Investigation of the Impact of Sleep Habits on Emotional-Behavioral Problems of Elementary School Children

Öz

Objective: This cross sectional, descriptive studywas conducted to examine the impact of sleep habits on emotional-behavioral problems of elementary school children. Method: The study population consisted of allparents of the students in one of four elementaryschools N=790; age group, 7-14 years in İzmir,Balçova district. A questionnaire form 17 questions in which the parents assessed the sleep habits of the children and Strengths and DifficultiesQuestionnaire SDQ 25 questions that questioned positive and negative emotional and behavioral features were used for data collection. Parent response rate was 74% n=584 , and thecompleted forms were transferred into computerdocuments and evaluated by means of frequencyanalysis and one-way analysis of variance ANOVA in SPSS Version 11.5.Results: Average sleep duration was 9.72±1.24during the week day, and 10.30±1.32 during theweekend. Mean score of sleep habit problems 7.60±2.26 was compared with total SDQ score 11.27±5.69 by ANOVA, and a statistically significant difference was found F=17.796, p

Anahtar Kelimeler

• Sleep hygiene,sleep habits,behavioral problems,school children,school nursing

İLKÖĞRETİM ÖĞRENCİLERİNDE UYKU ALIŞKANLIKLARININ DUYGU-DAVRANIŞ SORUNLARINA ETKİSİNİN İNCELENMESİ

Öz

Amaç: İlköğretim öğrencilerinin uyku alışkanlıklarının duygu-davranış sorunlarına etkisini incelemek amacıyla kesitsel, tanımlayıcı olarak yapılmıştır.Yöntem: İzmir ilinde Balçova bölgesinde bulunan dört ilköğretimokulundan birindeki öğrencilerin 7-14 yaş grubu ebeveynlerinin tümü N=790 araştırma kapsamına alınmıştır. Verilerin toplanmasında ebeveynlerin çocukların uyku alışkanlıklarını değerlendirdiği anket formu 17 soru ile olumlu ve olumsuz duygu ve davranış özelliklerini sorgulayan Güçler ve Güçlükler Anketi GGA kullanılmıştır 25 soru . Ebeveyn yanıt oranı % 74 olan anketler n=584 bilgisayarda SPSS 11,5 programı kullanılarak tanımlayıcı istatistikler ile tekyönlü varyans analizi ANOVA kullanılarak değerlendirilmiştir.Bulgular: Öğrencilerin uyku süresi ortalaması hafta içi 9,72±1,24,hafta sonu 10,30±1,32 saattir. GGA ölçeği sonuçlarına 11,27±5,69 göre uyku alışkanlıkları sorunları puan ortalamaları 7,60±2,26 tekyönlü varyans analizi ile karşılaştırılmış ve istatistiksel olarak anlamlı fark bulunmuştur F=17,796, p

Anahtar Kelimeler

• Uyku hijyeni,uyku alışkanlıkları,davranış sorunları,okul çocuğu,okul

Kaynakça

1. Giannotti F, Cortesi F, Sebastiani T, Ottaviano S. Circadian preference, sleep and daytime behavi- our in adolescence. J. Sleep Res 2002; 11(3): 191- 199.
2. Amschler DH, McKenzie JF. Elementary stu- dents’ sleep habits and teacher observations of sle- ep-related problems: J Sch Health 2005; 75 (2): 50-56.
3. LeBourgeois MK, Giannotti F, Cortesi F, Wolfson AR, Harsh J. The relationship between reported sleep quality and sleep hygiene in Italian and American adolescents. American Academy of Pe- diatrics 2005; 115(1): 257-265.
4. Liu X, Liu L, Owens JA, Kaplan DL. Sleep pat- terns and sleep problems among schoolchildren in the united states and china: Pediatrics 2005. Janu- ary. 115(1), 266-268.
5. Owens JA, Dalzell V. Use of the ‘bears’ sleep screening tool in a pediatric residents’continuity clinic: a pilot study. special section: sleep medici- ne education based on nıh sleep academic award program. Sleep Medicine 2005; 6: 63–69.
6. Oginska H, Pokorski J. Fatigue and mood correla- tes of sleep length in three age-social groups: school children, Students, and Employees. Chro- nobiology International The Journal of Biological and Medical Rhythm Research 2006; 23(6): 1317–1328.
7. Taheri S. The link between short sleep duration and obesity: we should recommend more sleep to prevent obesity. Arch Dis Child 2006; 91: 881–884.
8. Tynjala J, Kannas L, Valimmaa R. How young eu- ropeans sleep. Health Educ Res 1993; 8: 69-80.

9. Dahl RE. The impact of inadequate sleep on child- ren’s daytime cognitive function: semin. Pediatr Neurol 1996. 3, 44-50.
10. Aronen ET, Paavonen EJ, Fjallberg M, Soininen M, Törrönen J. Sleep and psychiatric symptoms in school-age children. Child Adolescent Psychiatry 2000; 39(4): 502-509.
11. Stein MA, Mendelsohn J, Obermeyer WH, Amro- min J, Benca R. Sleep and behaviour problems in school-aged children. Pediatrics 2001;107(4): 1-9.
12. Smedje H, Broman J-E, Hetta JShort-term pros- pective study of sleep disturbances in 5-8-year-old children. Acta Pediatr 2001a; 90: 1456-1463.
13. Paavonen EJ, Almqvist F, Tamminen T, Moilanen I, Piha J, Rasanen E. Poor sleep and psychiatric symptoms at school: an epidemiological study. Eur Child Adolesc Psychiatry 2002; 11: 10–17.
14. Salcedo AF, Rodriguez AFM, Monterde Aznar ML, Garcia Jimenez MA, Redondo Martinez P, Marcos Navarro AI. Sleeping Habits and Sleep Disorders During Adolescence: Relation to Scho- ol Performance. Aten Primaria 2005; 35(8): 408- 414.
15. Gibson ES, Powles P, Thabane L, O’Brien S, Mol- nar DS, Trajanovic N, Ogilvie R, Shapiro C. “Sle- epiness” is serious in adolescence two surveys of 3235 canadian students. Public Health 2006; 45(6): 116-125.
16. Gregory AM, Rijsdijk FV, Eley TC. A twin-study of sleep difficulties in school-aged children. Child Dev 2006; 77: 1668–79.
17. Smaldone A, Honig JC, Byrne MW. Sleepless in America: ınadequate sleep and relationships to he- alth and well-being of our nation’s children. Pedi- atrics 2007; 119: 29-37.
18. Giannotti F, Cortesi F, Sebastiani T,Vagoni C. Sle- eping habits in Italian children and adolescents. Sleep and Biological Rhythms 2005; 3(1): 15.
19. Russo PM, Bruni O, Lucidi F, Ferri R, Violani C. Sleep habits and circadian preference in italian children and adolescents. J. Sleep Res 2007; 16(2): 163-169.
20. Pollak CP, Bright D. Caffeine consumption and weekly sleep patterns in US seventh eighth and ninth graders. Pediatrics 2003; 111: 42–46.
21. Carskadon MA, Wolfson AR, Acebo C, Tzisc- hinsky O, Seifer R. Adolescent sleep patterns, cir- cadian timing, and sleepiness at a transition to early school days. Sleep1998; 21: 871–881.
22. Wolfson AR, Carskadon MA. Sleep schedules and daytime functioning in adolescents. Child Deve- lopment 1998; 69(4): 875-887.
23. Yoshimatsu S, Hayashi M. Bedtime and lifestyle in primary school children. Sleep and Biological Rhythms 2004: 2(2): 153-155.
24. Spruyt K, O’Brien LM, Cluydts R, Verleye GB, Feri R. Odds ,prevalence and predictors of sleep problems in school-age normal children. J. Sleep Res 2005; 14: 163-176.
25. Yang CK, Kim JK, Patel SR, Lee JH. Age-related changes in sleep/wake patterns among korean te- enagers. Pediatrics 2005; 115(1): 250-256.
26. Shur S, Gau F. Prevalence of sleep problems and their association with inattention/hyperactivity among children aged 6-15 in taiwan. Journal of Sleep Research 2006; 15(4): 403-414.
27. Mohammadi M, Ghalebaghi B, Bandi FG, Amin- tehrani E, Khodaie S, Shoaee S, Ashrafi MR. Sle- ep patterns and sleep problems among preschool and school-aged group children in a primary care setting. Iran J Ped 2007; 17(3): 213-221.
28. Bos SC, Gomes A, Clemente V, Marques M, Pere- ira AT, Maia B, Soares MJ, Cabral AS, Macedo A, Gozal D, Azevedo MH. Sleep and behavi- oral/emotional problems in children: a population- based study. Sleep Medicine 2008; 10(1): 66-74.
29. Loessl B, Valerius G, Kopasz M, Hornyak M, Ri- emann D, Voderholzer U. Are adolescents chroni- cally sleep-deprived? an investigation of sleep habits of adolescents in the southwest of germany. Child Care Health and Development 2008; 34(5): 549-556.
30. Wolfson AR, Carskadon MA. Understanding ado- lescents sleep patterns and school performance: a critical appraisal. Sleep Med. Rev 2003; 7: 491–506.
31. Chen MY, Wang EK, Jeng YJ. Adequate sleep among adolescents is positively associated with health status and health-related behaviors. BMC Public Health 2006; 59(6): 1-8.
32. Moore M. Meltzer LJ. The sleepy adolescent ca- uses and consequences of sleepiness in teens. Pa- edıatrıc Respıratory Revıews 2008; 9: 114–121.
33. Owens JA, Maxim R, McGuinn M, Nobile C, Msall M, Alario A. Television-viewing Habits and Sleep Disturbance in School Children. Pediatrics 1999; 104(3): 1-8.
34. Yalçın SS, Tuğrul B, Naçar N, Tuncer M, Yurda- kök K. Factors that affect television viewing time in preschool and primary Schoolchildren. Pediat- rics International 2002; 44: 622–627.
35. Owens J. The electronic sandman: the impact of the media on adolescent sleep. Sleep 2004; 27(1): 15-16.
36. Van den Bulck J. Television viewing, computer game playing, and Internet use and self-reported time to bed and time out of bed in secondary-schol children. Sleep 2004; 27: 101–104.
37. Arslan F, Ünal AS, Güler H, Kardaş K. Okul çağı çocuklarının televizyon izleme alışkanlıklarının in- celenmesi. TSK Koruyucu Hekimlik Bülteni 2006; 5(6): 391-401.
38. Bahammam A, Al_Faris E, Shaikh S, Bin Saeed A. Prevalence of sleep problems and habits in a sample of saudi primary school children. Ann sa- udi Med 2006; 26(1): 7-13.
39. Bharti B, Malhi P, Kashyap S. Patterns and prob- lems of sleep in school going children. Indian Pe- diatric 2006; 43(17): 35-38.
40. Eggermont S, Bulck JV. Nodding off or switching off ? The use of popular media as a sleep aid in se- condary-school children. Journal of Pediatrics and Child health 2006; 42(7-8): 428-433.
41. Bülbül S, Kurt G, Ünlü E, Kırlı E. Adolesanlarda uyku alışkanlıkları ve uyku sorunları. Çocuk Sağlı- ğı ve Hastalıkları Dergisi 2010; 53: 204-210.
42. Kelman BB.The sleep needs of adolescents. Jour- nal of School Nursing 1999; 15 (3): 14-19.
43. Doğan S, Kelleci M, Sabancıoğulları S, Aydın D. Bir ilköğretim okulunda öğrenim gören çocuklar- da ruhsal uyum sorunları. TSK Koruyucu Hekimlik Bülteni 2008; 7(1): 47-52.
44. Bruni O. Sleep disturbances scale for children. Construct and validation of an instrument to eva- luate sleep disturbances in childhood and adoles- cence. J. Sleep Res 1996; 5: 251-261.
45. Owens JA, Spirito A, McGuinn M. The children’s sleep habits questionnaire (cshq): psychometric properties of a survey instrument for schoolaged children. Sleep 2000; 23(8): 1043-1051.
46. Lam P, Hiscock H, Wake M. Outcomes of ınfant sleep problems: a longitudinal study of sleep, be- havior and maternal well-being. Official Journal of the American Academy of Pediatrics 2003; 111(3): 203-207.
47. Fain JA. Reading, understanding and applying nursing research. a text and workbook. 2004, Se- cond Edition, New York, 156-157.
48. Güvenir T, Özbek A, Baykara B, Arkar H, Şentürk B, İncekaş S. Güçler ve güçlükler anketi’nin (gga) Türkçe uyarlamasının psikometrik özellikleri. Ço- cuk ve Gençlik Ruh Sağlığı Dergisi 2008; 15(2): 65-74.
49. Goodman R. Psychometric properties of the Strengths and Difficulties Questionnaire (SDQ). Journal of the American Academy of Child and Adolescent Psychiatry 2001; 40: 1337-1345.
50. Becker A, Woerner W, Hasselhorn M, Banasc- hewski T, Rothenberger A. Validation of the pa- rent and teacher SDQ in a clinical sample. Euro- pean Child & Adolescent Psychiatry 2004 [Suppl 2]; 13: II/11–II/16.
51. Smedje H, Broman J-E, Hetta J. Associations bet- ween disturbed sleep and behavioural diffculties in 635 children aged 6 to 8years: a study based on parents’ perceptions. Eur Child Adolesc Psychi- atry 2001b; 10: 1–9.