Association between sleep problems and psychological behavioral in disabled children in Beijing

doi:10.11852/zgetbjzz2023-1197

Abstract

Abstract: Objective To examine the association between psychological behavioral problems and sleep problems in disabled children in Beijing,in order to provide reference for reducing the sleep problems of disabled children. Methods From September 2017 to February 2018,children with disabilities aged 6 to 17 years were selected by random sampling,and were investigated by a self-designed questionnaire to get their demographic characteristics.Pediatric Symptom Checklist-17 (PSC-17) was used to assess psychological and behavioral problems.The relationship between psychological behavior and sleep problems was analyzed by binary Logistic regression. Result Totally 650 children with disabilities were included in the study.The detection rates of sleep problems was significantly different in children with different genders,different school styles,different types of disabilities and different grades of disabilities (χ²=3.984,4.437,12.925,18.104,P＜0.001). There was statistically significant difference in the detection rate of sleep problems between children with and without psychological and behavioral problems (χ²=30.722,P＜0.001).Psychological and behavioral problems were the main risk factors for sleep problems of disabled children (OR=2.540,95%CI:1.740 - 3.709).The risk of sleep problems in day students with disabilities was 1.577 times as high as that of boarders with disabilities. Conclusions Psychological and behavioral problems of disabled children are related to sleep problems.Improving psychological and behavioral status can effectively prevent their sleep problems.

Key words: disability, sleep problem, psychological and behavioral prolems, children

摘要： 目的分析北京市残疾儿童心理行为与睡眠问题的相关性,为改善残疾儿童心理健康状态,减少残疾儿童睡眠问题提供参考依据。方法 2017年9月—2018年2月,随机抽取6～17岁残疾儿童采用自编问卷调查其人口学特征,采用儿科症状检查表(PSC-17)评定心理行为问题;采用自编问卷调查睡眠问题。通过二元Logistic回归分析心理行为与睡眠问题之间的关联。结果共纳入650名残疾儿童,不同性别、不同就读方式、不同残疾类型和不同残疾等级儿童的睡眠问题发生率差异均有统计学意义(χ²=3.984、4.437、12.925、18.104,P＜0.001),具有心理行为问题与无心理行为问题的残疾儿童睡眠问题发生率差异有统计学意义(χ²=30.722,P＜0.001)。残疾儿童心理行为问题是影响其睡眠问题的主要危险因素(OR=2.540,95%CI:1.740～3.709);走读残疾儿童的睡眠问题发生风险是住宿残疾儿童1.577倍。结论残疾儿童的心理行为问题与其睡眠问题的发生具有相关性;改善残疾儿童的心理行为状态,可以有效防止其睡眠问题的发生。

关键词: 残疾, 睡眠问题, 心理行为, 儿童

CLC Number:

R179

ZHANG Boning, XIAYIDANMU Abudusaimaiti, ZHU Huiping, GAO Qi. Association between sleep problems and psychological behavioral in disabled children in Beijing[J]. Chinese Journal of Child Health Care, 2024, 32(3): 339-343.

张泊宁, 夏衣旦木·阿布都赛买提, 祝慧萍, 高琦. 北京市残疾儿童心理行为与睡眠问题的关联性[J]. 中国儿童保健杂志, 2024, 32(3): 339-343.

References

[1] Tugba GK,Ayla BT.Sleep problems and effective factors in preschool children[J].Florence Nightingale J Nurs,2020,28(2):164-173.
[2] Carter KA,Hathaway NE,Lettieri CF.Commons sleep disorders in children[J].Am Fam Physician,2014,89 (5):369-377.
[3] 王滔,李潇.残疾儿童心理健康内涵及结构初探[J].残疾人研究,2021,41(1):79-87.
Wang T,Li X.Preliminary study on the connotation and structure of mental health of children withdisabilities[J].Disability Res,2021,41(1):79-87.(in Chinese)
[4] Donghee K,Hwa JK,Clete AK,et al.Short sleep duration is associated with abnormal serum aminotransferase activities and nonalcoholic fatty liver disease[J].Clin Gastroenterology Hepatology,2018,16(4):588-590.
[5] Cara AP,Benjamin O,Joanne LB,et al.Associations among adolescent sleep problems,emotion regulation,and affective disorders:Findings from a nationally representative sample[J].J Psychiatr Res,2018,96:1-8.
[6] 中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会.GB/T 26341-2010 残疾人残疾分类和分级国家标准[S].北京:中国标准出版社,2011.
[7] Zhu HP,Han YF,Sun YW,et al.Sleep- related factors and work-related injuries among farmers in Heilongjiang Province,People's Republic of China[J].Int J Environ Res Public Health,2014,11(9):446-459.
[8] Stallones L,Beseler C,Chen P.Sleep patterns and risk of injury among adolescent farm residents[J].Am J Prev Med,2006,30:300-304.
[9] Gardner W,Lucas A,Kolko DJ,Campo JV.Comparison of the PSC-17 and alternative mental health screens in an at-risk primary care sample[J].J Am Acad Child Adolesc Psychiatry,2007,46(5):611-618.
[10] Jacobason JH,Pullmann MD,Parker EM,et al.Measurement based care in child welfare involved children and youth:Reliability and validity of the PSC-17[J].Child Psychiatry Hum Dev,2019,50(2):332-345.
[11] Trafalis S,Giannini C,Joves J,et al.A pediatrician-friendly review of three common behavioral health screeners in pediatric practice:Findings and recommendations[J].Pediatr Investig,2021,5 (1):58-64.
[12] Quach JL,Nguyen CD,Williams KE,et al.Bidirectional associations between child sleep problems and internalizing and externalizing difficulties from preschool to early adolescence[J].JAMA Pediatr,2018,172(2):e174363.
[13] Fuligni AJ,Arruda EH,Krull JL.et al.Adolescent sleep duration,variability,and peak levels of achievement and mental health[J].Child Dev,2018,89(2):e18-e28.
[14] Bayes DM,Bullock B.Sleep problems in school aged children:A common process across internalising and externalising behaviours?[J].Clocks Sleep,2020,2(1):7-18.
[15] 陈慧.浅谈特殊儿童心理健康问题[J].佳木斯职业学院学报,2020,209(3):214-216.
Chen H.Discussion on mental health problems of special children[J].J Juamjusi Education Institute,2020,209(3):214-216.(in Chinese)
[16] Fernandez MJ,Bourchtein E,Calhoun SE,et al.Natural history of insomnia symptoms in the transition from childhood to adolescence:Population rates,health disparities and risk factors[J].Sleep,2021,44(3):zsaa187.
[17] Narmandakh A,Roest AM,Jonge P,et al.The bidirectional association between sleep problems and anxiety symptoms in adolescents:A TRAILS report[J].Sleep Med,2020,67:39-46.
[18] 陈盈,周海丽,胡茂荣,等.高职大学生心理灵活性负性情绪与睡眠质量的关系[J].中国学校卫生,2020,41(3):445-448.
Chen Y,Zhou HL,Wu MY,et al.The relationship between mental flexibility negative emotion and sleep quality in higher vocational college students[J].Chin J Sch Health,2020,41(3):445-448.(in Chinese)
[19] Change W,Rolls ET,Grong WK,et al.Sleep duration,brain structure,and psychiatric and cognitive problems in children[J].Mol Psychiatry,2021,26(8):3992-4003.
[20] 丛皓,郭菲,陈祉妍.青少年昼夜偏好类型及其与睡眠质量关系[J].中国公共卫生,2019 35(10):1400-1403.
Cong H,Guo F,Chen ZY.Relationship between morningness-eveningness and sleep quality among Chinese adolescents[J].Chin J Public Health,2019 35(10):1400-1403.(in Chinese)
[21] 汪倩玲,张新东,伍晓艳,等.睡眠状况与儿童青少年心理行为问题关联研究[J].中华流行病学杂志,2021,42(5):859-865
Wang QL,Zhang XD,Wu XY,et al.Sleep status associated with psychological and behavioral problems in adolescents and children[J].Chin J Epidemiol,2021,42(5):859-865.(in Chinese)
[22] 沈松,刘利敏,杜炜.新冠疫情防控期间大学生心理问题影响睡眠质量的研究[J].山西青年,2021,21:167-168.
Shen S,Liu LM,Du W.Study on the influence of mental problems to sleep quality of college students during the COVID-19 prevention and control period[J].Shanxi Youth,2021,21:167-168.(in Chinese)