Impact of sleep behaviors on social and emotional problems in three-year-old children born prematurely

Background: Childhood sleep problems have been associated with a number of negative health outcomes, but there is limited data on the relationship between sleep problems and social and emotional problems in preterm babies. Objective: The aim of this study was to investigate sleep habits and the relationship between sleep problems and social and emotional problems in preterm infants with a corrected age of three years old. Method: The study included 40 preterm children and 40 full-term children. In order to evaluate the sleep habits and social and emotional problems of the children, their mothers completed the Brief Infant Sleep Questionnaire (BISQ) and the Brief Infant Toddler Social Emotional Assessment Scale (BITSEA) form. Results: It has been found that preterm children had longer sleeplessness at night than full-term children and the frequency of night awakening was also higher in full-term children. There was no difference between preterm and full-term children in terms of sleep duration, sleep location and methods of falling asleep. Although there was no difference between the two groups in the BITSEA problem scores, the BITSEA competence scores were significantly lower in preterm children compared to full-term children. In addition, considering the relationship between sleep behaviors and social and emotional problems in preterm infants, a significant correlation was found between short sleep duration at night, total sleep duration, and lower BITSEA competence scores. A late sleep time and social and emotional subclinical problem scores were also found to be correlated. Conclusion: According to the results of this study, no significant difference was found in terms of sleep behaviors between preterm and full-term three-year-old children. However, BITSEA competence scores were lower in preterm children and an association has been found between sleep behaviors and social and emotional problems. (C) 2020 Elsevier B.V. All rights reserved.