Association between sleep change patterns and mental health among preschoolers : The mediating role of resilience

Copyright © 2023. Published by Elsevier Ltd..

Sleep disturbance has been recognized as an important factor influencing mental health problems in preschool children. However, no longitudinal studies have investigated the association between sleep change patterns and mental health in preschoolers or the mediating role of resilience. Here, data were collected from 1595 preschool children in 26 kindergartens in four counties in Anhui Province, China, who were followed up (T2) 1 year apart based on baseline surveys (T1). The primary caregivers of the children were asked to complete a structured questionnaire through face-to-face interviews or by completing it themselves. Pearson's correlation and linear regression were used to analyze the relationships among sleep patterns, mental health, and resilience in preschoolers. A structural equation model was used for the mediation analysis. Four patterns of sleep change were identified: persistent-low pattern (1.7%), decreasing pattern (9.8%), increasing pattern (7.3%), and persistent-high pattern (81.3%). Compared to the persistent-low pattern, the increasing pattern and persistent-high pattern were associated with emotional behavioral problems (EBPs) and anxiety. Resilience played a fully mediating role in the relationship between increasing pattern, persistent-high pattern, and EBPs. Resilience partially mediated the effects of increasing and persistent-high pattern on anxiety. More attention should be paid to sleep problems in children with increasing and persistent-high sleep patterns. Resilience is important for understanding the mechanism underlying the correlation between sleep patterns, EBPs, and anxiety. Considering the EBPs and anxiety of preschool children, early intervention for resilience should be considered.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:165

Enthalten in:

Journal of psychiatric research - 165(2023) vom: 01. Sept., Seite 336-343

Sprache:

Englisch

Beteiligte Personen:

Li, Ning [VerfasserIn]
Wang, Hao [VerfasserIn]
Song, Qiuxia [VerfasserIn]
Su, Wanying [VerfasserIn]
Guo, Xianwei [VerfasserIn]
Liang, Qiwei [VerfasserIn]
Ding, Xiuxiu [VerfasserIn]
Liu, Haixia [VerfasserIn]
Liang, Mingming [VerfasserIn]
Zhang, Jian [VerfasserIn]
Sun, Liang [VerfasserIn]
Qin, Qirong [VerfasserIn]
Chen, Mingchun [VerfasserIn]
Qu, Guangbo [VerfasserIn]
Sun, Yehuan [VerfasserIn]

Links:

Volltext

Themen:

Anxiety
Children
Emotional behavioral problems
Journal Article
Mediation
Research Support, Non-U.S. Gov't
Sleep

Anmerkungen:

Date Completed 04.09.2023

Date Revised 06.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jpsychires.2023.08.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360790186