Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID‐19) pandemic in Israel

Zreik, Ghadir; Asraf, Kfir; Haimov, Iris; Tikotzky, Liat

doi:10.1111/jsr.13201

Cited by 80 publications

(110 citation statements)

References 21 publications

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“…Liu et al[ 5 ] described an increase in total sleep duration also in preschoolers. However, data on sleep duration in preschoolers are inconsistent across studies because an Israelian research on infants and children aged 6-72 months reported variable changes in sleep duration, either increase, or decrease or no changes[ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak

Bruni

Malorgio

Doria³

et al. 2022

Sleep Medicine

164

206

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Objective To examine the impact of home confinement during the COVID-19 pandemic on the sleep patterns and sleep disturbances in Italian children and adolescents. Methods Participants completed an anonymous online survey, shared via social media and targeting children and adolescents aged 1 to 18 years, subdivided into age groups: 1-3, 4-5, 6-12, and 13-18 years. Caregivers completed a modified version of the Sleep Disturbance Scale for Children (SDSC), along with demographic information. Results The final sample consisted of 4,314 subjects: 2,217 males (50.4%) and 2,097 females (49.6%). Age group distribution was: 1-3 years 1,263 (29.3%), 4-5 years 893 (20.7%), 6-12 years 1,848 (42.8%) and 13-18 years 310 (7.2%). We found a significant delay in bedtime and risetime in all age groups. School-age children and adolescents experienced the most significant delay: weekday bedtime ≥23 was reported by 28.4% of 6- to 12-year-old children during lockdown vs. 0.9% before and by 63.5% vs. 12.3% of 13- to 18-year-old adolescents. Risetime was also delayed with most subjects waking up after 8 in all age groups and sleep duration increased in all groups but not in the younger group. The screen time (excluding online lessons) boosted during the lockdown, mainly in older children but also in younger children. Sleep disorders increased in all groups but not in adolescents. Younger groups had an increased prevalence of difficulty falling asleep, anxiety at bedtime, night awakenings, nightmares and sleep terrors. Conclusion Our study demonstrates that confinement due to COVID-19 determined a big delay in sleep/wake schedule of children in all age groups as well as an increase of sleep disturbances in all groups but adolescents.

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Section: Discussionmentioning

confidence: 99%

Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak

Bruni

Malorgio

Doria³

et al. 2022

Sleep Medicine

164

206

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“…These results can be interpreted in line with the idea that in mothers, emotional weaknesses, such as depressive symptoms and stress, are often associated with sleep difficulties in children ( Stoléru et al., 1997 ). It is also possible that mothers with poor emotional regulation tend to identify their children as more problematic and symptomatic ( Zreik et al., 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, literature suggests that children are more likely to experience emotional or behavioral difficulties if at least one parent works on irregular schedules both in ordinary and in pandemic scenarios ( Manzo & Minello, 2020 ; Rönkä et al., 2017 ). Also, the exposure of children to maternal psychological difficulties may lead to negative outcomes such as internalizing or externalizing symptoms, delays in development goals, and sleep problems ( Zreik et al., 2020 ). This pattern may be more relevant for school-age children.…”

Section: Introductionmentioning

confidence: 99%

Sleep and Psychological Difficulties in Italian School-Age Children During COVID-19 Lockdown

Cellini

Giorgio

Mioni³

et al. 2021

Journal of Pediatric Psychology

101

135

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Objective On March 10, 2020, the Italian Government ordered a national lockdown to limit the viral transmission of coronavirus disease 2019 infections. This study investigated how these restrictive measures have impacted sleep quality, timing, and psychological difficulties in school-age children and their mothers during the lockdown. Methods In an online survey, 299 mothers reported their sleep habits, experience of time, and psychological difficulties as well as those of their children (6–10 years old) during and, retrospectively, before the lockdown. Results During the lockdown, children showed a marked delay in sleep timing—that is, later bedtime and rise time—and a mild worsening in sleep quality. They were less prone to respect daily routines or to keep track of the passage of time. They showed increased emotional, conduct, and hyperactive symptoms, and the increase in these psychological difficulties was predicted by the change in sleep quality, boredom, and mothers’ psychological difficulties. In addition, mothers showed a delayed sleep timing and worsening of sleep quality during the lockdown, in varying degrees depending on their working conditions. Mothers who kept working regularly outside their homes during lockdown reported more regular sleep patterns, whereas mothers who stopped working showed more emotional symptoms and relevant changes in their perception of time. Conclusions Overall, given the evidence of the adverse behavioral and psychological impact of home confinement and social restrictions, effective measures needed to be in place to mitigate long-term effects on children and their mothers, especially those who have had to stop working during lockdown.

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“…Further research is also needed to examine stressors and specific resilience pathways for families who may be at increased risk for mental health impacts through COVID-19, including families of children with special needs (Asbury et al, 2020) or with health problems (Fontanesi et al, 2020;Yuan et al, 2020), low-income families, and families where a parent is an essential worker (Coyne et al, 2020). In addition, COVID-19 presents a number of hardships that were not able to be measured within the current survey (e.g., sleep difficulties; Zreik et al, 2020) and should be explored in future research.…”

Section: Discussionmentioning

confidence: 99%

Identifying Rewards Over Difficulties Buffers the Impact of Time in COVID-19 Lockdown for Parents in Australia

et al. 2020

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ObjectivePhysical isolation measures, known as lockdown or shelter-in-place, experienced during coronavirus disease 2019 (COVID-19) have the potential to cause psychological distress. This study was conducted to examine parents’ perceived stress and whether reports of rewards and challenges during lockdown impact stress.MethodsData were collected using a cross-sectional online survey in New South Wales, Australia, across the 4-week lockdown. The survey was completed by 158 parents of children aged under 6 years. Stress was measured using the short form of the Perceived Stress Scale (PSS-4). Rewards and challenges were reported in response to two open-ended questions.ResultsThere was a weak negative correlation between PSS-4 scores and days in isolation (r = −0.167, p = 0.022), with parents who had spent longer in isolation reporting fewer stress symptoms. The relationship between time in isolation and stress was moderated by the degree to which parents described more rewards than challenges: parents who perceived high rewards and low challenges reported lower PSS-4 scores with more days in lockdown, whereas parents who perceived low rewards and high challenges reported higher PSS-4 scores with more days in lockdown. The moderation model examining associations between time in isolation and rewards ratio explained 13% of the variance in PSS-4 scores.ConclusionLockdowns are not uniformly or consistently negative experiences for parents. Identifying positive aspects of the experience may serve to buffer negative mental health risks across time. Understanding resilience strategies is critical for supporting current psychological wellbeing and to adequately prepare for future pandemic experiences.

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Maternal perceptions of sleep problems among children and mothers during the coronavirus disease 2019 (COVID‐19) pandemic in Israel

Cited by 80 publications

References 21 publications

Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak

Changes in sleep patterns and disturbances in children and adolescents in Italy during the Covid-19 outbreak

Sleep and Psychological Difficulties in Italian School-Age Children During COVID-19 Lockdown

Identifying Rewards Over Difficulties Buffers the Impact of Time in COVID-19 Lockdown for Parents in Australia

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