Ifigeneia Manitsa, Alice M. Gregory, Matthew R. Broome, Andrew P. Bagshaw, Steven Marwaha, Isabel Morales-Muñoz
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Child's sex, birth weight, gestational age, health and temperament, together with mother's family adversity index (FAI), age at birth, prenatal socioeconomic status and postnatal anxiety and depression, were included as risk factors for persistent poor sleep health. Latent class growth analyses were applied first to detect trajectories of night-time sleep duration, bedtime and MPS, and we then applied logistic regressions for the longitudinal associations between risk factors and persistent poor sleep health domains.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>We obtained four trajectories for each of the three sleep domains. In particular, we identified a trajectory characterized by persistent shorter sleep, a trajectory of persistent later bedtime and a trajectory of persistent later MPS. Two risk factors were associated with the three poor sleep health domains: higher FAI with increased risk of persistent shorter sleep (OR = 1.20, 95% CI = 1.11–1.30, <i>p</i> < .001), persistent later bedtime (OR = 1.28, 95% CI = 1.19–1.39, <i>p</i> < .001) and persistent later MPS (OR = 1.30, 95% CI = 1.22–1.38, <i>p</i> < .001); and higher maternal socioeconomic status with reduced risk of persistent shorter sleep (OR = 0.99, 95% CI = 0.98–1.00, <i>p</i> = .048), persistent later bedtime (OR = 0.98, 95% CI = 0.97–0.99, <i>p</i> < .001) and persistent later MPS (OR = 0.99, 95% CI = 0.98–0.99, <i>p</i> < .001).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>We detected trajectories of persistent poor sleep health (i.e. shorter sleep duration, later bedtime and later MPS) from infancy to adolescence, and specific perinatal risk factors linked to persistent poor sleep health domains.</p>\n </section>\n </div>","PeriodicalId":187,"journal":{"name":"Journal of Child Psychology and Psychiatry","volume":"65 11","pages":"1513-1525"},"PeriodicalIF":6.5000,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.14004","citationCount":"0","resultStr":"{\"title\":\"Shorter night-time sleep duration and later sleep timing from infancy to adolescence\",\"authors\":\"Ifigeneia Manitsa, Alice M. 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Child's sex, birth weight, gestational age, health and temperament, together with mother's family adversity index (FAI), age at birth, prenatal socioeconomic status and postnatal anxiety and depression, were included as risk factors for persistent poor sleep health. Latent class growth analyses were applied first to detect trajectories of night-time sleep duration, bedtime and MPS, and we then applied logistic regressions for the longitudinal associations between risk factors and persistent poor sleep health domains.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>We obtained four trajectories for each of the three sleep domains. In particular, we identified a trajectory characterized by persistent shorter sleep, a trajectory of persistent later bedtime and a trajectory of persistent later MPS. Two risk factors were associated with the three poor sleep health domains: higher FAI with increased risk of persistent shorter sleep (OR = 1.20, 95% CI = 1.11–1.30, <i>p</i> < .001), persistent later bedtime (OR = 1.28, 95% CI = 1.19–1.39, <i>p</i> < .001) and persistent later MPS (OR = 1.30, 95% CI = 1.22–1.38, <i>p</i> < .001); and higher maternal socioeconomic status with reduced risk of persistent shorter sleep (OR = 0.99, 95% CI = 0.98–1.00, <i>p</i> = .048), persistent later bedtime (OR = 0.98, 95% CI = 0.97–0.99, <i>p</i> < .001) and persistent later MPS (OR = 0.99, 95% CI = 0.98–0.99, <i>p</i> < .001).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>We detected trajectories of persistent poor sleep health (i.e. shorter sleep duration, later bedtime and later MPS) from infancy to adolescence, and specific perinatal risk factors linked to persistent poor sleep health domains.</p>\\n </section>\\n </div>\",\"PeriodicalId\":187,\"journal\":{\"name\":\"Journal of Child Psychology and Psychiatry\",\"volume\":\"65 11\",\"pages\":\"1513-1525\"},\"PeriodicalIF\":6.5000,\"publicationDate\":\"2024-05-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcpp.14004\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Child Psychology and Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jcpp.14004\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child Psychology and Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jcpp.14004","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
背景在此，我们（a）研究了从婴儿期到青春期的夜间睡眠时间、就寝时间和夜间睡眠中点（MPS）的变化轨迹；（b）探讨了导致睡眠健康状况持续不佳的围产期风险因素。方法本研究使用了雅芳父母与子女纵向研究（ALSPAC）12962 名参与者的数据。在 6 个月、18 个月和 30 个月以及 3.5 岁、4-5 岁、5-6 岁、6-7 岁、9 岁、11 岁和 15-16 岁时，通过问卷调查收集了家长或自我报告的夜间睡眠时间、就寝时间和起床时间。儿童的性别、出生体重、胎龄、健康状况和性情，以及母亲的家庭逆境指数（FAI）、出生年龄、产前社会经济状况、产后焦虑和抑郁，都被列为导致儿童睡眠健康状况持续不良的风险因素。我们首先应用潜类增长分析来检测夜间睡眠时间、就寝时间和MPS的轨迹，然后应用Logistic回归分析风险因素与持续不良睡眠健康领域之间的纵向关联。特别是，我们发现了一个以睡眠时间持续较短为特征的轨迹、一个以就寝时间持续较晚为特征的轨迹和一个以MPS持续较晚为特征的轨迹。有两个风险因素与这三个不良睡眠健康领域相关：较高的 FAI 会增加持续较短睡眠时间的风险（OR = 1.20，95% CI = 1.11-1.30，p <.001）、持续较晚就寝时间（OR = 1.28，95% CI = 1.19-1.39，p <.001）和持续较晚的 MPS（OR = 1.30，95% CI = 1.22-1.38，p <.001）；较高的产妇社会经济地位降低了持续较短睡眠时间的风险（OR = 0.99，95% CI = 0.98-1.00，p = .048）、持续晚睡（OR = 0.98，95% CI = 0.97-0.99，p <.001）和持续晚睡 MPS（OR = 0.99，95% CI = 0.98-0.99，p <.001）的风险降低。结论我们发现了从婴儿期到青春期持续不良睡眠健康的轨迹（即睡眠时间较短、就寝时间较晚和MPS较晚），以及与持续不良睡眠健康领域相关的特定围产期风险因素。
Shorter night-time sleep duration and later sleep timing from infancy to adolescence
Background
Here, we (a) examined the trajectories of night-time sleep duration, bedtime and midpoint of night-time sleep (MPS) from infancy to adolescence, and (b) explored perinatal risk factors for persistent poor sleep health.
Methods
This study used data from 12,962 participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). Parent or self-reported night-time sleep duration, bedtime and wake-up time were collected from questionnaires at 6, 18 and 30 months, and at 3.5, 4–5, 5–6, 6–7, 9, 11 and 15–16 years. Child's sex, birth weight, gestational age, health and temperament, together with mother's family adversity index (FAI), age at birth, prenatal socioeconomic status and postnatal anxiety and depression, were included as risk factors for persistent poor sleep health. Latent class growth analyses were applied first to detect trajectories of night-time sleep duration, bedtime and MPS, and we then applied logistic regressions for the longitudinal associations between risk factors and persistent poor sleep health domains.
Results
We obtained four trajectories for each of the three sleep domains. In particular, we identified a trajectory characterized by persistent shorter sleep, a trajectory of persistent later bedtime and a trajectory of persistent later MPS. Two risk factors were associated with the three poor sleep health domains: higher FAI with increased risk of persistent shorter sleep (OR = 1.20, 95% CI = 1.11–1.30, p < .001), persistent later bedtime (OR = 1.28, 95% CI = 1.19–1.39, p < .001) and persistent later MPS (OR = 1.30, 95% CI = 1.22–1.38, p < .001); and higher maternal socioeconomic status with reduced risk of persistent shorter sleep (OR = 0.99, 95% CI = 0.98–1.00, p = .048), persistent later bedtime (OR = 0.98, 95% CI = 0.97–0.99, p < .001) and persistent later MPS (OR = 0.99, 95% CI = 0.98–0.99, p < .001).
Conclusions
We detected trajectories of persistent poor sleep health (i.e. shorter sleep duration, later bedtime and later MPS) from infancy to adolescence, and specific perinatal risk factors linked to persistent poor sleep health domains.
期刊介绍：
The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including:
Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents.
Diagnosis: Research on the identification and classification of childhood disorders.
Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health.
Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders.
Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health.
Genetics: Genetic factors contributing to the development of childhood disorders.
JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health.
The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.
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