Outcomes of child sleep problems over the school-transition period: Australian population longitudinal study.
BACKGROUND: Adequate sleep optimizes children's learning and behavior. However, the natural history and impact of sleep problems during school transition is unknown. OBJECTIVES: To determine (1) the natural history of sleep problems over the 2-year period spanning school entry and (2) associations o...
| Publicado en: | Pediatrics Vol. 123; no. 5; pp. 1287 - 1293 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Academy of Pediatrics
May2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105525352&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105525352 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00314005 PDT jtl: Pediatrics issn: 00314005 maglogo: N pubinfo: dt: May2009 vid: 123 iid: 5 pid: 1659 pub: American Academy of Pediatrics place: Elk Grove Village, Illinois artinfo: ui: 105525352 2010276077 10.1542/peds.2008-1860 NLM19403493 105525352 ppf: 1287 ppct: 6 formats: tig: atl: Outcomes of child sleep problems over the school-transition period: Australian population longitudinal study. aug: au: Quach J Hiscock H Canterford L Wake M affil: Department of Paediatrics, University of Melbourne, Melbourne, Australia; jon.quach@mcri.edu.au sug: subj: Age Factors Education In Infancy and Childhood Sleep Disorders In Infancy and Childhood Australia Child Child Behavior Child, Preschool Cognition Cross Sectional Studies Data Analysis Software Female Funding Source Interviews Language Learning Linear Regression Male Prospective Studies Quality of Life Questionnaires Scales Severity of Illness Sex Factors Socioeconomic Factors Human Child: 6-12 years Child, Preschool: 2-5 years Female Male ab: BACKGROUND: Adequate sleep optimizes children's learning and behavior. However, the natural history and impact of sleep problems during school transition is unknown. OBJECTIVES: To determine (1) the natural history of sleep problems over the 2-year period spanning school entry and (2) associations of children's health-related quality of life, language, behavior, learning, and cognition at ages 6.5 to 7.5 years with (a) timing and (b) severity of sleep problems. METHODS: Data were drawn from the Longitudinal Study of Australian Children. Children were aged 4 to 5 years at wave 1 and 6 to 7 years at wave 2. Parent-reported predictors included (1) timing (none, persistent, resolved, incident) of moderate/severe sleep problems over the 2 waves and (2) severity (none, mild, moderate/severe) of sleep problems at wave 2. Outcomes included parent-reported health-related quality of life and language, parent- and teacher-reported behavior, teacher-reported learning, and directly assessed nonverbal (matrix reasoning) and verbal (receptive vocabulary) cognition. Linear regression, adjusted for child age, gender, and social demographic variables, was used to quantify associations of outcomes with sleep-problem timing and severity. RESULTS: Sleep data were available at both waves for 4460 (89.5%) children, of whom 22.6% (17.0% mild, 5.7% moderate/severe) had sleep problems at wave 2. From wave 1, 2.9% persisted and 2.8% developed a moderate/severe problem, whereas 10.1% resolved. Compared with no sleep problems, persistent and incident sleep problems predicted poorest health-related quality of life, behavior, language, and learning scores, whereas resolving problems showed intermediate outcomes. These outcomes also showed a dose-response relationship with severity at wave 2, with effect sizes for moderate/severe sleep problems ranging from -0.25 to -1.04 SDs. Cognitive outcomes were unaffected. CONCLUSIONS: Sleep problems during school transition are common and associated with poorer child outcomes. Randomized, controlled trials could determine if population-based sleep interventions can reduce the prevalence and impact of sleep problems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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