学龄前儿童夜醒问题自然转归与情绪行为问题的关系研究

doi:10.11852/zgetbjzz2024-1350

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (11): 1191-1195.DOI: 10.11852/zgetbjzz2024-1350

学龄前儿童夜醒问题自然转归与情绪行为问题的关系研究

杨紫涵¹, 邓玉娇², 刘洁琼^3,4,5, 朱绮³, 赵瑾^6,7, 张云婷⁷, 王广海^3,4,5,6, 江帆^1,3,4,5,6,7

1.上海交通大学医学院附属精神卫生中心,上海 200030;
2.上海交通大学医学院附属上海儿童医学中心神经内科;
3.上海交通大学医学院附属上海儿童医学中心儿科转化医学研究所;
4.上海交通大学医学院附属新华医院教育部和上海市环境与儿童健康重点实验室;
5.上海脑科学与类脑研究中心;
6.上海交通大学医学院附属上海儿童医学中心发育行为儿科;
7.上海交通大学医学院附属上海儿童医学中心儿童健康管理研究所

收稿日期:2024-11-11 修回日期:2025-05-23 发布日期:2025-11-11 出版日期:2025-11-10
通讯作者: 邓玉娇,E-mail: yujiaodeng@126.com;王广海,E-mail: wang-guanghai@163.com; 江帆,E-mail: fanjiang@shsmu.edu.cn
作者简介:杨紫涵(1999—),女,硕士研究生在读,主要研究方向为儿童认知神经心理。
基金资助:
国家自然科学基金(82201645;82073568;82071493);上海市教育委员会专项经费项目(2024幼1-1);上海市卫健委卫生健康学科带头人(2022XD056)

Association of natural transition of night wakings with emotional and behavioral problems in preschool children

YANG Zihan¹, DENG Yujiao², LIU Jieqiong^3,4,5, ZHU Qi³, ZHAO Jin^6,7, ZHANG Yunting⁷, WANG Guanghai^3,4,5,6, JIANG Fan^1,3,4,5,6,7

1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China;
2. Department of Neurology, Shanghai Children′s Medical Center, Shanghai Jiao Tong University School of Medicine;
3. Pediatric Translational Medicine Institution, Shanghai Children′s Medical Center, Shanghai Jiao Tong University School of Medicine;
4. MOE-Shanghai Key Laboratory of Children′s Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine;
5. Shanghai Center for Brain Science and Brain-Inspired Technology;
6. Department of Developmental and Behavioral Pediatrics, Shanghai Children′s Medical Center, Shanghai Jiao Tong University School of Medicine;
7. Child Health Advocacy Institute, Shanghai Children′s Medical Center, Shanghai Jiao Tong University School of Medicine

Received:2024-11-11 Revised:2025-05-23 Online:2025-11-10 Published:2025-11-11
Contact: DENG Yujiao, E-mail: yujiaodeng@126.com; WANG Guanghai, E-mail: wang-guanghai@163.com;JIANG Fan, E-mail: fanjiang@shsmu.edu.cn

摘要/Abstract

摘要： 目的探索学龄前儿童夜醒问题的自然转归及其与情绪行为问题的关联,为全面促进学龄前儿童睡眠与心理健康提供理论依据。方法采用分层整群随机抽样设计,于2016年11月从上海市16个区县选取新入园儿童进行基线调查,并于2019年4月在其将离园时进行随访。由主要养育人填写的儿童睡眠习惯问卷评估夜醒问题及自然转归情况,长处与困难问卷评估儿童情绪行为问题、内化问题及外化问题。采用logistic回归分析考察夜醒问题自然转归与情绪行为问题的相关性。结果共17 194名儿童完成两次调查。入园和离园时夜醒问题的发生率分别为8.01%和4.26%。儿童夜醒的自然转归情况分为4组,无夜醒组88.63%,夜醒好转组7.11%,新发夜醒组3.36%,持续夜醒组0.90%。与无夜醒组相比,夜醒好转组(OR=1.43, 95%CI:1.21~1.69)、新发夜醒组(OR=3.98, 95%CI:3.29~4.82)和持续夜醒组(OR=2.66, 95%CI:1.82~3.88)出现情绪行为问题风险更高(P＜0.001)。结论学龄前儿童持续或新发夜醒问题会增加情绪行为问题的发生风险,提示应当进行早期预防和综合干预,以促进学龄前儿童的心理健康和入学准备。

关键词: 夜醒, 睡眠, 情绪行为问题, 学龄前儿童

Abstract: Objective To explore the natural transition of night wakings(NWs) problems in preschoolers and their association with emotional and behavioral problems, in order to provide theoretical basis for comprehensively promoting the sleep and mental health of preschool children. Methods Using the stratified cluster random sample method, a sample of preschoolers from 16 districts in Shanghai was recruited for baseline investigation in November 2016, and follow-up visit was in April 2019 before graduation.Children′s Sleep Habits Questionnaire was used to assess NWs and the natural transition, and the Strengths and Difficulties Questionnaire was used to assess children′s emotional and behavioral problems(EBPs) reported by primary caregivers.Logistic regression analysis was used to investigate the correlation between natural transition of NWs and EBPs. Results A total of 17 194 children completed both surveys.The prevalence of frequent NWs at entry and graduation years was 8.01% and 4.26%, respectively.Children were categorized into four groups based on their natural transition of NWs, including 88.63% in the no NWs group, 7.11% in the disappeared NWs group, 3.36% in the incident NWs group, and 0.90% in the persistent NWs group.Compared with the no NWs group, the disappeared NWs group (OR=1.43, 95%CI:1.21-1.69), the incident NWs group (OR=3.98, 95%CI:3.29-4.82) and the persistent NWs group (OR=2.66, 95%CI:1.82-3.88) exhibited a higher risk of EBPs (P＜0.001). Conclusion Persistent or incident NWs problems, are associated with the increase risk of EBPs, suggesting that early and comprehensive intervention should be carried out to promote the sleep and mental health.

Key words: night wakings, sleep, emotional and behavioral problems, preschoolers

中图分类号:

R179

杨紫涵, 邓玉娇, 刘洁琼, 朱绮, 赵瑾, 张云婷, 王广海, 江帆. 学龄前儿童夜醒问题自然转归与情绪行为问题的关系研究[J]. 中国儿童保健杂志, 2025, 33(11): 1191-1195.

YANG Zihan, DENG Yujiao, LIU Jieqiong, ZHU Qi, ZHAO Jin, ZHANG Yunting, WANG Guanghai, JIANG Fan. Association of natural transition of night wakings with emotional and behavioral problems in preschool children[J]. Chinese Journal of Child Health Care, 2025, 33(11): 1191-1195.

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学龄前儿童夜醒问题自然转归与情绪行为问题的关系研究

Association of natural transition of night wakings with emotional and behavioral problems in preschool children

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