Sleep patterns and sleep disturbances among Chinese school-aged children: Prevalence and associated factors

Wang, GuangHai; Xu, Guo; Liu, Zhijun; Lü, Ning; Ma, Rui; Zhang, Entao

doi:10.1016/j.sleep.2012.09.022

Cited by 102 publications

(117 citation statements)

References 57 publications

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“…Parent-reported rates of sleep disturbances in typically developing children vary from 20 to 50 % in Western countries [15,20,21,28]; this is in contrast to those of 70 to 80 % in their Chinese counterparts [27,29]. Furthermore, growing evidence has suggested that Chinese typically developing children have later bedtimes, earlier wake times, shorter sleep duration, and more severe sleep disturbances compared to their Western counterparts [27,30].…”

Section: Sleep Disturbances In Children With Asd Across Countries Andmentioning

confidence: 98%

“…Furthermore, growing evidence has suggested that Chinese typically developing children have later bedtimes, earlier wake times, shorter sleep duration, and more severe sleep disturbances compared to their Western counterparts [27,30]. The cross-cultural differences have been attributed to sociocultural, environmental and psychological differences between countries with a primarily Western cultural orientation and China.…”

Section: Sleep Disturbances In Children With Asd Across Countries Andmentioning

confidence: 99%

“…The cross-cultural differences have been attributed to sociocultural, environmental and psychological differences between countries with a primarily Western cultural orientation and China. Unique risk factors in China may include more frequent co-sleeping (bed sharing or room sharing), differences in family structure (e.g., commonly there is only one child and extended family lives in the same home), high academic stress and demands, and crowded and noisy living conditions [27,30]. Further, there are other sociocultural factors potentially making sleep disturbances in Chinese children with ASD different from their Western counterparts.…”

Section: Sleep Disturbances In Children With Asd Across Countries Andmentioning

confidence: 99%

“…While this sleep practice has been demonstrated to be associated with increased sleep disturbances both in children with ASD [18] and in typically developing children [27], many parents are unaware of the risks associated with cosleeping. In addition, there may be discrepancies in maternal and paternal reports of sleep disturbances in children with ASD, similar to parental differences in reporting emotional/behavioral problems in typically developing children [43,44].…”

Section: Multiple Factors Associated With Sleep Disturbances In Childmentioning

confidence: 99%

“…The authors compared the severity and rate of sleep disturbances to those derived from published studies in a sample of Chinese typically developing children from the same city [27] and to another of American children with ASD [15]. The authors hypothesized that sleep disturbances would be severe and common in Chinese children with ASD, showing higher severity and rate compared to both comparison groups, separately.…”

Section: The Current Studymentioning

confidence: 99%

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Sleep Disturbances and Associated Factors in Chinese Children with Autism Spectrum Disorder: A Retrospective and Cross-Sectional Study

Wang

Liu

et al. 2015

Child Psychiatry Hum Dev

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Sleep disturbances in children with autism spectrum disorder (ASD) exist worldwide, but little is known about this issue in non-Western cultures. This study aimed to characterize sleep disturbances in Chinese children with ASD and to examine associated sociodemographic factors and emotional/behavioral problems. Parents of 60 Chinese children with ASD (aged 6-17 years) from Shenzhen, China completed the Children's Sleep Habits Questionnaire (CSHQ), and the Strengths and Difficulties Questionnaire (SDQ). Sleep disturbances were severe and common, with rates of 70.0% for overall disturbances and 15.0% (daytime sleepiness) to 40.0% (sleep duration) for specific domains. The severity and rate of sleep disturbances were higher compared to previous studies in typically developing children from the same region of China and American children with ASD, respectively. Further, there were significant correlations between most CSHQ and SDQ domains. Female gender, older parental age, higher hyperactivity, and poorer prosocial behavior were associated with increased overall sleep disturbances.

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Section: Sleep Disturbances In Children With Asd Across Countries Andmentioning

confidence: 98%

Section: Sleep Disturbances In Children With Asd Across Countries Andmentioning

confidence: 99%

Section: Sleep Disturbances In Children With Asd Across Countries Andmentioning

confidence: 99%

Section: Multiple Factors Associated With Sleep Disturbances In Childmentioning

confidence: 99%

Section: The Current Studymentioning

confidence: 99%

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Sleep Disturbances and Associated Factors in Chinese Children with Autism Spectrum Disorder: A Retrospective and Cross-Sectional Study

Wang

Liu

et al. 2015

Child Psychiatry Hum Dev

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Associations of Changes in Sleep and Emotional and Behavioral Problems From Late Childhood to Early Adolescence

et al. 2023

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ImportanceSleep problems and psychopathology symptoms are highly comorbid and bidirectionally correlated across childhood and adolescence. Whether these associations are specific to discrete profiles of sleep problems and specific internalizing and externalizing phenomena is currently unclear.ObjectiveTo characterize individual changes in profiles of sleep problems and their prospective associations with psychopathology symptoms across the transition from childhood to adolescence.Design, Setting, and ParticipantsThis observational cohort study used baseline data (participant age of 9 to 11 years) and 2-year follow-up data (participant age of 11 to 13 years) from the community-setting, multicenter Adolescent Brain Cognitive Development (ABCD) study. Individuals were assessed for a range of sleep problems at both waves and categorized into profiles via latent profile analysis. The stability and change in these profiles over time was assessed via latent transition analysis. Logistic regression models examined whether psychopathology symptoms were cross-sectionally associated with profile membership and whether transitions between profiles were associated with changes psychopathology symptoms over time. Data were collected from September 2016 to January 2020, and data were analyzed from August 2021 to July 2022.ExposuresSleep problems were assessed at both baseline and follow-up via the parent-reported Sleep Disturbance Scale for Children (SDSC).Main Outcomes and MeasuresPsychopathology symptoms at both baseline and follow-up were assessed using the internalizing and externalizing dimension scores derived from the parent-reported Child Behavior Checklist.ResultsA total of 10 313 individuals (4913 [47.6%] were female) were categorized into 4 latent profiles of sleep problems at both baseline and follow-up: a low disturbance profile, a sleep onset/maintenance problems profile, a moderate and nonspecific disturbance profile (termed mixed disturbance), and a high disturbance profile. Individuals in the 3 more severe problem profiles displayed greater risk of concurrent internalizing symptoms (sleep onset/maintenance problems: odds ratio [OR], 1.30; 95% CI, 1.25-1.35; P &lt; .001; mixed disturbance: OR, 1.29; 95% CI, 1.25-1.33; P &lt; .001; high disturbance: OR, 1.44; 95% CI, 1.40-1.49; P &lt; .001) and externalizing symptoms (sleep onset/maintenance problems: OR, 1.20; 95% CI, 1.16-1.23; P &lt; .001; mixed disturbance: OR, 1.17; 95% CI, 1.14-1.20; P &lt; .001; high disturbance: OR, 1.24; 95% CI, 1.21-1.28; P &lt; .001). Transitions between sleep profiles over time were associated with prospective internalizing and externalizing symptoms, but not vice versa.Conclusions and RelevanceThere are substantial changes in sleep problems across the transition to adolescence that are associated with later internalizing and externalizing symptoms. Sleep profiles could be targeted in future intervention and treatment programs to improve sleep-related and mental health–related outcomes across development.

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Sleep and its variability in relation to behavioral outcomes in school‐age children with overweight and obesity

Tsai

Tung

Huang

et al. 2023

Research in Nursing & Health

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This was a cross‐sectional study to examine sleep and its variability in relation to behavioral outcomes in school‐age children with overweight and obesity. A total of 246 school‐age children with overweight or obesity were recruited between 2019 and 2021 from 10 public elementary schools in Northern Taiwan. Parents completed sleep and behavior questionnaires, with children wearing an actigraphy monitor for 7 days. Average daily sleep duration by actigraphy was 7.52 h, with 84.6% of the children having clinically significant sleep disturbance scores and 68.3% having a total behavior problem score in the clinical range. Children were categorized by median split for sleep duration and sleep duration variability. Multivariate regression analyses showed that children in the insufficient (duration)‐stable (variability) sleep category had significantly higher scores for emotion problems (B = 0.94, p = 0.01), self‐control problems (B = 1.61, p < 0.01), and total behavior problems (B = 3.38, p < 0.01) compared to children in the sufficient‐stable sleep (reference) category. Children in the insufficient‐variable sleep category had significantly higher self‐control problem scores compared to children in the reference category (B = 1.03, p < 0.05). Findings from our study suggest that school‐age children with overweight and obesity coexist with sleep and behavioral problems, and those who have consistently insufficient sleep are at the greatest risk for the worst behavioral outcomes. Screening for sleep habits and behavioral problems should be considered a standard practice in pediatric overweight and obesity.

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Sleep patterns and sleep disturbances among Chinese school-aged children: Prevalence and associated factors

Cited by 102 publications

References 57 publications

Sleep Disturbances and Associated Factors in Chinese Children with Autism Spectrum Disorder: A Retrospective and Cross-Sectional Study

Sleep Disturbances and Associated Factors in Chinese Children with Autism Spectrum Disorder: A Retrospective and Cross-Sectional Study

Associations of Changes in Sleep and Emotional and Behavioral Problems From Late Childhood to Early Adolescence

Sleep and its variability in relation to behavioral outcomes in school‐age children with overweight and obesity

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