Tiia Kuha, Taru Saarelainen, Hanna Huhdanpää, Katri Maasalo, E Juulia Paavonen, Eeva T Aronen
{"title":"幼儿精神科门诊患者的睡眠和精神症状——一项随访研究。","authors":"Tiia Kuha, Taru Saarelainen, Hanna Huhdanpää, Katri Maasalo, E Juulia Paavonen, Eeva T Aronen","doi":"10.1177/13591045221143575","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Knowledge of the continuity of sleep problems and the associations between sleep and psychiatric symptoms in child psychiatric patients is scarce.</p><p><strong>Objectives: </strong>To investigate the persistency of sleep problems and how sleep at preschool age predicts sleep problems and psychiatric symptoms at school age in child psychiatric patients.</p><p><strong>Methods: </strong>Participants (<i>n</i> = 68) were child psychiatry outpatients at Helsinki University Hospital in 2015-2017. Caregivers evaluated sleep with the Sleep Disturbance Scale for Children (SDSC) and psychiatric symptoms with the Child Behavior Checklist (CBCL) at baseline (age 4-7 years) and again at follow-up (age 8-13 years). Family background information was collected at both time points.</p><p><strong>Results: </strong>Sleep problems at preschool age predicted sleep problems at school age (R2Adjusted = .48, <i>p</i> < .001). Persistent sleep problems associated strongly with the intensity of psychiatric symptoms (<i>p</i> = .001). Internalizing symptoms were predicted by sleep problems (<i>p</i> = .038) even after controlling for age, sex, and psychiatric symptoms at preschool age.</p><p><strong>Conclusion: </strong>Sleep problems are prevalent and persistent and relate to psychiatric symptoms in children treated at child psychiatry clinics. These results emphasize the need for identification and treatment of sleep problems in these children.</p>","PeriodicalId":48840,"journal":{"name":"Clinical Child Psychology and Psychiatry","volume":" ","pages":"1536-1549"},"PeriodicalIF":1.8000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/02/10.1177_13591045221143575.PMC10540491.pdf","citationCount":"0","resultStr":"{\"title\":\"Sleep and psychiatric symptoms in young child psychiatric outpatients - a Follow-up study.\",\"authors\":\"Tiia Kuha, Taru Saarelainen, Hanna Huhdanpää, Katri Maasalo, E Juulia Paavonen, Eeva T Aronen\",\"doi\":\"10.1177/13591045221143575\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Knowledge of the continuity of sleep problems and the associations between sleep and psychiatric symptoms in child psychiatric patients is scarce.</p><p><strong>Objectives: </strong>To investigate the persistency of sleep problems and how sleep at preschool age predicts sleep problems and psychiatric symptoms at school age in child psychiatric patients.</p><p><strong>Methods: </strong>Participants (<i>n</i> = 68) were child psychiatry outpatients at Helsinki University Hospital in 2015-2017. Caregivers evaluated sleep with the Sleep Disturbance Scale for Children (SDSC) and psychiatric symptoms with the Child Behavior Checklist (CBCL) at baseline (age 4-7 years) and again at follow-up (age 8-13 years). Family background information was collected at both time points.</p><p><strong>Results: </strong>Sleep problems at preschool age predicted sleep problems at school age (R2Adjusted = .48, <i>p</i> < .001). Persistent sleep problems associated strongly with the intensity of psychiatric symptoms (<i>p</i> = .001). Internalizing symptoms were predicted by sleep problems (<i>p</i> = .038) even after controlling for age, sex, and psychiatric symptoms at preschool age.</p><p><strong>Conclusion: </strong>Sleep problems are prevalent and persistent and relate to psychiatric symptoms in children treated at child psychiatry clinics. These results emphasize the need for identification and treatment of sleep problems in these children.</p>\",\"PeriodicalId\":48840,\"journal\":{\"name\":\"Clinical Child Psychology and Psychiatry\",\"volume\":\" \",\"pages\":\"1536-1549\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/02/10.1177_13591045221143575.PMC10540491.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Child Psychology and Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/13591045221143575\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/12/7 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Child Psychology and Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13591045221143575","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/12/7 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Sleep and psychiatric symptoms in young child psychiatric outpatients - a Follow-up study.
Background: Knowledge of the continuity of sleep problems and the associations between sleep and psychiatric symptoms in child psychiatric patients is scarce.
Objectives: To investigate the persistency of sleep problems and how sleep at preschool age predicts sleep problems and psychiatric symptoms at school age in child psychiatric patients.
Methods: Participants (n = 68) were child psychiatry outpatients at Helsinki University Hospital in 2015-2017. Caregivers evaluated sleep with the Sleep Disturbance Scale for Children (SDSC) and psychiatric symptoms with the Child Behavior Checklist (CBCL) at baseline (age 4-7 years) and again at follow-up (age 8-13 years). Family background information was collected at both time points.
Results: Sleep problems at preschool age predicted sleep problems at school age (R2Adjusted = .48, p < .001). Persistent sleep problems associated strongly with the intensity of psychiatric symptoms (p = .001). Internalizing symptoms were predicted by sleep problems (p = .038) even after controlling for age, sex, and psychiatric symptoms at preschool age.
Conclusion: Sleep problems are prevalent and persistent and relate to psychiatric symptoms in children treated at child psychiatry clinics. These results emphasize the need for identification and treatment of sleep problems in these children.
期刊介绍：
Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities.
Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines.
The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice.
Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.
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