Sleep-Related Complaints in Children 5—13 Years Old: Prevalence and Content. Part 1

198

Abstract

Sleep-related complaints are common in children and affect their daytime sleepiness, success and quality of life. However, often parents are unaware of or do not consider them as a problem demanding treatment. Aim. To identify the parental appraisals of the patterns and difficulties with sleep in children aged 5—13 years and parental subjective qualification of them as a problem. Methods. In 147 pairs of «parent-child 5—13 years old without diagnosed sleep disorders» (47 pairs with a child 5—6 years old, 49 with a child 7—9 years old, 51 with a child 10—13 years old), parents answered questions about the pattern children’s sleep habits and completed the Children’s Sleep Habits Questionnaire. Children replied to Sleep Self-Report. Results. Difficulties with sleeping are common in children 5—13 years of age: irregular bedtimes, prolonged time falling asleep, falling asleep in someone else’s bed, night terrors, insufficient sleep time, frequent nocturnal awakenings, sleep-talking, early morning awakenings, long time to get up in the morning, fatigue in the afternoon 3 times a week or more are typical for every third child, while protests against going to bed, the impossibility of waking up on their own in the morning, difficulties in getting up in the morning — for every second child. For children 10—13 years old, lack of sleep was also wide-spread. Parents frequently do not consider sleep difficulties in children as a problem. The pattern of going to bed, sleeping, and waking up didn’t not differ between boys and girls, but girls rated their sleepiness higher, and rated sleep quality lower. With age, daytime and nighttime sleep was reduced, bedtime became later, while breathing problems during sleep, parasomnia symptoms and night terrors became rarer. Conclusion. Given the prevalence of complaints about various difficulties associated with sleep in children aged 5—13 years, the acute question is why parents do not qualify these difficulties as problems and do not seek help is relevant.

General Information

Keywords: sleep, children 5–13 years old, cognitive model of sleep disorders, psychology of corporeality, parental appraisals of sleep, sleep–related complaints

Journal rubric: Empirical Researches

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2023310103

Funding. Research was supported by the Russian Foundation for Fundamental Research, project 20-013-00740 “Development and disturbances of sleep-wake psychological regulation system: an approach of psychology of bodily functions regulation”.

Received: 13.08.2022

Accepted:

For citation: Rasskazova E.I., Botasheva T.L., Kudryashov D.V., Zheleznyakova E.V., Zavodnov O.P., Vasilieva V.V. Sleep-Related Complaints in Children 5—13 Years Old: Prevalence and Content. Part 1. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2023. Vol. 31, no. 1, pp. 58–78. DOI: 10.17759/cpp.2023310103. (In Russ., аbstr. in Engl.)

References

1.Krichevets A.N., Korneev A.A., Rasskazova E.I. Osnovy statistiki dlya psikhologov [Statistics basics for psychologists]. Moscow: Akropol', 2019. (In Russ.).

2.Poluektov M.G. Narusheniya sna v detskom vozraste: prichiny i sovremennaya terapiya [Sleep disorders in childhood: reasons and modern therapy]. Effektivnaya farmatoterapiya = Effective pharmacotherapy, 2012. No. 1, pp. 3—10. (In Russ., abstr. in Engl).

3.Strygin K.N., Poluektov M.V. Insomnii [Insomnia]. Meditsinskii sovet = Medical advice, 2017. Pp. 53–58. DOI: 10.21518/2079–701X–2017–0–52–58. (In Russ.).

4.Tkhostov A.Sh. Psikhologiya telesnosti [Psychology of corporality]. Moscow: Smysl, 2002. (In Russ.).

5.Rasskazova E.I. Ispol'zovanie elektronnykh gadzhetov vecherom i noch'yu kak povedencheskii faktor zhalob na narusheniya sna [Use of electronic gadgets in the evening and at night as behavioral factor of sleep–related complaints. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova. Rasstroistva sna. Vypusk no. 2 = Korsakov Journal of Neurology and Psychiatry. Sleep disorders. Issue  no. 2., 2019. Vol. 119, no. 4, pp. 36—43. (In Russ., abstr. in Engl).

6.Rasskazova E.I., Tkhostov A.Sh. Klinicheskaya psikhologiya sna i ego narushenii [Clinical psychology of sleep and sleep disorders]. Moscow: Smysl, 2012. (In Russ.).

7.Soldatova G.U., Rasskazova E.I., Vishneva, A.E., Chigar’kova, S.V. Rozhdennye tsifrovymi: semeinyi kontekst i kognitivnoe razvitie [Born digital: family context and cognitive development.]. Moscow: Akropol’, 2022. (In Russ.).

8.Becker S.P. External validity of children's self–reported sleep functioning: associations with academic, social, and behavioral adjustment. Sleep Med, 2014. Vol. 15, no. 9, pp. 1094—1100. DOI: 10.1016/j.sleep.2014.06.001

9.Bladder J.C., Koplewicz H.S., Abikoff H., Foley C. Sleep problems of elementary school children: a community survey. Arch Pediatr Adolesc Med, 1997. Vol. 151, pp. 473—480.

10.Byars K.C., Yolton K., Rausch J., Lanphear B., Beebe D.W. Prevalence, patterns, and persistence of sleep problems in the first 3 years of life. Pediatrics, 2012. Vol. 129, no. 2, pp. e276—84. DOI: 10.1542/peds.2011–0372

11.Chervin R.D., Archbold K.H., Panahi P., Pituch K.J. Sleep problems seldom addressed at two general pediatric clinics. Pediatrics, 2001. Vol. 107, no. 6, pp. 1375–1380.

12.Cumming E.M., Koss K.J., Bergman K.N. Assessment of family functioning / In: M. El–Sheikh (Ed.). Sleep and development. Familial and socio–cultural considerations. N.–Y.: Oxford University Press, 2011. Pp. 329–354.

13.Dewald J. F., Meijer A. M., Oort F. J., Kerkhof G. A., Bögels S. M. The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: a meta–analytic review. Sleep Medicine Reviews, 2010. Vol. 14, pp. 179–189.

14.Friman P.C., Schnoes C.J. Pediatric Prevention: Sleep Dysfunction. Pediatr Clin North Am., 2020. Vol. 67, no. 3, pp. 559—571. DOI: 10.1016/j.pcl.2020.02.010.

15.Hart C. N., Palermo T. M., Rosen C. L. Health related quality of life among children presenting to a pediatric sleep disorders clinic. Behavioral Sleep Medicine, 2005. Vol. 3, pp. 4—17.

16.Hochadel J., Frölich J., Wiater A., Lehmkuhl G., Fricke–Oerkermann L. Prevalence of sleep problems and relationship between sleep problems and school refusal behavior in school–aged children in children's and parents' ratings. Psychopathology, 2014. Vol. 47, no. 2, pp. 119—126. DOI: 10.1159/000345403.

17.Hoedlmoser K., Kloesch G., Wiater A., Schabus M. Self–reported sleep patterns, sleep problems, and behavioral problems among school children aged 8–11 years. Somnologie, 2010. Vol. 14, pp. 23—31.

18.Keller P.S. Sleep and attachment / In: M. El–Sheikh (Ed.). Sleep and development. Familial and socio–cultural considerations. N.–Y.: Oxford University Press, 2011. Pp. 49—78.

19.Kudryashov D., Rasskazova E., Tkhostov A., Ivanenko A.  Validation of Russian version of the children's sleep habits questionnaire (CSHQ). Sleep Medicine, 2017. Vol. 40, no. S1, pp.  E171. http://dx.DOI.org/10.1016/j.sleep.2017.11.501 

20.Lam P., Hiscock H., Wake M. Outcomes of infant sleep problems: a longitudinal study of sleep, behavior, and maternal well‐being. Pediatrics, 2003. Vol. 111, pp. e203—e207.

21.Lewien C., Genuneit J., Meigen C., Kiess W., Poulain T. Sleep–related difficulties in healthy children and adolescents. BMC Pediatr, 2021. Vol. 21, no.1, pp. 82. DOI: 10.1186/s12887–021–02529–y.

22.Liu X., Liu L., Owens J. A., Kaplan D. L. Sleep patterns and sleep problems among schoolchildren in the United States and China. Pediatrics, 2005. Vol. 115, pp. 241—249.

23.Markovich A.N., Gendron M.A., Corkum P.V. Validating the Children’s Sleep Habits Questionnaire against polysomnography and actigraphy in school–aged children. Frontiers in Psychiatry, 2015. Vol. 5, pp. 188. DOI: 10.3389/fpsyt.2014.00188

24.Mindell J.A., Owens J.A. A clinical guide of pediatric sleep: diagnosis and management of sleep. Philadelphia, PA: Lippincott Williams&Wilkins, 2010.

25.Morin C.M. Insomnia: psychological assessment and management. New York: Guilford Press, 1993.

26.O'Brien, L.M. The neurocognitive effects of sleep disruption in children and adolescents. Child Adolesc Psychiatr Clin N Am., 2009. Vol. 18, no. 4, pp. 813—823. DOI: 10.1016/j.chc.2009.04.008.

27.Orgilés M., Owens J., Espada J.P., Piqueras J.A., Carballo J.L. Spanish version of the Sleep Self–Report (SSR):factorial structure and psychometric properties. Child: care, health and development, 2013. Vol. 39, no. 2, pp. 288—295. DOI:10.1111/j.1365–2214.2012.01389.x

28.Owens J. Classification and Epidemiology of Childhood Sleep Disorders. Primary Care, 2008. Vol. 35, no. 3, pp. 533—546. DOI: 10.1016/j.pop.2008.06.003

29.Owens J.A. The practice of pediatric sleep medicine: results of a community survey. Pediatrics, 2001. Vol. 108, no. 3, pp. E51. DOI: 10.1542/peds.108.3.e51.

30.Owens J.A., Spirito A., McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric Properties of A Survey Instrument for School–Aged Children. Sleep, 2000a. Vol. 23, no. 8, pp. 1043—1051.

31.Owens J.A., Spirito A., McGuinn M. Nobile C. Sleep habits and sleep disturbance in elementary school–aged children. J Dev Behav Pediatr, 2000b. Vol. 21, no. 1, pp. 27—36. DOI: 10.1097/00004703–200002000–00005.

32.Owens J. A., Maxim R., Nobile C., McGuinn M., Msall M. Parental and self–report of sleep in children with attentiondeficit ⁄ hyperactivity disorder. Arch. Pediatr. Adolesc. Med, 2000c. Vol. 154, pp. 549—555

33.Quach J., Hiscock H., Canterford L., Wake M. Outcomes of child sleep problems over the school–transition period: Australian population longitudinal study. Pediatrics, 2009. Vol. 123, pp. 1287—1292.

34.Sadeh A., Mindell J.A., Luedtke K., Wiegand B. Sleep and sleep ecology in the first 3 years: a web–based study. J Sleep Res., 2009. Vol. 18, no 1, pp. 60—73. DOI: 10.1111/j.1365–2869.2008.00699.x.

35.Sateia M.J., Buysse D.J., Krystal A.D., Neubauer D.N., Heald J.L. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. J Clin Sleep Med, 2017. Vol. 13, no. 2, pp. 307—349. DOI: 10.5664/jcsm.6470

36.Simola P., Niskakangas M., Liukkonen K., Virkkula P., Pitkäranta A., Kirjavainen T., Aronen E.T. Sleep problems and daytime tiredness in Finnish preschool–aged children–a community survey. Child Care Health Dev, 2010. Vol. 36, no. 6, pp. 805—811. DOI: 10.1111/j.1365–2214.2010.01112.x

37.Wake M., Morton‐Allen E., Poulakis Z., Hiscock H., Gallagher S., Oberklaid F. Prevalence, stability, and outcomes of cry‐fuss and sleep problems in the first 2 years of life: Prospective community‐based study. Pediatrics, 2006. Vol. 117, pp. 836—842.

Information About the Authors

Elena I. Rasskazova, PhD in Psychology, Associate Professor, Department of Neuro- and Patopsychology, Lomonosov Moscow State University, Senior Researcher,Mental Health Research Center, Senior Researcher, International Laboratory of Positive Psychology of Personality and Motivation, Higher School of Economics, Moscow, Russia, ORCID: https://orcid.org/0000-0002-9648-5238, e-mail: e.i.rasskazova@gmail.com

Tatiana L. Botasheva, Doctor of Medicine, Professor, Chief Researcher, the Obstetrics and Gynecology Department, Research Institute of Obstetrics and Pediatrics of the Rostov State Medical University, Rostov-na-Donu, Russia, ORCID: https://orcid.org/0000-0001-5136-1752, e-mail: t_botasheva@mail.ru

Dmitriy V. Kudryashov, graduate, Clinical Psychology Department, Lomonosov Moscow State University, Moscow, Russia, ORCID: https://orcid.org/0000-0002-2922-5583, e-mail: kudryashov_dv@icloud.com

Elena V. Zheleznyakova, PhD in Medicine, Researcher, the Obstetrics and Gynecology Department, Research Institute of Obstetrics and Pediatrics of the Rostov State Medical University, Rostov-na-Donu, Russia, ORCID: https://orcid.org/0000-0003-4496-6387, e-mail: elena.Gel.1961@yandex.ru

Oleg P. Zavodnov, PhD in Biology, Researcher, the Obstetrics and Gynecology Department, Research Institute of Obstetrics and Pediatrics of the Rostov State Medical University, Rostov-na-Donu, Russia, ORCID: https://orcid.org/0000-0002-9555-2267, e-mail: ozz2007@mail.ru

Valentina V. Vasilieva, Doctor of Biology, Leading Researcher, Pediatric Department, Research Institute of Obstetrics and Pediatrics of the Rostov State Medical University, Rostov-na-Donu, Russia, ORCID: https://orcid.org/0000-0001-5948-6605, e-mail: v.vasiljeva1965@mail.ru

Metrics

Views

Total: 2851
Previous month: 262
Current month: 167

Downloads

Total: 198
Previous month: 17
Current month: 10