Sleep problems in preschool mediate the association between chronotype and socioemotional problems at school-age

IF 3.8 2区医学 Q1 CLINICAL NEUROLOGY

Sleep medicine Pub Date : 2024-09-14 DOI:10.1016/j.sleep.2024.09.003

Derric Z.H. Eng , Elaine K.H. Tham , Nur K. Jafar , Jael S.Y. Tan , Daniel Y.T. Goh , Yung Seng Lee , Lynette P. Shek , Oon-Hoe Teoh , Fabian Yap , Kok Hian Tan , Johan G. Eriksson , Yap Seng Chong , Michael J. Meaney , Shirong Cai , Birit F.P. Broekman

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引用次数: 0

Abstract

Objectives

Evening-chronotype is associated with increased socioemotional problems among school-aged children. Inadequate sleep and increased sleep problems are also prevalent among evening-chronotype children and may underlie the relationship between chronotype and socioemotional problems. However, it is unclear whether the association between chronotype and socioemotional problems at school-age may be mediated by poorer sleep during late preschool.

Methods

Our study utilized cross-sectional data to examine the relations between chronotype, sleep duration, sleep problems and socioemotional problems in preschoolers. We subsequently performed longitudinal mediation analyses to examine how the association between chronotype at preschool-age and later socioemotional problems at school-age may be mediated by sleep problems and sleep duration during late preschool. 399 children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort study were included for analyses. Children's chronotype were identified with the Children's Chronotype Questionnaire at 4.5 years old. Sleep duration and problems were measured with the Children's Sleep Habits Questionnaire at 4.5 and 6 years old. Socioemotional problems were evaluated using the Child Behavioral Checklist at 4 and 7 years of age. All questionnaires were caregiver-reported.

Results

Linear regressions demonstrated that eveningness was associated with concurrent sleep problems and internalizing, externalizing and total behavioral problems at 4–4.5 years old, but not sleep duration. Mediation analyses supported that sleep problems (and not sleep duration) at 6 years old mediated the relationship between chronotype and socioemotional problems at 7 years old.

Conclusions

Our findings suggest addressing sleep problems during early development may reduce socioemotional problems at school-age, especially among evening-chronotype children.

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学龄前的睡眠问题可调节时型与学龄期社会情感问题之间的关系

目的在学龄儿童中，黄昏时序型与社会情感问题的增加有关。睡眠不足和睡眠问题增加在黄昏时间型儿童中也很普遍，这可能是时间型与社会情感问题之间关系的基础。我们的研究利用横断面数据研究了学龄前儿童的时序型、睡眠时间、睡眠问题和社会情感问题之间的关系。随后，我们进行了纵向中介分析，以研究学龄前的时间型与学龄期的社会情感问题之间的关系如何可能会被学龄前后期的睡眠问题和睡眠时间所中介。399 名来自新加坡健康成长（GUSTO）出生队列研究的儿童被纳入分析。儿童的时型由 4.5 岁时的儿童时型问卷确定。在 4.5 岁和 6 岁时，通过儿童睡眠习惯问卷对睡眠时间和睡眠问题进行测量。在 4 岁和 7 岁时，使用儿童行为检查表对儿童的社会情感问题进行评估。线性回归结果表明，晚睡与 4-4.5 岁儿童同时出现的睡眠问题以及内化、外化和总体行为问题有关，但与睡眠时间长短无关。结论我们的研究结果表明，在儿童早期发育过程中解决睡眠问题可以减少学龄期儿童的社会情感问题，尤其是黄昏型儿童的社会情感问题。

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

Sleep medicine 医学-临床神经学

CiteScore

8.40

自引率

6.20%

发文量

1060

审稿时长

49 days

期刊介绍： Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.