Journal
PSYCHIATRY RESEARCH
Volume 242, Issue -, Pages 218-225Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.psychres.2016.05.017
Keywords
Sleep disordered breathing; Daytime sleepiness; Emotional problems; Behavior outcomes; School performance; Chinese children
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Funding
- National Institute of Health (NIH) from National Institute of Environment Health Sciences (NIH/NIEHS), USA [R01-ES018858, K02-ES019878-01]
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This study examined the prevalence of sleep disordered breathing (SDB) symptoms and their associations with daytime sleepiness, emotional problems, and school performance in Chinese children. Participants included 3979 children (10.99 +/- 0.99 years old) from four elementary schools in Jintan City, Jiangsu Province, China. Children completed a self-administered questionnaire on sleep behavior and emotional problems, while parents completed the Child Sleep Habit Questionnaire (CSHQ). SDB symptoms included 3 items: loud snoring, stopped breathing, and snorting/gasping during sleep. Teachers rated the children's school performance. The prevalence rates of parent- and self-reported SDB symptoms were 17.2% and 10.1% for sometimes and 8.9% and 5.6% for usually. SDB symptoms, more prevalent in boys than in girls, increased the risks for depression, loneliness, and poor school performance. Daytime sleepiness mediated the relationship between SDB symptoms and depression, loneliness, and poor school performance. This study suggests the importance of early screening and intervention of SDB and daytime sleepiness in child behavioral and cognitive development. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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