中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (7): 785-789.DOI: 10.11852/zgetbjzz2023-1390

• 临床研究 • 上一篇    下一篇

早期亲子互动和睡眠时间与学龄前儿童情绪和行为问题的关系

曹慧1, 严双琴1, 高国朋1, 汪素美1, 谢亮亮1, 江流1, 谢芳芳1, 陶芳标2   

  1. 1.马鞍山市妇幼保健院儿童保健科,安徽 马鞍山 243000;
    2.安徽医科大学公共卫生学院人口健康与优生安徽省重点实验室
  • 收稿日期:2024-01-01 修回日期:2024-03-22 发布日期:2024-07-15 出版日期:2024-07-10
  • 通讯作者: 严双琴,E-mail:470862302@qq.com
  • 作者简介:曹慧(1986-),女,副主任医师,硕士学位,主要研究方向为儿童早期发展。
  • 基金资助:
    2021年度马鞍山市医疗卫生领域科技计划项目(202110)

Correlation of early parent-child interaction and sleep time with emotional and behavioral problems in preschool children

CAO Hui1, YAN Shuangqin1, GAO Guopeng1, WANG Sumei1, XIE Liangliang1, JIANG Liu1, XIE Fangfang1, TAO Fangbiao2   

  1. 1. Department of Child Health Care,Ma'anshan Maternal and Child Health Hospital of Anhui Province, Ma'anshan,Anhui 243000,China;
    2. Public Health School of Anhui Medical University, Anhui Provincial Key Laboratory of Population Health and Aristogenics
  • Received:2024-01-01 Revised:2024-03-22 Online:2024-07-10 Published:2024-07-15
  • Contact: YAN Shuangqin,E-mail:470862302@qq.com

摘要: 目的 探索早期亲子互动和睡眠时间与学龄前儿童情绪和行为问题之间的关联,为促进儿童心理健康发展提供依据。方法 选取2019年1月—2020年5月马鞍山市妇幼保健院正常体检的3岁儿童,通过问卷收集其亲子互动、睡眠情况的信息。在其5~7岁期间来门诊继续体检者,调查情绪和行为问题。共收集有效问卷399份,使用χ2检验和Logistic回归模型对数据进行分析。结果 调整人口统计学信息后,早期亲子互动得分低是同伴交往(OR=2.30,95%CI:1.16~4.58)及情绪和行为问题(OR=2.76,95%CI:1.54~4.95)的危险因素(P<0.05)。一天中总睡眠时间<12h的儿童更易发生同伴交往及情绪和行为问题(OR=2.26,95%CI:1.22~4.20;OR=1.73,95%CI:1.04~2.87,P<0.05)。联合作用显示:早期亲子互动低分组、睡眠时间<12 h/d的儿童发生同伴交往及情绪和行为问题异常的风险增加(OR=5.30,95%CI:1.53~18.27;OR=6.23,95%CI:2.15~18.45,P<0.05)。结论 早期亲子互动质量不佳、睡眠时间不足会对学龄前儿童情绪和行为问题产生不良影响,应给予足够重视。

关键词: 亲子互动, 睡眠, 情绪, 行为, 学龄前儿童

Abstract: Objective To explore the correlation of early parent-child interaction and sleep time with emotional and behavioral problems in preschool children,in order to provide evidence for promoting the development of Children's mental health. Methods Children aged 3 years who underwent normal physical examination in Ma′anshan Maternal and Child Health Hospital from January 2019 to May 2020 were selected to collect information about parent-child interaction and sleep status through questionnaires.Emotional and behavioral problems were investigated in patients who came to the clinic for continued medical examination during the period of 5 to 7 years of age.A total of 399 valid questionnaires were collected.Pearson χ2 test and Logistic regression were used to analyze the data. Results After adjusting for demographic information,lower score of early parent-child interaction was a risk factor for peer interaction(OR=2.30,95%CI:1.16 - 4.58) and emotional and behavioral problems(OR=2.76,95%CI:1.54 - 4.95).Children with total sleep time <12h/d were more likely to have peer interaction (OR=2.26,95%CI:1.22 - 4.20) and emotional and behavioral problems (OR=1.73,95%CI:1.04 - 2.87).Combined effect showed that children with lower score of early parent-child interaction and sleep time <12h/d had a higher risk of developing peer interaction (OR=5.30,95% CI:1.53 - 18.27),emotional and behavioral abnormalities (OR=6.23,95% CI:2.15 - 18.45). Conclusions Poor quality of early parent-child interaction and insufficient sleep time have adverse effects on preschool Children's emotional and behavioral problems,which should be given more attention.

Key words: parent-child interaction, sleep, emotion, behavior, preschool children

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