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Article: Disturbed sleep in children born extremely preterm is associated with behavioural and emotional symptoms

TitleDisturbed sleep in children born extremely preterm is associated with behavioural and emotional symptoms
Authors
KeywordsADHD
Childhood
Emotional problems
Preterm birth
Sleep
Issue Date2021
Citation
Sleep Medicine, 2021, v. 85, p. 157-165 How to Cite?
AbstractAim: To determine whether children born extremely preterm are at increased risk for sleep disturbances and to explore relationships between extremely preterm birth, sleep and attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional symptoms. Method: EPICure2 cohort study. Parents of 165 children born ≤26 weeks' gestation (53% male) and 121 children born at term (43% male) completed the Children's Sleep Habits Questionnaire, sleep disordered breathing subscale of the Pediatric Sleep Questionnaire, the emotional problems scale of the Strengths and Difficulties Questionnaire and the ADHD Rating Scale-5 at 11 years of age. Results: Extremely preterm children had greater habitual snoring (adjusted odds ratio 6.8; 95% confidence interval 2.3, 20.3), less frequently fell asleep within 20 minutes (Cohen's d 0.33), higher night wakings (d 0.44) and daytime sleepiness scores (d 0.40) than term-born children; there was no between-group difference in sleep duration scores. Among children without severe disability, night wakings scores partially mediated the relationship between preterm birth and inattention (additional 5% of variance explained), hyperactivity/impulsivity (13%) and emotional problems (9%). Snoring partially mediated the relationship between preterm birth, hyperactivity/impulsivity and inattention (additional 1–5% of variance). Conclusion: Children born extremely preterm are at increased risk of disturbed sleep compared to term-born children. As night wakings partially mediated the relationship between preterm birth and ADHD symptoms and emotional problems, reducing sleep disturbance may improve sleep and reduce attention and emotional problems in this population.
Persistent Identifierhttp://hdl.handle.net/10722/325641
ISSN
2023 Impact Factor: 3.8
2023 SCImago Journal Rankings: 1.368
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTrickett, Jayne-
dc.contributor.authorBernardi, Marialivia-
dc.contributor.authorFahy, Amanda-
dc.contributor.authorLancaster, Rebecca-
dc.contributor.authorLarsen, Jennifer-
dc.contributor.authorNi, Yanyan-
dc.contributor.authorSuonpera, Emmi-
dc.contributor.authorWolke, Dieter-
dc.contributor.authorMarlow, Neil-
dc.contributor.authorJohnson, Samantha-
dc.date.accessioned2023-02-27T07:34:59Z-
dc.date.available2023-02-27T07:34:59Z-
dc.date.issued2021-
dc.identifier.citationSleep Medicine, 2021, v. 85, p. 157-165-
dc.identifier.issn1389-9457-
dc.identifier.urihttp://hdl.handle.net/10722/325641-
dc.description.abstractAim: To determine whether children born extremely preterm are at increased risk for sleep disturbances and to explore relationships between extremely preterm birth, sleep and attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional symptoms. Method: EPICure2 cohort study. Parents of 165 children born ≤26 weeks' gestation (53% male) and 121 children born at term (43% male) completed the Children's Sleep Habits Questionnaire, sleep disordered breathing subscale of the Pediatric Sleep Questionnaire, the emotional problems scale of the Strengths and Difficulties Questionnaire and the ADHD Rating Scale-5 at 11 years of age. Results: Extremely preterm children had greater habitual snoring (adjusted odds ratio 6.8; 95% confidence interval 2.3, 20.3), less frequently fell asleep within 20 minutes (Cohen's d 0.33), higher night wakings (d 0.44) and daytime sleepiness scores (d 0.40) than term-born children; there was no between-group difference in sleep duration scores. Among children without severe disability, night wakings scores partially mediated the relationship between preterm birth and inattention (additional 5% of variance explained), hyperactivity/impulsivity (13%) and emotional problems (9%). Snoring partially mediated the relationship between preterm birth, hyperactivity/impulsivity and inattention (additional 1–5% of variance). Conclusion: Children born extremely preterm are at increased risk of disturbed sleep compared to term-born children. As night wakings partially mediated the relationship between preterm birth and ADHD symptoms and emotional problems, reducing sleep disturbance may improve sleep and reduce attention and emotional problems in this population.-
dc.languageeng-
dc.relation.ispartofSleep Medicine-
dc.subjectADHD-
dc.subjectChildhood-
dc.subjectEmotional problems-
dc.subjectPreterm birth-
dc.subjectSleep-
dc.titleDisturbed sleep in children born extremely preterm is associated with behavioural and emotional symptoms-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.sleep.2021.07.006-
dc.identifier.pmid34333198-
dc.identifier.scopuseid_2-s2.0-85111280630-
dc.identifier.volume85-
dc.identifier.spage157-
dc.identifier.epage165-
dc.identifier.eissn1878-5506-
dc.identifier.isiWOS:000693402400021-

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