scholarly journals Relationship Between Parents’ Health Literacy and Children’s Sleep Problems: A Multicenter Cross-Sectional Study in Japan

Author(s):  
Sae Ono ◽  
Hiroto Ogi ◽  
Masato Ogawa ◽  
Daisuke Nakamura ◽  
Teruhiko Nakamura ◽  
...  

Abstract Background: Sleep disorder in preschool children can stunt their health and growth. However, the factors that cause sleep disorders in children are not well understood. The aim of this study was to determine the relationship between parents’ health literacy (HL) and children's sleep problems. The study was conducted at two kindergartens, two nursery schools, and a center for early childhood education in Chitose-city, Hokkaido, Japan.Method: This study used a multicenter cross-sectional design. The sample comprised 354 preschoolers (aged 3–6 years) and their parents. In families with two or more children attending the same facility, only the oldest child was asked to participate in the study. Exclusion criteria included participants whose completed questionnaires had missing values. Children’s sleep disorder was assessed using the Japanese version of the Children's Sleep Habits Questionnaire (CSHQ-J). Parents’ HL was assessed using the 14-item Health Literacy Scale (HLS-14). The parents were classified into two groups (high HL group and low HL group). Multiple regression modelling was used to determine the association between HLS-14 and CSHQ-J scores.Results: Of the 354 parents, 255 (72%) were in the high HL group and 99 (28%) in the low HL group. The mean CSHQ-J score was significantly lower in the high HL group than in the low HL group (45.3 ± 6.0 points vs. 46.8 ± 5.9 points, p = 0.043). In multiple regression analyses, CSHQ-J was independently associated with parents’ HL after adjusting for all confounding factors (R² = 0.41, β = -0.11; p = 0.0043).  Conclusions: Parents’ HL appears to affect their children's sleep disorder. This finding suggests that parents’ HL may be a target for intervention to improve children’s sleep disorders.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sae Ono ◽  
Hiroto Ogi ◽  
Masato Ogawa ◽  
Daisuke Nakamura ◽  
Teruhiko Nakamura ◽  
...  

Abstract Background Sleep problems in preschool children can stunt their health and growth. However, the factors that cause sleep problems in children are not well understood. The aim of this study was to determine the relationship between parents’ health literacy (HL) and children’s sleep problems. The study was conducted at two kindergartens, two nursery schools, and a center for early childhood education in Chitose-city, Hokkaido, Japan. Method This study used a multicenter cross-sectional design. The sample comprised 354 preschoolers (aged 3–6 years) and their parents. In families with two or more children attending the same facility, only the oldest child was asked to participate in the study. Exclusion criteria included participants whose completed questionnaires had missing values. Children’s sleep problems were assessed using the Japanese version of the Children’s Sleep Habits Questionnaire (CSHQ-J). Parents’ HL was assessed using the 14-item Health Literacy Scale (HLS-14). The parents were classified into two groups (high HL group and low HL group). Multiple regression modelling was used to determine the association between HLS-14 and CSHQ-J scores. Results Of the 354 parents, 255 (72%) were in the high HL group and 99 (28%) in the low HL group. The mean CSHQ-J score was significantly lower in the high HL group than in the low HL group (45.3 ± 6.0 points vs. 46.8 ± 5.9 points, p = 0.043). In multiple regression analyses, parents’ HL was independently associated with their CSHQ-J score after adjusting for all confounding factors (adjusted R2 = 0.22, β = − 0.11; p = 0.043). Conclusions Parents’ HL appears to affect their children’s sleep problems. This finding suggests that parents’ HL may be a target for intervention to improve children’s sleep problems.


2019 ◽  
Vol 28 (2) ◽  
pp. 167-73 ◽  
Author(s):  
Thong Felicia Melinda ◽  
Rini Sekartini

BACKGROUND The prevalence of obesity in primary school children in Jakarta has reached 14% in 2013. Among many disorders, obesity can cause sleep disorders. However, sleep disorders in children are often overlooked by parents, even though they can cause physical, social, and psychological impacts. Therefore, it is necessary to find the association between obesity and sleep disorders in primary school children. METHODS This cross-sectional study was performed between July–September 2015 on 107 children attending Menteng 01 Primary School, Jakarta. Children's weight and height were measured and then their parents filled out the brief infant sleep questionnaire (BISQ). The collected data were analyzed using chi-square. RESULTS In this study, 20.6% of the children were obese, which was higher than the prevalence of obesity in Jakarta. Meanwhile, sleep disorders occurred in 62.6% of children. Data about children’s sleep habits and parents’ opinion about their children’s sleep were obtained. It showed that snoring and parents’ opinion about sleep disorders were factors associated with children’s sleep disorder. Statistical analysis also showed a significant association between obesity and sleep disorders in children (p = 0.037). CONCLUSIONS The incidence of obesity in primary school children is high and is associated with sleep disorders.


2020 ◽  
Author(s):  
May Wathiq Al-Khudhairy ◽  
Sarah M Al-Sufyani ◽  
Hadeel T Al-Otaibi ◽  
Randa A Mahjoub ◽  
Asma H Al-Shehri

Abstract Background: To validate the Arabic translation of the Children’s Sleep Habit Questionnaire and determine the behavioral prevalence of sleep habits amongst school aged children in Riyadh, Saudi Arabia. Methods: This prospective cross sectional study involved a Linguistic validation involving 50 bilingual parent participants in each of the Arabic and English Surveys, with a cross sectional pilot involving 1546 parent participants regarding their children’s Sleeping Habits. The Children’s Sleep Habit Questionnaire was distributed via Survey Monkey and subjected to IBM-SPSS statistics. Parents of 1546 school aged children ranging from 3 years to 12 years of age completed the survey.Results: The Total score of all domains ranged between 11 and 70. Mean Score of 35-37 in 11 % of this population. The Children’s Sleep Habit Questionnaire scores were High in comparison to the Owen’s article; greater research is needed to determine the underlying causes of the increased likelihood of sleep disorders.Conclusion: Our findings, especially in sleep anxiety are alarming and warrant for more research to determine underlying causes of the more prevalent sleep disorders (Sleep Anxiety) and any other apparent or possible causes for sleep disturbances amongst children.


Sleep Health ◽  
2017 ◽  
Vol 3 (3) ◽  
pp. 136-141 ◽  
Author(s):  
Karen A. Bonuck ◽  
Beth L. Goodlin-Jones ◽  
Clyde Schechter ◽  
Judith Owens

2021 ◽  
Vol 31 (1) ◽  
pp. e39466
Author(s):  
Lilian Bertoletti ◽  
Fernanda Cristina Scarpa ◽  
Michelli Osanai da Costa ◽  
Eduarda Correa Freitas ◽  
Luana Goulart Marin ◽  
...  

Aims: identifying sleep disorders (SDs) in children who experienced child maltreatment.Methods: the study evaluated the sleep pattern of 123 children (from 2 to 10 years old), who received assistance with child maltreatment, based on the Children’s Sleep Habits Questionnaire (CSHQ) – applied in a medical consultation after confirmation of the veracity of the child’s report of a violation. The study applied the questionnaire to children seen by doctors in the sector for 11 months.Results: among the children evaluated, 66.7% had SDs. The sample profile was predominantly female (59.3%) and aged between 4 and 7 years old (48.8%). Physical violence was found in 40.7% of the children, in addition to sexual (35.8%), psychological (24.4%), negligence (14.6%) and other types of violence (OTV) (4.5%). SDs are significantly associated with sexual, psychological and OTV (p=0.016). Regarding the subscales, there was a significant difference between the age groups in the bedtime resistance (BR) factor score (p=0.033). The BR characteristic typifies sexual, psychological and OTV. Sleep anxiety (SA) typifies more psychological, sexual and OTV. Night awakenings (NAs) typify psychological, sexual and physical violence. According to the type of violence, significant differences were found in SA (p=0.039), NAs (p=0.026) and BR (p=0.004).Conclusions: the outcomes highlight the association between SDs and child maltreatment. Certain types of violence have a greater negative impact on children’s sleep and correlate with specific SD.


2021 ◽  
pp. 108705472110256
Author(s):  
Ronna Fried ◽  
Maura DiSalvo ◽  
Abigail Farrell ◽  
Joseph Biederman

Objective: ADHD affects 11% of children in the United States and is associated with significant levels of anxiety. Although the literature supports mindfulness-based interventions as a promising strategy for managing anxiety, it falls short in the feasibility of digital mindfulness interventions. Method: This study investigated the usefulness of the pediatric version of Headspace, a digital mindfulness program, for reducing stress in 18 children with ADHD. We conducted a 4-week pilot study to evaluate the Headspace digital mindfulness application for children ages 6 to 12 with ADHD. Parents completed the Beck Anxiety Inventory and the Children’s Sleep Habits Questionnaire at baseline and endpoint. Results: Participants had an average age of 9.2 years and were 78% male. The Headspace intervention significantly reduced anxiety and sleep problems in children with ADHD. Conclusion: Children with ADHD and comorbid anxiety and/or sleep problems could benefit from a digitally based meditation application. (J. of Att. Dis. XXXX; XX(X) XX-XX)


2020 ◽  
Vol 15 (2) ◽  
pp. 124-131 ◽  
Author(s):  
Arie Oksenberg

Background: Most of the patients with Tourette Syndrome (TS) present additional comorbidities. Attention Deficit Hyperactivity Disorder (ADHD) and Obsessive-Compulsive Disorder (OCD) are the most common. Sleep Disorder has been suggested also as common comorbidity. Objective: To review the literature on sleep characteristics and sleep disorder in patients with Tourette Syndrome (TS), with emphasis on the contribution of specific co-morbidities to the severity of impaired sleep and life quality of the patients. Results: In general, sleep problems are not frequent at the age when tics appear which are estimated to affect about 10 % of these children. In severe cases, tics appear in all sleep stages. In a large study, the prevalence of sleep problems was 17.8% but was 12 % in “TS-only” (9.4% in children and 7.5 in adults) compared to 22% in children and 18% in adults with TS+ADHD. Unfortunately, in most of the studies, the characteristics of these “sleep problems” are not defined. In spite of the scarcity of data, the two main sleep disorders in TS patients are insomnia and parasomnias. Although much more data is needed, many TS subjects are sleep deprived (which exacerbate the tics) and may suffer from excessive daytime sleepiness, which negatively affects normal functioning. Conclusions: Although the literature is not conclusive, children and adolescents with TS appear to suffer more from sleep disturbances and sleep disorders than age-matched controls. Not all patients have tics during sleep, but in severe cases, tics may appear in all sleep stages. It is clear that when patients present both TS and ADHD, (a very common condition), the sleep difficulties are related mainly to ADHD. Much more research is warranted in all aspects of sleep and sleep disorders in TS.


Author(s):  
Magdalena Smyka ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Nicole Sochacki-Wójcicka ◽  
Magdalena Zgliczyńska ◽  
Mirosław Wielgoś

The aim was to characterize sleep patterns in pregnant women in Poland and to analyze the relation between sociodemographic factors, pregnancy-related physical symptoms and sleep problems. A self-composed questionnaire, containing questions in Polish language, was distributed online via web pages and Facebook groups designed for pregnant women. The questionnaire included questions regarding sociodemographic data and information on the current pregnancy and sleep patterns over the past four weeks. Exactly 7207 respondents were included to the study. 77.09% reported sleep problems: nocturnal awakening (52.77%), sleep onset insomnia (20.23%), awakening too early (18.56%) and believed their sleep was too shallow (9.82%). Sleep onset insomnia (26.38%) and frequent awakening (62.88%) were most often reported in 3rd trimester, while daytime drowsiness (86.35%) and naps impeding daytime function (27.18%) in the 1st trimester of pregnancy. The analyzed demographic, socioeconomic and psychological issues had a small but significant influence on sleep problems occurrence (aOR 0.81–1.24). Time to conceive from 6 to 12 months of trying increased the risk of developing sleep problems during pregnancy (aOR 1.31). Pregnancy ailments increased the risk of sleep disturbances (aOR 1.53–2.59). Sleep disorders are prevalent among pregnant women in Poland. The evaluation of risk factors is essential in proper screening for sleep disorders in pregnant women.


2019 ◽  
Vol 32 (3) ◽  
pp. 195
Author(s):  
Ana Filipa Parreira ◽  
António Martins ◽  
Filipa Ribeiro ◽  
Filipe Glória Silva

Introduction: The Portuguese version of the Children’s Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder.Material and Methods: The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Clinical group with sleep disorders (behavioral insomnias, parasomnias or sleep-related breathing disorders); 2. Clinical group with attention deficit/ hyperactivity disorder; 3. Control group. The sleep habits and sleep problems were evaluated using the Children’s Sleep Habits Questionnaire. Sleep-related disorders were confirmed by polysomnography.Results: The questionnaire’s internal consistency (Cronbach α) in the clinical sample (sleep disorders and attention deficit/ hyperactivity disorder) was 0.75 and ranged from 0.55 to 0.85 for the subscales. Children with sleep disorders and attention deficit/  hyperactivity disorder had a higher sleep disturbance index (full scale score) compared to the control group. The subscales presented significant differences between the subgroups with different sleep disorders showing discriminative validity. The receiver operating characteristic analysis of the sleep disturbance index comparing the sleep disorder and control sample determined a cut-off of 48 (sensibility 0.83;specificity 0.69).Discussion: Children with sleep disorders and attention deficit/ hyperactivity disorder evidenced higher Sleep Disturbance Index (full scale score) comparing to the control group. The subscales presented significative differences between the subgroups with different sleep disorders showing discriminative validityConclusion: The Portuguese version of the Children’s Sleep Habits Questionnaire showed adequate psychometric properties for children with sleep disorders and/or attention deficit/ hyperactivity disorder. The cut-off value 48 is better adjusted for the Portuguese population.


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