Associations between sleep problems and emotional/behavioural difficulties in healthy children and adolescents.
Adolescents
CSHQ
Children
SDQ
Sleep problems
Journal
BMC pediatrics
ISSN: 1471-2431
Titre abrégé: BMC Pediatr
Pays: England
ID NLM: 100967804
Informations de publication
Date de publication:
05 Jan 2024
05 Jan 2024
Historique:
received:
07
07
2022
accepted:
14
12
2023
medline:
6
1
2024
pubmed:
6
1
2024
entrez:
5
1
2024
Statut:
epublish
Résumé
This study aimed to (1) characterise sleep disturbances and emotional/behavioural difficulties among healthy German children and adolescents aged 3 to 13 years, (2) examine the association between parent-reported sleep problems and emotional/behavioural difficulties, (3) point out possible relations between specific kinds of sleep disturbances and different behavioural difficulties. Data were collected between 2011 and 2015 within the LIFE Child study in Germany. The sample included 1101 3- to 13-year-old children and adolescents. Information on sleep disturbances-assessed via the Children's Sleep Habits Questionnaire (CSHQ), emotional/behavioural difficulties-assessed via the Strengths and Difficulties Questionnaire (SDQ), and socioeconomic status was provided by participants' parents. Multiple regressions were applied to analyse the associations between general and specific sleep disturbances (independent variables) and emotional/behavioural difficulties (dependent variables). The total CSHQ score was positively associated with the total SDQ score and all SDQ subscales (emotional problems, conduct problems, hyperactivity/inattention, peer relationship problems). Most of the CSHQ subscales were related to SDQ subscale scores, except for a few non-significant relations with hyperactivity/inattention and conduct problems. The CSHQ total score, daytime sleepiness, sleep duration and parasomnias showed the strongest associations with the SDQ total score. This study confirms an association between children's and adolescents' sleep habits and psychological health. We were able to demonstrate the association between sleep problems and emotional/behavioural difficulties in a large sample of healthy participants. In particular, we observed a significant relation between parasomnias and hyperactive/inattentive behaviour as well as a significant association between emotional problems and sleep problems, especially daytime sleepiness, sleep anxiety and parasomnias.
Identifiants
pubmed: 38183087
doi: 10.1186/s12887-023-04487-z
pii: 10.1186/s12887-023-04487-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
15Informations de copyright
© 2023. The Author(s).
Références
Quach JL, Nguyen CD, Williams KE, Sciberras E. Bidirectional associations between child sleep problems and internalizing and externalizing difficulties from preschool to early adolescence. JAMA Pediatr. 2018;172(2):e174363. https://doi.org/10.1001/jamapediatrics.2017.4363 .
doi: 10.1001/jamapediatrics.2017.4363
pubmed: 29204659
Shamsaei F, Daraei MM, Aahmadinia H, Khalili A, Seif M. The relationship between sleep habits and mental health in Iranian elementary school children. Sleep Sci. 2019;12(2):94. https://doi.org/10.5935/1984-0063.20190067 .
doi: 10.5935/1984-0063.20190067
pubmed: 31879541
pmcid: 6922545
Goldstone A, Claudatos SA, Lim YQ, et al. Associations between sleep and mental health in children aged 9 and 10 years. Sleep. 2019;42(Supplement_1):A107–A107. https://doi.org/10.1093/sleep/zsz067.261 .
doi: 10.1093/sleep/zsz067.261
J Zhang, Zhiwei Xu, Kena Zhao, Ting Chen, Xiuxia Ye, Zhifei Shen, Zengjiang Wu, Jun Zhang, Xiaoming Shen, Shenghui. Sleep Habits, Sleep Problems, Sleep Hygiene, and Their Associations With Mental Health Problems Among Adolescents. J Am Psychiatr Nurses Assoc. Published online July 31, 2017. https://doi.org/10.1177/1078390317715315 .
Schlarb AA, Gulewitsch MD, Weltzer V, Ellert U, Enck P. Sleep duration and sleep problems in a representative sample of German children and adolescents. Health. 2015;7(11):1397–408. https://doi.org/10.4236/health.2015.711154 .
doi: 10.4236/health.2015.711154
Lewien C, Genuneit J, Meigen C, Kiess W, Poulain T. Sleep-related difficulties in healthy children and adolescents. BMC Pediatr. 2021;21(1):82. https://doi.org/10.1186/s12887-021-02529-y .
doi: 10.1186/s12887-021-02529-y
pubmed: 33593333
pmcid: 7885393
Aronen ET, Paavonen EJ, Fjällberg M, Soininen M, Törrönen J. Sleep and psychiatric symptoms in school-age children. J Am Acad Child Adolesc Psychiatry. 2000;39(4):502–8. https://doi.org/10.1097/00004583-200004000-00020 .
doi: 10.1097/00004583-200004000-00020
pubmed: 10761353
Paavonen EJ, Solantaus T, Almqvist F, Aronen ET. Four-year follow-up study of sleep and psychiatric symptoms in preadolescents: relationship of persistent and temporary sleep problems to psychiatric symptoms. J Dev Behav Pediatr. 2003;24(5):307–14.
doi: 10.1097/00004703-200310000-00001
pubmed: 14578691
V, Foehr U, Roberts D. Generation M2: media in the lives of 8- to 18-year-olds. A Kaiser Family Foundation. Available at: http://files.eric.ed.gov/fulltext/ED527859.pdf . Published online April 7, 2017.
Bucksch J, Sigmundova D, Hamrik Z, et al. International trends in adolescent screen-time behaviors from 2002 to 2010. J Adolesc Health. 2016;58(4):417–25. https://doi.org/10.1016/j.jadohealth.2015.11.014 .
doi: 10.1016/j.jadohealth.2015.11.014
pubmed: 26827267
Poulain T, Vogel M, Ludwig J, Grafe N, Körner A, Kiess W. Reciprocal longitudinal associations between adolescents’ media consumption and psychological health. Acad Pediatr. 2019;19(1):109–17. https://doi.org/10.1016/j.acap.2018.08.009 .
doi: 10.1016/j.acap.2018.08.009
pubmed: 30144525
Guerrero MD, Barnes JD, Chaput JP, Tremblay MS. Screen time and problem behaviors in children: exploring the mediating role of sleep duration. Int J Behav Nutr Phys Act. 2019;16(1):105. https://doi.org/10.1186/s12966-019-0862-x .
doi: 10.1186/s12966-019-0862-x
pubmed: 31727084
pmcid: 6854622
Kim SY, Han S, Park EJ, et al. The relationship between smartphone overuse and sleep in younger children: a prospective cohort study. J Clin Sleep Med. 2020;16(7):1133–9. https://doi.org/10.5664/jcsm.8446 .
doi: 10.5664/jcsm.8446
pubmed: 32248898
pmcid: 7954067
Paavonen EJ, Pennonen M, Roine M, Valkonen S, Lahikainen AR. TV exposure associated with sleep disturbances in 5- to 6-year-old children. J Sleep Res. 2006;15(2):154–61. https://doi.org/10.1111/j.1365-2869.2006.00525.x .
doi: 10.1111/j.1365-2869.2006.00525.x
pubmed: 16704570
Li S, Jin X, Wu S, Jiang F, Yan C, Shen X. The impact of media use on sleep patterns and sleep disorders among school-aged children in China. Sleep. 2007;30(3):361–7. https://doi.org/10.1093/sleep/30.3.361 .
doi: 10.1093/sleep/30.3.361
pubmed: 17425233
Ghorbani S, Gharraee B, Hosseini F, Maghami Sharif Z, Aghebati A. Changing parenting style between two generations and its impacts on the severity of behavioral and emotional symptoms. Asia Pac Psychiatry. 2022;14(1):e12448. https://doi.org/10.1111/appy.12448 .
doi: 10.1111/appy.12448
pubmed: 33480179
Campbell J, Gilmore L. Intergenerational continuities and discontinuities in parenting styles. Aust J Psychol. 2007;59(3):140–50. https://doi.org/10.1080/00049530701449471 .
doi: 10.1080/00049530701449471
Lam CM, Kwong WM, To SM. has parenting changed over past decade? A qualitative study of generational shifts in parenting. IJSSH. Published online May 2019:42–47. https://doi.org/10.18178/ijssh.2019.V9.988 .
Collishaw S, Goodman R, Pickles A, Maughan B. Modelling the contribution of changes in family life to time trends in adolescent conduct problems. Soc Sci Med. 2007;65(12):2576–87. https://doi.org/10.1016/j.socscimed.2007.06.010 .
doi: 10.1016/j.socscimed.2007.06.010
pubmed: 17881107
Collishaw S, Maughan B, Goodman R, Pickles A. Time trends in adolescent mental health. J Child Psychol Psychiatry. 2004;45(8):1350–62. https://doi.org/10.1111/j.1469-7610.2004.00842.x .
doi: 10.1111/j.1469-7610.2004.00842.x
pubmed: 15482496
Blanchard LT, Gurka MJ, Blackman JA. Emotional, developmental, and behavioral health of American children and their families: a report from the 2003 National Survey of Children’s Health. Pediatrics. 2006;117(6):e1202-1212. https://doi.org/10.1542/peds.2005-2606 .
doi: 10.1542/peds.2005-2606
pubmed: 16740820
Löfstedt P, García-Moya I, Corell M, et al. School satisfaction and school pressure in the WHO European Region and North America: An analysis of time trends (2002–2018) and patterns of co-occurrence in 32 countries. J Adolesc Health. 2020;66(6):S59–69. https://doi.org/10.1016/j.jadohealth.2020.03.007 .
doi: 10.1016/j.jadohealth.2020.03.007
pubmed: 32446610
Klinger DA, Freeman JG, Bilz L, et al. Cross-national trends in perceived school pressure by gender and age from 1994 to 2010. Eur J Public Health. 2015;25(Suppl 2):51–6. https://doi.org/10.1093/eurpub/ckv027 .
doi: 10.1093/eurpub/ckv027
pubmed: 25805788
Wang B, Eastwood PR, Becker A, et al. Concurrent developmental course of sleep problems and emotional/behavioral problems in childhood and adolescence as reflected by the dysregulation profile. Sleep. 2019;42(3):zsy243. https://doi.org/10.1093/sleep/zsy243 .
doi: 10.1093/sleep/zsy243
pubmed: 30521022
Maasalo K, Fontell T, Wessman J, Aronen ET. Sleep and behavioural problems associate with low mood in Finnish children aged 4–12 years: an epidemiological study. Child Adolesc Psychiatry Ment Health. 2016;10:37. https://doi.org/10.1186/s13034-016-0125-4 .
doi: 10.1186/s13034-016-0125-4
pubmed: 27713765
pmcid: 5053121
Sadeh A, Tikotzky L, Kahn M. Sleep in infancy and childhood: implications for emotional and behavioral difficulties in adolescence and beyond. Curr Opin Psychiatry. 2014;27(6):453–9. https://doi.org/10.1097/YCO.0000000000000109 .
doi: 10.1097/YCO.0000000000000109
pubmed: 25247458
Kortesoja L, Vainikainen MP, Hotulainen R, et al. Bidirectional relationship of sleep with emotional and behavioral difficulties: a five-year follow-up of finnish adolescents. J Youth Adolescence. Published online February 21, 2020:1–15. https://doi.org/10.1007/s10964-020-01203-3 .
Biggs SN, Lushington K. Inconsistent sleep schedules and daytime behavioral difficulties in school-aged children. Sleep Med. 2011;12(8):780–6. https://doi.org/10.1016/j.sleep.2011.03.017 .
doi: 10.1016/j.sleep.2011.03.017
pubmed: 21862401
Buzek T, Poulain T, Vogel M, et al. Relations between sleep duration with overweight and academic stress—just a matter of the socioeconomic status? Sleep Health. 2019;5(2):208–15. https://doi.org/10.1016/j.sleh.2018.12.004 .
doi: 10.1016/j.sleh.2018.12.004
pubmed: 30928123
Muratori P, Menicucci D, Lai E, et al. Linking sleep to externalizing behavioral difficulties: a longitudinal psychometric survey in a cohort of Italian school-age children. J Primary Prevent. 2019;40(2):231–41. https://doi.org/10.1007/s10935-019-00547-2 .
doi: 10.1007/s10935-019-00547-2
Williams KE, Berthelsen D, Walker S, Nicholson JM. A developmental cascade model of behavioral sleep problems and emotional and attentional self-regulation across early childhood. Behav Sleep Med. 2017;15(1):1–21. https://doi.org/10.1080/15402002.2015.1065410 .
doi: 10.1080/15402002.2015.1065410
pubmed: 26619760
Lehmkuhl G, Wiater A, Mitschke A, Fricke-Oerkermann L. Sleep disorders in children beginning school: their causes and effects. Dtsch Arztebl Int. 2008;105(47):809. https://doi.org/10.3238/arztebl.2008.0809 .
doi: 10.3238/arztebl.2008.0809
pubmed: 19578411
pmcid: 2697010
Koet LB, de Schepper EI, Bohnen AM, Bindels PJ, Gerger H. Anxiety problems in children and adolescents: a population-based cohort study on incidence and management in Dutch primary care. Br J Gen Pract. 2022;72(719):e405–12. https://doi.org/10.3399/BJGP.2021.0557 .
doi: 10.3399/BJGP.2021.0557
pubmed: 35440466
pmcid: 9037188
Leikanger E, Ingul JM, Larsson B. Sex and age-related anxiety in a community sample of Norwegian adolescents. Scand J Psychol. 2012;53(2):150–7. https://doi.org/10.1111/j.1467-9450.2011.00915.x .
doi: 10.1111/j.1467-9450.2011.00915.x
pubmed: 22022875
Wiklund M, Malmgren-Olsson EB, Ohman A, Bergström E, Fjellman-Wiklund A. Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender - a cross-sectional school study in Northern Sweden. BMC Public Health. 2012;12:993. https://doi.org/10.1186/1471-2458-12-993 .
doi: 10.1186/1471-2458-12-993
pubmed: 23158724
pmcid: 3533931
Wesselhoeft R, Pedersen CB, Mortensen PB, Mors O, Bilenberg N. Gender-age interaction in incidence rates of childhood emotional disorders. Psychol Med. 2015;45(4):829–39. https://doi.org/10.1017/S0033291714001901 .
doi: 10.1017/S0033291714001901
pubmed: 25110838
Reiss F, Meyrose AK, Otto C, Lampert T, Klasen F, Ravens-Sieberer U. Socioeconomic status, stressful life situations and mental health problems in children and adolescents: Results of the German BELLA cohort-study. PLoS One. 2019;14(3):e0213700. https://doi.org/10.1371/journal.pone.0213700 .
doi: 10.1371/journal.pone.0213700
pubmed: 30865713
pmcid: 6415852
Costa D, Cunha M, Ferreira C, et al. Self-reported symptoms of depression, anxiety and stress in Portuguese primary school-aged children. BMC Psychiatry. 2020;20(1):87. https://doi.org/10.1186/s12888-020-02498-z .
doi: 10.1186/s12888-020-02498-z
pubmed: 32106844
pmcid: 7047394
Khanal P, Ståhlberg T, Luntamo T, et al. Time trends in treated incidence, sociodemographic risk factors and comorbidities: a Finnish nationwide study on anxiety disorders. BMC Psychiatry. 2022;22(1):144. https://doi.org/10.1186/s12888-022-03743-3 .
doi: 10.1186/s12888-022-03743-3
pubmed: 35193518
pmcid: 8864838
Li SX, Yu MWM, Lam SP, et al. Frequent nightmares in children: familial aggregation and associations with parent-reported behavioral and mood problems. Sleep. 2011;34(4):487. https://doi.org/10.1093/sleep/34.4.487 .
doi: 10.1093/sleep/34.4.487
pubmed: 21461327
pmcid: 3065259
Schredl M, Fricke-Oerkermann L, Mitschke A, Wiater A, Lehmkuhl G. Longitudinal study of nightmares in children: stability and effect of emotional symptoms. Child Psychiatry Hum Dev. 2009;40(3):439–49. https://doi.org/10.1007/s10578-009-0136-y .
doi: 10.1007/s10578-009-0136-y
pubmed: 19280336
Wang B, Isensee C, Becker A, et al. Developmental Trajectories of Sleep Problems from Childhood to Adolescence Both Predict and Are Predicted by Emotional and Behavioral Problems. Front Psychol. 2016;7:1874. https://doi.org/10.3389/fpsyg.2016.01874 .
doi: 10.3389/fpsyg.2016.01874
pubmed: 27990129
pmcid: 5131000
Hublin C, Kaprio J, Partinen M, Koskenvuo M. Nightmares: Familial aggregation and association with psychiatric disorders in a nationwide twin cohort. Am J Med Genet. 1999;88(4):329–36. https://doi.org/10.1002/(SICI)1096-8628(19990820)88:4%3c329::AID-AJMG8%3e3.0.CO;2-E .
doi: 10.1002/(SICI)1096-8628(19990820)88:4%3c329::AID-AJMG8%3e3.0.CO;2-E
pubmed: 10402498
Poulain T, Baber R, Vogel M, et al. The LIFE Child study: a population-based perinatal and pediatric cohort in Germany. Eur J Epidemiol. 2017;32(2):145–58. https://doi.org/10.1007/s10654-016-0216-9 .
doi: 10.1007/s10654-016-0216-9
pubmed: 28144813
Klasen H, Woerner W, Wolke D, et al. Comparing the German versions of the Strengths and Difficulties Questionnaire (SDQ-Deu) and the child behavior checklist. Eur Child Adolesc Psychiatry. 2000;9(4):271–6.
doi: 10.1007/s007870070030
pubmed: 11202102
Hansen BH, Skirbekk B, Oerbeck B, Richter J, Kristensen H. Comparison of sleep problems in children with anxiety and attention deficit/hyperactivity disorders. Eur Child Adolesc Psychiatry. 2011;20(6):321. https://doi.org/10.1007/s00787-011-0179-z .
doi: 10.1007/s00787-011-0179-z
pubmed: 21533911
van Geijlswijk IM, Mol RH, Egberts TCG, Smits MG. Evaluation of sleep, puberty and mental health in children with long-term melatonin treatment for chronic idiopathic childhood sleep onset insomnia. Psychopharmacology. 2011;216(1):111. https://doi.org/10.1007/s00213-011-2202-y .
doi: 10.1007/s00213-011-2202-y
pubmed: 21340475
pmcid: 3111733
Lycett K, Mensah F, Hiscock H, Sciberras E. Comparing subjective measures of behavioral sleep problems in children with ADHD: a cross-sectional study. Sleep Med. 2015;16(11):1377–80.
doi: 10.1016/j.sleep.2015.08.015
pubmed: 26498239
Liu X, Liu L, Owens JA, Kaplan DL. Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics. 2005;115(Supplement 1):241–9. https://doi.org/10.1542/peds.2004-0815F .
doi: 10.1542/peds.2004-0815F
pubmed: 15866858
Goodlin-Jones B, Sitnick S, Tang K, Liu J, Anders T. The children’s sleep habits questionnaire in toddlers and preschool children. J Dev Behav Pediatr. 2008;29(2):82–8. https://doi.org/10.1097/DBP.0b013e318163c39a .
doi: 10.1097/DBP.0b013e318163c39a
pubmed: 18478627
Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;23(8):1043–51.
doi: 10.1093/sleep/23.8.1d
pubmed: 11145319
Schlarb AA, Schwerdtle B, Hautzinger M. Validation and psychometric properties of the German version of the Children’s Sleep Habits Questionnaire (CSHQ-DE). Somnologie. 2010;14:260–6.
doi: 10.1007/s11818-010-0495-4
Lampert T, Müters S, Stolzenberg H, Kroll LE, Group KS. Messung des sozioökonomischen Status in der KiGGS-Studie. Bundesgesundheitsbl. 2014;57(7):762–70. https://doi.org/10.1007/s00103-014-1974-8 .
doi: 10.1007/s00103-014-1974-8
Benjamini Y, Hochberg Y. Controlling the false discovery rate: a practical and powerful approach to multiple testing. J Roy Stat Soc: Ser B (Methodol). 1995;57(2):289–300.
Liu Z, Wang G, Geng L, Luo J, Li N, Owens J. Sleep patterns, sleep disturbances, and associated factors among Chinese urban kindergarten children. Behav Sleep Med. 2016;14(1):100–17. https://doi.org/10.1080/15402002.2014.963581 .
doi: 10.1080/15402002.2014.963581
pubmed: 25396279
Wang G, Xu G, Liu Z. Sleep patterns and sleep disturbances among Chinese school-aged children: Prevalence and associated factors. Sleep Medicine. 2013;14(1):45–52. https://doi.org/10.1016/j.sleep.2012.09.022 .
doi: 10.1016/j.sleep.2012.09.022
pubmed: 23218539
Komada Y, Abe T, Okajima I, et al. Short sleep duration and irregular bedtime are associated with increased behavioral problems among Japanese preschool-age children. Tohoku J Exp Med. 2011;224(2):127–36. https://doi.org/10.1620/tjem.224.127 .
doi: 10.1620/tjem.224.127
pubmed: 21617333
Takahashi M, Adachi M, Yasuda S, et al. Prevalence of sleep problems in Japanese preschoolers in a medium-sized city: Community-based survey using the Children’s Sleep Habits Questionnaire. Pediatr Int. 2017;59(6):747–50. https://doi.org/10.1111/ped.13281 .
doi: 10.1111/ped.13281
pubmed: 28626976
Laganière C, Gaudreau H, Pokhvisneva I, Atkinson L, Meaney M, Pennestri M. Sleepwalking and Sleeptalking in Children: Associations with Emotional/Behavioral Problems and Sleep Quality. Sleep. 2018;41(suppl_1):A293–A293. https://doi.org/10.1093/sleep/zsy061.788 .
doi: 10.1093/sleep/zsy061.788
Zuckerman B, Stevenson J, Bailey V. Sleep problems in early childhood: continuities, predictive factors, and behavioral correlates. Pediatrics. 1987;80(5):664–71.
doi: 10.1542/peds.80.5.664
pubmed: 3670967
Smedje H, Broman JE, Hetta J. Associations between disturbed sleep and behavioural difficulties in 635 children aged six to eight years: a study based on parents’ perceptions. Eur Child Adolesc Psychiatry. 2001;10(1):1–9. https://doi.org/10.1007/s007870170041 .
doi: 10.1007/s007870170041
pubmed: 11315530
Liu X, Zhou H. Sleep duration, insomnia and behavioral problems among Chinese adolescents. Psychiatry Res. 2002;111(1):75–85. https://doi.org/10.1016/s0165-1781(02)00131-2 .
doi: 10.1016/s0165-1781(02)00131-2
pubmed: 12140122
Gozal D, Dayyat, Spruyt, Molfese. Sleep estimates in children: parental versus actigraphic assessments. NSS. Published online October 2011:115. doi: https://doi.org/10.2147/NSS.S25676 .