查表（CBCL）评估睡眠和精神症状。在这两个时间点都收集了家庭背景信息。结果：学龄前阶段的睡眠问题预测学龄前的睡眠问题（R2Adjusted=.48，p<.001）。持续的睡眠问题与精神症状的强度密切相关（p=.001）。即使在控制了学龄前的年龄、性别和精神症状后，睡眠问题也预测了内化症状（p=.038）。结论：在儿童精神科诊所接受治疗的儿童中，睡眠问题普遍存在且持续存在，与精神症状有关。这些结果强调了识别和治疗这些儿童睡眠问题的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child Psychology and Psychiatry PSYCHIATRY-PSYCHOLOGY

CiteScore

3.60

自引率

5.60%

发文量

130

期刊介绍： Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.