Disturbed sleep in children born extremely preterm is associated with behavioural and emotional symptoms

التفاصيل البيبلوغرافية
العنوان: Disturbed sleep in children born extremely preterm is associated with behavioural and emotional symptoms
المؤلفون: Samantha Johnson, Marialivia Bernardi, Dieter Wolke, Jennifer Larsen, Jayne Trickett, Neil Marlow, Emmi Suonpera, Amanda Fahy, Rebecca Lancaster, Yanyan Ni
المصدر: Sleep medicine. 85
سنة النشر: 2021
مصطلحات موضوعية: Male, Sleep Wake Disorders, Pediatrics, medicine.medical_specialty, RJ, Population, Impulsivity, Cohort Studies, Pregnancy, Surveys and Questionnaires, Medicine, Humans, education, Child, education.field_of_study, Sleep disorder, business.industry, Infant, Newborn, General Medicine, Odds ratio, Strengths and Difficulties Questionnaire, medicine.disease, Sleep in non-human animals, Confidence interval, Attention Deficit Disorder with Hyperactivity, Infant, Extremely Premature, Premature Birth, Female, medicine.symptom, business, Sleep, Cohort study
الوصف: Aim To determine whether children born extremely preterm are at increased risk for sleep disturbances and to explore relationships between extremely preterm birth, sleep and attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional symptoms. Method EPICure2 cohort study. Parents of 165 children born ≤26 weeks' gestation (53% male) and 121 children born at term (43% male) completed the Children's Sleep Habits Questionnaire, sleep disordered breathing subscale of the Pediatric Sleep Questionnaire, the emotional problems scale of the Strengths and Difficulties Questionnaire and the ADHD Rating Scale-5 at 11 years of age. Results Extremely preterm children had greater habitual snoring (adjusted odds ratio 6.8; 95% confidence interval 2.3, 20.3), less frequently fell asleep within 20 minutes (Cohen's d 0.33), higher night wakings (d 0.44) and daytime sleepiness scores (d 0.40) than term-born children; there was no between-group difference in sleep duration scores. Among children without severe disability, night wakings scores partially mediated the relationship between preterm birth and inattention (additional 5% of variance explained), hyperactivity/impulsivity (13%) and emotional problems (9%). Snoring partially mediated the relationship between preterm birth, hyperactivity/impulsivity and inattention (additional 1–5% of variance). Conclusion Children born extremely preterm are at increased risk of disturbed sleep compared to term-born children. As night wakings partially mediated the relationship between preterm birth and ADHD symptoms and emotional problems, reducing sleep disturbance may improve sleep and reduce attention and emotional problems in this population.
وصف الملف: application/pdf
تدمد: 1878-5506
1389-9457
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4c1bd2d74e6eeb18b6c05f649a597b04
https://pubmed.ncbi.nlm.nih.gov/34333198
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....4c1bd2d74e6eeb18b6c05f649a597b04
قاعدة البيانات: OpenAIRE