当前位置: X-MOL 学术Sleep Med. Rev. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Risk and protective factors and processes for behavioral sleep problems among preschool and early school-aged children: A systematic review.
Sleep Medicine Reviews ( IF 11.2 ) Pub Date : 2020-03-20 , DOI: 10.1016/j.smrv.2020.101303
Adam T Newton 1 , Sarah M Honaker 2 , Graham J Reid 3
Affiliation  

Behavioral sleep problems in early childhood are common, affecting about 25% of children, and include symptoms such as problems going to sleep and staying asleep. This review employed the developmental psychopathology framework and 4P model (Predisposing, Precipitating, Perpetuating, Protective) to organize the diverse risk/protective factors (distal variables experienced indirectly by the child) and processes (proximal variables experienced directly by the child) for child sleep problems among preschool (1–5 y) and school-age (6–10 y) children. Variables were categorized into biological, psychological, and environmental factors/processes at the individual, family/parent, and community levels. The quality of evidence was assessed using GRADE. A literature search identified 98 articles meeting inclusion criteria. Older child age, difficult temperament, previous sleep problems, externalizing psychopathology, internalizing psychopathology, and electronics use (e.g., bedtime TV viewing) were identified as child risk variables predicting sleep problems. Parental presence at bedtime (risk), negative parenting style (e.g., lax or permissive parenting; risk), consistent bedtime routines (protective), and lower composite socioeconomic status (risk) were identified as family/parent variables predicting child sleep problems. No well-established predictors were found at the community level. Future research should employ advanced research designs more frequently and investigate: 1) risk pathways across development; and 2) nightly fluctuations in sleep problems.



中文翻译:

学龄前和学龄前儿童行为睡眠问题的风险,保护因素和过程:系统评价。

幼儿期的行为性睡眠问题很普遍,影响约25%的儿童,并包括诸如入睡和保持入睡问题之类的症状。这项审查采用发展心理病理学框架和4P模型(易感性,沉淀性,永存性,保护性)来组织儿童睡眠的各种风险/保护因素(儿童间接经历的远侧变量)和过程(儿童直接经历的近端变量)。学龄前儿童(1-5岁)和学龄儿童(6-10岁)的问题。在个人,家庭/父母和社区级别,将变量分为生物学,心理和环境因素/过程。使用GRADE评估证据的质量。文献检索确定了98篇符合纳入标准的文章。儿童年龄较大,困难的气质,先前的睡眠问题,心理病理学的内在化,心理病理学的内在化和电子设备的使用(例如就寝时间看电视)被确定为预测睡眠问题的儿童风险变量。父母的就寝时间(风险),负面的养育方式(例如,松懈或宽容的养育;风险),一致的就寝时间(保护性)和较低的综合社会经济地位(风险)被确定为预测儿童睡眠问题的家庭/父母变量。在社区一级未发现完善的预测因素。未来的研究应更频繁地采用高级研究设计并进行调查:1)跨发展的风险途径;2)夜间睡眠问题的波动。睡前看电视被确定为可预测睡眠问题的儿童风险变量。父母的就寝时间(风险),负面的养育方式(例如,松懈或宽容的养育;风险),一致的就寝时间(保护性)和较低的综合社会经济地位(风险)被确定为预测儿童睡眠问题的家庭/父母变量。在社区一级未发现完善的预测因素。未来的研究应更频繁地采用高级研究设计并进行调查:1)跨越发展的风险途径;2)夜间睡眠问题的波动。睡前看电视被确定为可预测睡眠问题的儿童风险变量。父母的就寝时间(风险),负面的养育方式(例如,松懈或宽容的养育;风险),一致的就寝时间(保护性)和较低的综合社会经济地位(风险)被确定为预测儿童睡眠问题的家庭/父母变量。在社区一级未发现完善的预测因素。未来的研究应更频繁地采用高级研究设计并进行调查:1)跨发展的风险途径;2)夜间睡眠问题的波动。和较低的综合社会经济地位(风险)被确定为预测儿童睡眠问题的家庭/父母变量。在社区一级未发现完善的预测因素。未来的研究应更频繁地采用高级研究设计并进行调查:1)跨发展的风险途径;2)夜间睡眠问题的波动。和较低的综合社会经济地位(风险)被确定为预测儿童睡眠问题的家庭/父母变量。在社区一级未发现完善的预测因素。未来的研究应更频繁地采用高级研究设计并进行调查:1)跨发展的风险途径;2)夜间睡眠问题的波动。

更新日期:2020-03-20
down
wechat
bug