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Disturbed sleep and emotional reactivity in 5-year-old children

Gestörter Schlaf und emotionale Reaktivität bei 5-Jährigen

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Abstract

Background

Individual differences in emotional reactivity may be associated with sleep disturbances. This study aimed at assessing the possible association between emotional reactivity and sleep disturbance in preschool children.

Methods

The study was conducted in 2011 and comprised 142 apparently healthy preschool children (78 boys, 64 girls) from the community setting selected by chance. The children did not have any inborn abnormalities, disabilities, or chronic and progressive diseases; they were 5 years old at the time of study, were singletons born in St. Petersburg, and attended preschool day care centers. Children completed the Sleep Self Report (SSR) questionnaire. The items from the SSR were considered separately, and groups of questions were added to produce the scores in three dimensions of sleep problems: difficulty going to bed, sleep duration and night waking, and daytime sleepiness. The Achenbach Caregiver-Teacher Report Form for Ages 1.5–5 for the caregivers was used to calculate the emotional reactivity.

Results

The higher levels of emotional reactivity were more commonly associated with the children’s self-reported habits of falling asleep in their parents’ or sibling’s bed, nightmares seen, and feeling sleepy during the day. The more emotionally reactive children felt rested less commonly after night sleep. A statistically significant positive correlation was found between the level of emotional reactivity and the calculated values of the night waking, daytime sleepiness, and global sleep disturbances scores. These associations remained significant after adjustment for major potential confounders.

Conclusion

A high level of emotional reactivity is associated with sleep disturbances in preschool children.

Zusammenfassung

Hintergrund

Individuelle Unterschiede bei der emotionalen Reaktivität können mit Schlafstörungen in Zusammenhang stehen, und Ziel der vorliegenden Studie war es, diesen möglichen Zusammenhang bei Vorschulkindern zu bestimmen.

Methoden

Die Studie wurde 2011 an 142 anscheinend gesunden Vorschulkindern durchgeführt (78 Jungen, 64 Mädchen), die nach dem Zufallsprinzip aus dem lokalen Umfeld ausgewählt worden waren. Die Kinder wiesen keine angeborenen Fehlbildungen, Behinderungen, chronische oder fortschreitende Erkrankungen auf, waren zum Zeitpunkt der Studie 5 Jahre alt, in St. Petersburg geborene Einlinge und besuchten Tageseinrichtungen für Vorschulkinder. Den Kindern wurde der Sleep-Self-Report-Fragebogen (SSR) vorgestellt. Die Einzelpunkte des SSR wurden getrennt betrachtet und Gruppen von Fragen hinzugefügt, um Werte zu 3 Dimensionen von Schlafproblemen zu erhalten: zum einen zu Schwierigkeiten, zu Bett zu gehen, zum anderen zu Schlafdauer und nächtlichem Aufwachen und schließlich zu Tagesschläfrigkeit. Die Betreuungspersonen erhielten als Fragebogen die Achenbach Caregiver-Teacher Report Form for Ages 1.5–5, welche die Berechnung der emotionalen Reaktivität ermöglicht.

Ergebnisse

Ein höheres Niveau emotionaler Reaktivität ging einher mit häufigeren vom Kind selbst angegebenen Gewohnheiten, im Bett eines Elternteils oder Geschwisters einzuschlafen, Albträume zu erleben oder sich am Tag schläfrig zu fühlen. Kinder mit höherer emotionaler Reaktivität fühlten sich seltener nach dem nächtlichen Schlaf ausgeruht. Eine statistisch signifikante positive Korrelation stellte sich zwischen dem Niveau emotionaler Reaktivität und den berechneten Werten für nächtliches Aufwachen, Tagesschläfrigkeit und den Gesamtwerten für Schlafstörungen heraus. Diese Zusammenhänge blieben auch nach Berücksichtigung wesentlicher potenzieller Störfaktoren signifikant.

Schlussfolgerung

Ein hohes Niveau emotionaler Reaktivität ist mit Schlafstörungen bei Vorschulkindern verknüpft.

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Acknowledgments

The author would like to thank undergraduate students of the Institute of Special Education and Special Psychology of the Raoul Wallenberg International University for Family and Child for their help in collecting raw data.

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The corresponding author states that there are no conflicts of interest.

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Correspondence to I.A. Kelmanson.

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Kelmanson, I. Disturbed sleep and emotional reactivity in 5-year-old children. Somnologie 17, 49–56 (2013). https://doi.org/10.1007/s11818-013-0603-3

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