上海市学龄前儿童睡眠问题与执行功能的关系  

Association of sleep problems with executive function in Shanghai preschoolers

作　　者：陈闽 孙晓宁 荣听雨 姜艳蕊[2,3] 刘洁琼 王广海 江帆[2,3,4] CHEN Min;SUN Xiaoning;RONG Tingyu;JIANG Yanrui;LIU Jieqiong;WANG Guanghai;JIANG Fan(Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Pediatric Translational Medicine Institute,Shanghai Children’s Medical Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200127,China;MOE-Shanghai Key Laboratory of Children’s Environmental Health,Xinhua Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Shanghai Center for Brain Science and Brain-Inspired Technology,Shanghai 201602,China)

机构地区：[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儿科转化医学研究所,上海200127 [3]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,上海200092 [4]上海脑科学与类脑研究中心,上海201602

出　　处：《教育生物学杂志》2023年第3期178-184,共7页Journal of Bio-education

基　　金：上海市市级科技重大专项(2018SHZDZX05);国家自然科学基金(82071493);上海市科学技术委员会医学创新专项(21Y11907400);上海市教育委员会专项经费项目(2022幼1-2);中国博士后科学基金(2021M702185)。

摘　　要：目的调查上海市学龄前儿童睡眠问题和执行功能异常的发生情况,并考察两者关系。方法基于“上海市儿童健康、教育和生活方式调查-学龄前”大型人群队列研究,对991名学龄前儿童进行调查。由家长填写儿童睡眠习惯问卷(children’s sleep habits questionnaire,CSHQ)和学龄前儿童执行功能行为评定问卷(behavior rating scale of executive function-preschool,BRIEF-P)。结果991名学龄前儿童的平均年龄为(6.18±0.29)岁,男童占比52.1%。总睡眠问题发生率为48.6%,以睡眠启动延迟和睡眠时长问题为主。一般执行功能异常的发生率为8.7%,以转换和情绪控制问题为主。一般执行功能异常儿童总睡眠问题的发生率显著高于功能正常儿童(χ^(2)=7.61,P<0.01),其发生风险是功能正常儿童的2.06倍(95%CI:1.22~3.48),且执行功能不同维度异常与不同睡眠问题的发生有关。结论学龄前儿童睡眠问题与执行功能异常密切相关,提示应当进行针对性的综合干预。Objective To investigate the prevalence of sleep problems and executive function difficulties in Shanghai preschoolers,and explore the relationship between them.Methods Based on the Shanghai Children’s Health,Education and Lifestyle Evaluation-Preschool(SCHEDULE-P)large population cohort study,991 preschoolers were included in the analysis.Their parents finished children’s sleep habits questionnaire(CSHQ)and behavior rating scale of executive function-preschool(BRIEF-P).Results The average age of the 991 preschoolers was(6.18±0.29)years,and boys accounted for 52.1%.The prevalence of total sleep problems was 48.6%,mainly containing delayed sleep onset and insufficient sleep duration.The prevalence of general executive function difficulties was 8.7%,which mainly included shift and emotional control problems.Children with general executive function difficulties were more likely to have total sleep problems(χ^(2)=7.61,P<0.01)with 2.06 times higher than those of the normal children(95%CI:1.22-3.48).Different dimensions of executive function difficulties were associated with different sleep problems.Conclusion Sleep problems in preschoolers are closely related to executive function difficulties,which suggests that targeted comprehensive intervention should be carried out.

关 键 词：睡眠问题 执行功能 学龄前儿童 

分 类 号：R179[医药卫生—妇幼卫生保健]