父母睡眠质量和抑郁现状及其与婴幼儿睡眠问题的关联  

Status of parental sleep quality and depression and their association with sleep problems in children

作　　者：魏乾伟 张丽晋[1] 王丹 王奇娟[3] 李一辰[1] WEI Qianwei;ZHANG Lijin;WANG Dan;WANG Qijuan;LI Yichen(Department of Child Healthcare,Beijing Obstetrics and Gynecology Hospital,Capital Medical University/Beijing Maternal and Child Health Care Hospital,Beijing 100026,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院儿童保健科,北京100026 [2]北京市东城区妇幼保健计划生育服务中心儿童保健科 [3]北京市大兴区妇幼保健院儿童群体保健科

出　　处：《中国生育健康杂志》2024年第4期337-342,共6页Chinese Journal of Reproductive Health

摘　　要：目的了解北京市0~35月龄婴幼儿父母的睡眠和抑郁现状,探讨其与婴幼儿睡眠问题的关联。方法依托中国疾病预防控制中心妇幼保健中心睡眠调查项目,采用三阶段分层随机抽样调查方法,选取北京市经济发展处于中等水平的2个区:东城区和大兴区,每区随机选取2个街道或乡镇,按0~35月龄分组采取抽签方式随机抽取北京市常住婴幼儿,于2021年6月至7月发放问卷1344份,本研究选取答卷人为父母的1287例进行分析。应用简明婴儿睡眠问卷、匹兹堡睡眠质量指数和流调中心用抑郁量表分别评估儿童睡眠状况、父母睡眠质量和父母抑郁情绪。采用χ^(2)检验和Logistic回归分析父母睡眠不良和抑郁情绪与婴幼儿睡眠问题的关联。结果父母睡眠不良和抑郁情绪检出率分别为15.8%、7.3%。婴幼儿与父母同屋睡的比例为94.9%,需安抚入睡的比例为93.7%,入睡困难、睡眠时间不足、睡眠质量不良、睡觉有困难的发生率依次为34.0%、11.7%、19.9%、50.0%。单因素分析显示,父母睡眠不良的婴幼儿入睡困难、睡眠时间不足、睡觉有困难的比例均较高,差异均有统计学意义(P均<0.05);父母有抑郁情绪的婴幼儿睡觉困难的比例明显高于父母无抑郁情绪的婴幼儿(P<0.05)。多因素分析显示,父母睡眠不良(OR=2.23,95%CI:1.60~3.11)和抑郁情绪(OR=1.76,95%CI:1.10~2.84)均是婴幼儿睡觉有困难的危险因素。结论父母睡眠不良和抑郁情绪与婴幼儿睡眠问题有关联,婴幼儿睡眠咨询及干预应关注父母的睡眠及情绪状态。Objective To investigate the sleep and depression status of parents in Beijing,and to explore their relationship with sleep problems of children aged 0-35 months.Methods Based on the sleep survey project of Maternal and Child Health Center of Chinese Center for Disease Control and Prevention,the three-stage stratified random sampling survey method was adopted to select 2 districts in Beijing with medium level economic development:Dongcheng District and Daxing District,2 streets or towns were randomly selected in each district,where children born by permanent residents were randomly selected by drawing lots according to the age group of 0-35 months.A total of 1344 questionnaires were distributed from June to July 2021,and 1287 parents were selected for analysis children′s sleep status,parents′sleep quality and depressive mood which were evaluated by using the Brief Infant Sleep Questionnaire,Pittsburgh Sleep Quality Index and Center for Epidemiologic Studies Depression Scale,respectively.Chi-square test and logistic regression were used to analyze the association between poor sleep and depression of parents and children′s sleep problems.Results The rates of poor sleep and depression in parents were 15.8%and 7.3%,respectively.A total of 94.9%of children slept with their parents,and 93.7%needed to be comforted to fall asleep.Rates of difficulty falling asleep,insufficient sleep duration,poor sleep quality and having sleep difficulties were 34.0%,11.7%19.9%and 50.0%,respectively.Univariate analysis showed that children with parents with poor sleep had higher rates of difficulty falling asleep,insufficient sleep duration and sleep difficulties,and the differences were statistically significant(all P<0.05).The proportion of children whose parents had depression had higher proportions of sleep difficulties than that of children whose parents had no depression(P<0.05).Multiple Logistic regression analysis showed that parents′poor sleep(OR=2.23,95%CI:1.60~3.11)and depression(OR=1.76,95%CI:1.10~2.84)were risk facto

关 键 词：睡眠质量 抑郁 睡眠问题 婴幼儿 

分 类 号：R17[医药卫生—妇幼卫生保健]