Association of Maternal Depression and Anxiety Symptoms with Sleep Duration in Children at Preschool Age

Schultz, Lidiane Ferreira; Kroll, Caroline; Constantino, Bruna; Trombelli, Melody Cristina Mansani Carraro; Rafihi‐Ferreira, Renatha El; Mastroeni, Marco Fábio

doi:10.1007/s10995-019-02843-z

Cited by 17 publications

(11 citation statements)

References 35 publications

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“…Our survey found that anxiety levels of caregivers were positively related to children's CSHQ scores. Previous studies have shown that the association between parental anxiety and sleep problems in children may be bidirectional [1,18,47,48]. Children are likely to be exposed to parental mood disturbances, which could create an environment of uncertainty and insecurity that may contribute to sleep problems [1,49].…”

Section: Association Between Factors Related To Caregivers and Children And Sleep Problemsmentioning

confidence: 99%

“…Preschool age is a sensitive developmental stage, and obtaining adequate amounts of sleep is vital to preschool children's social, emotional, behavioral, and academic development [12,18]. To date, population-based studies of sleep disturbances among preschool children in rural areas of China are limited, and the influencing factors are still unclear [9,19,20].…”

Section: Introductionmentioning

confidence: 99%

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Sleep disturbances and correlates among a sample of preschool children in rural China

Zhao

Xuan

Liu

et al. 2021

Sleep Biol. Rhythms

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This study aimed to explore the prevalence of sleep disturbances among preschool children in rural areas of China and identify the underlying associated factors. A cross-sectional study was conducted in rural areas of Anhui Province, China, from September 2019 to January 2020. The caregivers of children from 26 kindergartens completed the demographic questionnaire, the Children's Sleep Habits Questionnaire (CSHQ), the Strengths and Difficulties Questionnaire (SDQ), the Self-rating Anxiety Scale (SAS), and the adapted Identification and Management of Feeding Difficulties (IMFeD) tool. One-way analysis of variance, independent-samples t-test, and hierarchical multiple linear regression were conducted to explore the potential influencing factors of sleep disturbances in preschool children. For the specific sleep disturbances based on each subscale of the CSHQ, bedtime resistance (54.9%) and sleep anxiety (47.9%) were the most common types of sleep disturbances, followed by daytime sleepiness (21.3%), sleep duration (20.8%), parasomnias (16.5%), sleep-onset delay (12.6%), night wakings (12.2%) and sleep-disordered breathing (10.3%). The ages of children, children's emotional/behavioral problems, children's feeding difficulties, inconsistent parenting attitudes of parents, poor parenting styles, non-parent caregivers, and caregiver anxiety contributed significantly to the CSHQ total score, accounting for approximately 27.1% (R 2 = 0.271) of the variance. Our study indicates that the prevalence of sleep disturbances among preschool children in rural areas of China is quite high. Furthermore, the potential risk factors are complicated, including factors related to both children and their caregivers.

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Section: Association Between Factors Related To Caregivers and Children And Sleep Problemsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sleep disturbances and correlates among a sample of preschool children in rural China

Zhao

Xuan

Liu

et al. 2021

Sleep Biol. Rhythms

View full text Add to dashboard Cite

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“…Our survey found that the anxious level of caregivers was positively related to the children’s CSHQ score, the higher a caregivers’ anxiety level, the more sleep problems their child had. Previous studies have shown that the association between parental anxiety and sleep problems of children may be bidirectional [1, 4, 34, 35]. Children are likely to be exposed to parental mood disturbances which could create an environment of uncertainty and insecurity that may increase the risk of sleep problems [1, 36].…”

Section: Discussionmentioning

confidence: 99%

“…Sleep disturbances are associated with various cognitive, behavioral, and emotional difficulties in children and the link between them are complex [1][2][3]. Preschool age is a sensitive developmental stage and obtaining adequate amounts of sleep is vital to their social, emotional, behavioral, and academic development [4]. In this period, improper parental supervision such as inadequate care, parental absence and overprotection may have long-term effects on their children's development and health outcomes such as sleep disturbance even in their adulthood [5,6].…”

Section: Introductionmentioning

confidence: 99%

Sleep disturbances and related factors among preschool children in rural areas of China: a cross-sectional study

Zhao

Xuan

Liu

et al. 2020

Preprint

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Objective: Sleep disturbances have been serious since they are believed to be associated with various health problems in preschool children. In this study, we aimed to explore the prevalence of sleep disturbances amongst preschool children in rural areas of China and examine the underlying associated factors. Methods: A cross-sectional study was conducted in rural areas of Anhui province, China from September 2019 to January 2020. To explore the potential associated factors comprehensively, caregivers of children completed a structured questionnaire, the Children's Sleep Habits Questionnaire (CSHQ), the Strengths and Difficulties Questionnaire (SDQ), Self-rating Anxiety Scale (SAS) and the Chinese version of the adapted Identification and Management of Feeding Difficulties (IMFeD). One-way ANOVA and hierarchical multiple regression are conducted to explore the potential influencing factors of sleep disturbances in preschool children. Results: About 89.3% of the preschool children aged from 3 to 6 years had potential sleep disturbances (scored above the cutoff value). Besides, ages of children, discipline attitudes of father and mother, main educational methods, caregivers of children, caregiver anxiety and hyperactivity/inattention, prosocial behavior, conduct problems, emotional symptoms, peer problems, food preference, fear of feeding, parental misperception and organic disease all contributed significantly to CSHQ total score by accounting for approximately 27.4% (R2=0.274) of the variation. Conclusions: Our study indicated that the prevalence of sleep disturbances among preschool children in rural area of China is quite high. Furthermore, the potential risk factors are complicated which include factors related to both children and caregivers especially their parents.

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“…For example, parental depression and stress were linked to child sleep disturbances ( 18 ). Moderate/severe maternal depression symptoms were associated with increased odds of children aged 4–5 years sleeping <10 h/day ( 19 ). Meanwhile, it has been well-documented that sleep disturbances are associated with poor mental health in children.…”

Section: Introductionmentioning

confidence: 99%

Mental Health of Parents and Preschool-Aged Children During the COVID-19 Pandemic: The Mediating Role of Harsh Parenting and Child Sleep Disturbances

Wang

Sun

et al. 2021

Front. Psychiatry

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In the context of the coronavirus disease-2019 (COVID-19) pandemic, mental health problems of parents and children have become a public issue. Herein, we explored the association between parental well-being index and child mental health problems during the pandemic and the mediating role of harsh parenting and child sleep disturbances. An online survey was conducted among 16,398 parents of children aged 3–6 years (48.1% girls, Mage = 4.69 years, SDage = 0.75 years) from March 15 to 29, 2020. Child mental health (Strengths and Difficulties Questionnaire, SDQ), sleep problems (Children's Sleep Habits Questionnaire, CSHQ), and parental well-being index (World Health Organization-Five Well-Being Index, WHO-5), and harsh parenting were reported by parents. The results revealed that a higher parental well-being index was associated with lower child mental health problems. Harsh parenting and child sleep problems were significant mediators within the association. This study indicates the association between parental well-being index and child mental health during the pandemic and underlying mechanism, and has important implications for reducing parental and child mental health problems.

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Association of Maternal Depression and Anxiety Symptoms with Sleep Duration in Children at Preschool Age

Cited by 17 publications

References 35 publications

Sleep disturbances and correlates among a sample of preschool children in rural China

Sleep disturbances and correlates among a sample of preschool children in rural China

Sleep disturbances and related factors among preschool children in rural areas of China: a cross-sectional study

Mental Health of Parents and Preschool-Aged Children During the COVID-19 Pandemic: The Mediating Role of Harsh Parenting and Child Sleep Disturbances

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