家庭凝聚力及家庭冲突对学龄前儿童睡眠时长的影响  

The impact of family cohesion and family conflict on sleep duration among preschoolers

作　　者：李丽君[1] 张娟 张宁[1] 陈琦[1] 王春雪[1] Li Lijun;Zhang Juan;Zhang Ning;Chen Qi;Wang Chunxue(Department of Neuropsychiatry,Behavioral Neurology,and Clinical Psychology,Beijing Tian Tan Hospital,Capital Medical University,Beijing 100070,China;School of Population Medicine and Public Health,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京天坛医院神经精神与临床心理科/睡眠中心,北京100070 [2]中国医学科学院,北京协和医学院公共卫生学院,北京100730

出　　处：《中华行为医学与脑科学杂志》2024年第7期624-629,共6页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：国家重点研发计划(2022YFC2503904);北京市首都发展资助项目(2020-2-2044)。

摘　　要：目的探讨家庭凝聚力及家庭冲突对学龄前儿童睡眠时长的影响。方法2019年4—6月,横断面调查研究北京东城区幼儿园2990名学龄前儿童,使用家庭生活问卷(family life questionnaire,FLQ)量表评估家庭凝聚力及冲突,自制调查问卷收集儿童的睡眠时长及其他变量,运用R统计软件包和EmpowerStats软件进行t检验及卡方检验,采用多元Logistic回归模型分析家庭凝聚力、家庭冲突与儿童睡眠时长之间的关系。结果睡眠时长不足儿童612人(20.47%)。睡眠时长不足组家庭凝聚力[(12.57±2.01)分,(12.84±2.01)分;t=2.928,P=0.002]和家庭冲突得分[(12.15±2.43)分,(12.52±2.24)分;t=3.643,P<0.001]低于睡眠时长充足组。多元Logistic回归分析结果显示,高家庭凝聚力水平(β=-0.234,OR=0.791,95%CI=0.645~0.969,P=0.024)和低家庭冲突水平(β=-0.399,OR=0.671,95%CI=0.553~0.813,P<0.001)是学龄前儿童睡眠时长的保护因素。结论家庭凝聚力及家庭冲突对学龄前儿童的睡眠时长有显著影响,为改善儿童睡眠时长不足提供了干预的方向。Objective To investigate the impact of family cohesion and family conflict on the sleep duration of preschool children.Methods A cross-sectional survey was conducted involving 2990 preschool children from kindergartens in Dongcheng District,Beijing from April to June 2019.Family cohesion and conflict were assessed using the family life questionnaire(FLQ),while children's sleep duration and other variables were collected through a custom survey questionnaire.Independent sample t-test and Chi square test were performed using R statistical software package and EmpowerStats software,and multivariate Logistic regression models to explore the relationships between family cohesion,family conflict,and children's sleep duration.Results A total of 612 children(20.47%)were identified with insufficient sleep duration.The group with insufficient sleep duration had lower family cohesion scores((12.57±2.01)vs(12.84±2.01),t=2.928,P=0.002),and family conflict scores((12.15±2.43)vs(12.52±2.24),t=3.643,P<0.001)than the group with sufficient sleep duration.The results of multiple Logistic regression analysis showed that high levels of family cohesion(β=-0.234,OR=0.791,95%CI=0.645-0.969,P=0.024)and low levels of family conflict(β=-0.399,OR=0.671,95%CI=0.553-0.813,P<0.001)were protective factors for sleep duration in preschool children.Conclusion Family cohesion and family conflict significantly affect the sleep duration of preschool children,providing directions for interventions to improve insufficient sleep among children.

关 键 词：家庭凝聚力 家庭冲突 睡眠时长 儿童 学龄前 

分 类 号：R179[医药卫生—妇幼卫生保健]