Disorders of Arousal in Children and Associated Emotional-Behavioural Problems: Results From a Non-Clinical Longitudinal Cohort.

IF 3.9 3区 医学 Q2 CLINICAL NEUROLOGY
Christine Laganière, Hélène Gaudreau, Samantha Kenny, Michael Meaney, Marie-Hélène Pennestri
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Abstract

This study aimed to assess the associations between the frequency of episodes of disorders of arousal (sleepwalking and sleep terrors) and emotional-behavioural problems in a longitudinal cohort of healthy children aged 4 and 5 years. Mother-child dyads (N = 345) were recruited during pregnancy for a longitudinal cohort study. Mothers completed validated questionnaires when children were 4 and 5 years old. Linear regressions assessed (1) the concurrent association between the frequency of disorders of arousal episodes (i.e., sleepwalking and sleep terrors) and emotional-behavioural problems in children at 4 and 5; and (2) the association between the frequency of disorders of arousal episodes at 4 and emotional-behavioural problems at 5. Models included the following covariates: child's sex, child's nighttime sleep duration, socioeconomic status and maternal depressive symptoms. More frequent episodes of disorders of arousal at age 4 were significantly associated with more concurrent internalising (B = 2.659, p = 0.001), and externalising problems (B = 2.740, p = 0.006). At age 5, the frequency of episodes was not associated with concurrent internalising and externalising problems (p > 0.05). More frequent episodes at age 4 were associated with more externalising problems at 5 (B = 2.462, p = 0.039). Although sleep terrors and sleepwalking are often benign, our results show that even in a non-clinical cohort, these sleep phenomena can be associated with emotional-behavioural problems in children as young as 4. While the mere presence of sleep terrors or sleepwalking is not alarming, screening for emotional-behavioural problems seems appropriate for children with frequent episodes.

儿童觉醒障碍和相关情绪行为问题:来自一项非临床纵向队列研究的结果。
本研究旨在评估唤醒障碍(梦游和睡眠恐怖)发作频率与情绪行为问题之间的关联,研究对象为一组4 - 5岁的健康儿童。在一项纵向队列研究中,我们招募了345名怀孕期间的母子二人组。母亲们在孩子4岁和5岁时完成有效的问卷调查。线性回归评估(1)唤醒发作障碍(即梦游和睡眠恐怖)的频率与4岁和5岁儿童的情绪行为问题之间的同步关联;(2) 4岁时觉醒障碍发作频率与5岁时情绪行为问题之间的关系。模型包括以下协变量:儿童性别、儿童夜间睡眠时间、社会经济地位和母亲抑郁症状。4岁时更频繁的觉醒障碍发作与更多同时发生的内在化问题(B = 2.659, p = 0.001)和外在化问题(B = 2.740, p = 0.006)显著相关。在5岁时,发作频率与并发的内化和外化问题无关(p < 0.05)。4岁时更频繁的发作与5岁时更多的外化问题相关(B = 2.462, p = 0.039)。虽然睡眠恐惧和梦游通常是良性的,但我们的研究结果表明,即使在非临床队列中,这些睡眠现象也可能与4岁儿童的情绪行为问题有关。虽然仅仅出现睡眠恐惧或梦游并不令人担忧,但对频繁发作的儿童进行情绪-行为问题筛查似乎是合适的。
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
Journal of Sleep Research
Journal of Sleep Research 医学-临床神经学
CiteScore
9.00
自引率
6.80%
发文量
234
审稿时长
6-12 weeks
期刊介绍: The Journal of Sleep Research is dedicated to basic and clinical sleep research. The Journal publishes original research papers and invited reviews in all areas of sleep research (including biological rhythms). The Journal aims to promote the exchange of ideas between basic and clinical sleep researchers coming from a wide range of backgrounds and disciplines. The Journal will achieve this by publishing papers which use multidisciplinary and novel approaches to answer important questions about sleep, as well as its disorders and the treatment thereof.
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