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Article: Associations of circadian factors with insomnia symptoms and emotional and behavioral problems among school-age children

TitleAssociations of circadian factors with insomnia symptoms and emotional and behavioral problems among school-age children
Authors
Keywordschronotype
children
social jetlag
sleep
insomnia
Issue Date2021
PublisherThe American Academy of Sleep Medicine. The Journal's web site is located at http://www.aasmnet.org/jcsm
Citation
The Journal of Clinical Sleep Medicine, 2021, v. 17 n. 10, p. 2107-2114 How to Cite?
AbstractSTUDY OBJECTIVES:To examine the associations of circadian characteristics (ie, chronotype and social jetlag) with insomnia symptoms and emotional and behavioral problems among school-age children. METHODS:A total of 620 primary school children (medianage = 10.06, standard deviation = 1.16, 58.7% boys) were recruited and assessed by a set of parent-report questionnaires, including Children’s Sleep Habit Questionnaire for measuring sleep-wake patterns and insomnia symptoms (bedtime resistance, sleep onset delay, and night waking), Children’s Chronotype Questionnaire for assessing the child’s chronotype preference, and Strength and Difficulties Questionnaire for assessing emotional and behavioral problems. Linear regression models were applied to examine the associations of chronotype and social jetlag with insomnia symptoms and mental health outcomes, in which age, sex, family income, and average sleep duration were entered as covariates. RESULTS:Evening chronotype was significantly associated with bedtime resistance and sleep onset delay, while social jetlag was not related to insomnia symptoms. Evening chronotype was also significantly associated with externalizing symptoms after controlling for potential confounders. CONCLUSIONS:Evening chronotype, but not social jetlag, was the risk factor for insomnia symptoms, and evening chronotype was further associated with increased behavioral problems in school-age children. Our findings underscored the roles of circadian factors in relation to sleep and mental health problems in this young population. CITATION:Sun W, Kwok NTT, Chan NY, et al. Associations of circadian factors with insomnia symptoms and emotional and behavioral problems among school-age children.
Persistent Identifierhttp://hdl.handle.net/10722/306647
ISSN
2023 Impact Factor: 3.5
2023 SCImago Journal Rankings: 1.039
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorSUN, W-
dc.contributor.authorKwok, NTT-
dc.contributor.authorCHAN, NY-
dc.contributor.authorChan, JWY-
dc.contributor.authorZhang, J-
dc.contributor.authorChan, KCC-
dc.contributor.authorLi, SX-
dc.date.accessioned2021-10-22T07:37:37Z-
dc.date.available2021-10-22T07:37:37Z-
dc.date.issued2021-
dc.identifier.citationThe Journal of Clinical Sleep Medicine, 2021, v. 17 n. 10, p. 2107-2114-
dc.identifier.issn1550-9389-
dc.identifier.urihttp://hdl.handle.net/10722/306647-
dc.description.abstractSTUDY OBJECTIVES:To examine the associations of circadian characteristics (ie, chronotype and social jetlag) with insomnia symptoms and emotional and behavioral problems among school-age children. METHODS:A total of 620 primary school children (medianage = 10.06, standard deviation = 1.16, 58.7% boys) were recruited and assessed by a set of parent-report questionnaires, including Children’s Sleep Habit Questionnaire for measuring sleep-wake patterns and insomnia symptoms (bedtime resistance, sleep onset delay, and night waking), Children’s Chronotype Questionnaire for assessing the child’s chronotype preference, and Strength and Difficulties Questionnaire for assessing emotional and behavioral problems. Linear regression models were applied to examine the associations of chronotype and social jetlag with insomnia symptoms and mental health outcomes, in which age, sex, family income, and average sleep duration were entered as covariates. RESULTS:Evening chronotype was significantly associated with bedtime resistance and sleep onset delay, while social jetlag was not related to insomnia symptoms. Evening chronotype was also significantly associated with externalizing symptoms after controlling for potential confounders. CONCLUSIONS:Evening chronotype, but not social jetlag, was the risk factor for insomnia symptoms, and evening chronotype was further associated with increased behavioral problems in school-age children. Our findings underscored the roles of circadian factors in relation to sleep and mental health problems in this young population. CITATION:Sun W, Kwok NTT, Chan NY, et al. Associations of circadian factors with insomnia symptoms and emotional and behavioral problems among school-age children.-
dc.languageeng-
dc.publisherThe American Academy of Sleep Medicine. The Journal's web site is located at http://www.aasmnet.org/jcsm-
dc.relation.ispartofThe Journal of Clinical Sleep Medicine-
dc.rightsThis article has been accepted for publication in the Journal of Clinical Sleep Medicine published by the American Academy of Sleep Medicine-
dc.subjectchronotype-
dc.subjectchildren-
dc.subjectsocial jetlag-
dc.subjectsleep-
dc.subjectinsomnia-
dc.titleAssociations of circadian factors with insomnia symptoms and emotional and behavioral problems among school-age children-
dc.typeArticle-
dc.identifier.emailLi, SX: shirleyx@hku.hk-
dc.identifier.authorityLi, SX=rp02114-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.5664/jcsm.9346-
dc.identifier.pmid34606443-
dc.identifier.pmcidPMC8494086-
dc.identifier.scopuseid_2-s2.0-85116245493-
dc.identifier.hkuros328786-
dc.identifier.volume17-
dc.identifier.issue10-
dc.identifier.spage2107-
dc.identifier.epage2114-
dc.identifier.isiWOS:000735694900017-
dc.publisher.placeUnited States-

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