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。
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.
关键词
亲子互动 /
睡眠 /
情绪 /
行为 /
学龄前儿童
Key words
parent-child interaction /
sleep /
emotion /
behavior /
preschool children
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基金
2021年度马鞍山市医疗卫生领域科技计划项目(202110)
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