Journal
SLEEP
Volume 34, Issue 5, Pages 651-659Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/sleep/34.5.651
Keywords
Sleep; children; adolescents; trends; bias
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Study Objectives: The notion that children are sleeping less than they used to is widespread. This study examined the strength of the evidence for this idea by tracing a scholarly genealogy of the claims presented with the literature. Design: A systematic review of peer-reviewed literature was conducted to identify claims of a secular trend in children's sleep. For each identified claim, the references cited were reviewed. Measurements and Results: The review identified 51 studies. Of these, 17 evinced evidence (2 reported increases, 3 reported no change, 6 reported mixed trends, 6 reported decreases) and 34 provided statements without evidence. Although the evidencce that sleep duration has declined is contested, all 34 studies reported a decline. Examination of the references cited revealed that 17 papers referred directly to studies which provided evidence, 4 papers referred indirectly to studies which provided evidence, 9 papers did not provide any evidence and 4 papers 85% referred to one of 3 sources of evidence, each of which was of moderate quality. Conclusions: The genealogy of the notion of secular declines in children's sleep reveals a limited scientific basis. The apparent evidence base is inflated by repeated references to the same sources of evidence, reference to secondary sources, mis-referencing, and a failure to cite contrary evidence.
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