Advertisement

Quality of Life Research

, Volume 24, Issue 4, pp 885–895 | Cite as

Association of sleep patterns with psychological positive health and health complaints in children and adolescents

  • Víctor Segura-Jiménez
  • Ana Carbonell-Baeza
  • Xiaofen D. Keating
  • Jonatan R. Ruiz
  • José Castro-Piñero
Article

Abstract

Purpose

Psychological positive health and health complaints have long been ignored scientifically. Sleep plays a critical role in children and adolescents development. We aimed at studying the association of sleep duration and quality with psychological positive health and health complaints in children and adolescents from southern Spain.

Methods

A randomly selected two-phase sample of 380 healthy Caucasian children (6–11.9 years) and 304 adolescents (12–17.9 years) participated in the study. Sleep duration (total sleep time), perceived sleep quality (morning tiredness and sleep latency), psychological positive health and health complaints were assessed using the Health Behaviour in School-aged Children questionnaire.

Results

The mean (standard deviation [SD]) reported sleep time for children and adolescents was 9.6 (0.6) and 8.8 (0.6) h/day, respectively. Sleep time ≥10 h was significantly associated with an increased likelihood of reporting no health complaints (OR 2.3; P = 0.005) in children, whereas sleep time ≥9 h was significantly associated with an increased likelihood of overall psychological positive health and no health complaints indicators (OR ~ 2; all P < 0.05) in adolescents. Reporting better sleep quality was associated with an increased likelihood of reporting excellent psychological positive health (ORs between 1.5 and 2.6; all P < 0.05). Furthermore, children and adolescents with no difficulty falling asleep were more likely to report no health complaints (OR ~ 3.5; all P < 0.001).

Conclusions

Insufficient sleep duration and poor perceived quality of sleep might directly impact quality of life in children, decreasing general levels of psychological positive health and increasing the frequency of having health complaints.

Keywords

Sleep duration Perceived sleep quality Health status Quality of life Life satisfaction Family and peer relationships 

Notes

Acknowledgments

This study was funded by Centro Andaluz de Medicina del Deporte, Junta de Andalucía, Orden 4/02/05, BOJA No 37 (REF. JA-CTD2005-01), the Spanish Ministry of Education (AP-2010-0963) and the Spanish Ministry of Science and Innovation (RYC-2010-05957). We thank Dr. Marilla D. Svinicki at the University of Texas at Austin, TX, USA, for her help in editing the writing of the manuscript.

Conflict of interests

Authors declare no conflict of interests.

Ethical standard

A comprehensive verbal description of the nature and purpose of the study was given to the children, adolescents, their parents and teachers. This information was also sent to parents or children supervisors by regular mail, and written consents from parents, children and adolescents were requested. The study was approved by the Review Committee for Research Involving Human Subjects at the University of Cádiz, Spain.

References

  1. 1.
    Matricciani, L., Blunden, S., Rigney, G., Williams, M. T., & Olds, T. S. (2013). Children’s sleep needs: Is there sufficient evidence to recommend optimal sleep for children? Sleep, 36(4), 527–534.PubMedCentralPubMedGoogle Scholar
  2. 2.
    Chen, M. Y., Wang, E. K., & Jeng, Y. J. (2006). Adequate sleep among adolescents is positively associated with health status and health-related behaviors. BMC Public Health, 6, 59.CrossRefPubMedCentralPubMedGoogle Scholar
  3. 3.
    Cappuccio, F. P., Taggart, F. M., Kandala, N. B., Currie, A., Peile, E., Stranges, S., et al. (2008). Meta-analysis of short sleep duration and obesity in children and adults. Sleep, 31(5), 619–626.PubMedCentralPubMedGoogle Scholar
  4. 4.
    Ohayon, M. M., Carskadon, M. A., Guilleminault, C., & Vitiello, M. V. (2004). Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: developing normative sleep values across the human lifespan. Sleep, 27(7), 1255–1273.PubMedGoogle Scholar
  5. 5.
    Feinberg, I., Davis, N. M., de Bie, E., Grimm, K. J., & Campbell, I. G. (2012). The maturational trajectories of NREM and REM sleep durations differ across adolescence on both school-night and extended sleep. American Journal of Physiology: Regulatory, Integrative and Comparative Physiology, 302(5), R533–R540.PubMedCentralPubMedGoogle Scholar
  6. 6.
    Olds, T., Blunden, S., Petkov, J., & Forchino, F. (2010). The relationships between sex, age, geography and time in bed in adolescents: A meta-analysis of data from 23 countries. Sleep Medicine Reviews, 14(6), 371–378.CrossRefPubMedGoogle Scholar
  7. 7.
    Jarrin, D. C., McGrath, J. J., & Drake, C. L. (2013). Beyond sleep duration: distinct sleep dimensions are associated with obesity in children and adolescents. International Journal of Obesity, 37(4), 552–558.CrossRefPubMedGoogle Scholar
  8. 8.
    Roeser, K., Eichholz, R., Schwerdtle, B., Schlarb, A. A., & Kubler, A. (2012). Relationship of sleep quality and health-related quality of life in adolescents according to self- and proxy ratings: A questionnaire survey. Front Psychiatry, 3, 76.CrossRefPubMedCentralPubMedGoogle Scholar
  9. 9.
    Narang, I., Manlhiot, C., Davies-Shaw, J., Gibson, D., Chahal, N., Stearne, K., et al. (2012). Sleep disturbance and cardiovascular risk in adolescents. CMAJ, 184(17), E913–E920.CrossRefPubMedCentralPubMedGoogle Scholar
  10. 10.
    Seligman, M. E. P. (2008). Positive Health. Applied Psychology, 57, 3–18.CrossRefGoogle Scholar
  11. 11.
    Ong, A. D., & van Dulmen, M. H. M. (2007). Oxford handbook of methods in positive psychology. New York: Oxford University Press.Google Scholar
  12. 12.
    Proulx, C. M., Helms, H. M., & Buehler, C. (2007). Marital quality and personal well-being: A meta-analysis. Journal of Marriage and Family, 69, 576–593.CrossRefGoogle Scholar
  13. 13.
    Ortega, F. B., Lee, D. C., Sui, X., Kubzansky, L. D., Ruiz, J. R., Baruth, M., et al. (2010). Psychological well-being, cardiorespiratory fitness, and long-term survival. American Journal of Preventive Medicine, 39(5), 440–448.CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Brown, R. J. (2007). Introduction to the special issue on medically unexplained symptoms: Background and future directions. Clinical Psychology Review, 27(7), 769–780.CrossRefPubMedGoogle Scholar
  15. 15.
    Eminson, D. M. (2007). Medically unexplained symptoms in children and adolescents. Clinical Psychology Review, 27(7), 855–871.CrossRefPubMedGoogle Scholar
  16. 16.
    Barkmann, C., Braehler, E., Schulte-Markwort, M., & Richterich, A. (2011). Chronic somatic complaints in adolescents: Prevalence, predictive validity of the parent reports, and associations with social class, health status, and psychosocial distress. Social Psychiatry and Psychiatric Epidemiology, 46(10), 1003–1011.CrossRefPubMedGoogle Scholar
  17. 17.
    Mikkelsson, M., Salminen, J. J., & Kautiainen, H. (1997). Non-specific musculoskeletal pain in preadolescents. Prevalence and 1-year persistence. Pain, 73(1), 29–35.CrossRefPubMedGoogle Scholar
  18. 18.
    Rocha, E. M., Prkachin, K. M., Beaumont, S. L., Hardy, C. L., & Zumbo, B. D. (2003). Pain reactivity and somatization in kindergarten-age children. Journal of Pediatric Psychology, 28(1), 47–57.CrossRefPubMedGoogle Scholar
  19. 19.
    Balaguer, I. (2002). Estilos de vida en la adolescencia. Valencia: Promolibro.Google Scholar
  20. 20.
    Wold, B. (1995). Health-behavior in schoolchildren: A WHO cross-national survey. Resource package questions 199394. Bergen: University of Bergen.Google Scholar
  21. 21.
    Currie, C., Roberts, C., Morgan, A., Smith, R., Settertobulte, W., Samdal, O., et al. (2004). Young people’s health in context. Health Behaviour in School-aged Children (HBSC) study: international report from the 2001/2002 survey. WHO Policy Series: Health policy for children and adolescents Issue 4 Copenhagen: WHO Regional Office for Europe.Google Scholar
  22. 22.
    Roberts, C., Freeman, J., Samdal, O., Schnohr, C. W., de Looze, M. E., Nic Gabhainn, S., et al. (2009). The Health Behaviour in School-aged Children (HBSC) study: Methodological developments and current tensions. International Journal of Public Health, 54(Suppl 2), 140–150.CrossRefPubMedCentralPubMedGoogle Scholar
  23. 23.
    National Sleep Foundation. 2004 Sleep in America Poll: Children and Sleep. (2004). from http://www.sleepfoundation.org/.
  24. 24.
    National Sleep Foundation. 2006 Sleep in America Poll: Teens and Sleep. (2006). from http://www.sleepfoundation.org/.
  25. 25.
    Garralda, M. E. (1996). Somatisation in children. Journal of Child Psychology and Psychiatry, 37(1), 13–33.CrossRefPubMedGoogle Scholar
  26. 26.
    Iannotti, R. J., Janssen, I., Haug, E., Kololo, H., Annaheim, B., & Borraccino, A. (2009). Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health. International Journal of Public Health, 54(Suppl 2), 191–198.CrossRefPubMedCentralPubMedGoogle Scholar
  27. 27.
    Haugland, S., Wold, B., Stevenson, J., Aaroe, L. E., & Woynarowska, B. (2001). Subjective health complaints in adolescence. A cross-national comparison of prevalence and dimensionality. European Journal of Public Health, 11(1), 4–10.CrossRefPubMedGoogle Scholar
  28. 28.
    Ozturk, L., Pelin, Z., Karadeniz, D., Kaynak, H., Cakar, L., & Gozukirmizi, E. (1999). Effects of 48 h sleep deprivation on human immune profile. Sleep Research Online, 2(4), 107–111.PubMedGoogle Scholar
  29. 29.
    Irwin, M. R., Wang, M., Ribeiro, D., Cho, H. J., Olmstead, R., Breen, E. C., et al. (2008). Sleep loss activates cellular inflammatory signaling. Biological Psychiatry, 64(6), 538–540.CrossRefPubMedCentralPubMedGoogle Scholar
  30. 30.
    Pepin, J. L., Borel, A. L., Tamisier, R., Baguet, J. P., Levy, P., & Dauvilliers, Y. (2014). Hypertension and sleep: Overview of a tight relationship. Sleep Med Rev.Google Scholar
  31. 31.
    Olds, T., Maher, C., Blunden, S., & Matricciani, L. (2010). Normative data on the sleep habits of Australian children and adolescents. Sleep, 33(10), 1381–1388.PubMedCentralPubMedGoogle Scholar
  32. 32.
    Williams, J. A., Zimmerman, F. J., & Bell, J. F. (2013). Norms and trends of sleep time among US children and adolescents. JAMA Pediatrics, 167(1), 55–60.CrossRefPubMedGoogle Scholar
  33. 33.
    van der Linde, R. M., Mavaddat, N., Luben, R., Brayne, C., Simmons, R. K., Khaw, K. T., et al. (2013). Self-rated health and cardiovascular disease incidence: results from a longitudinal population-based cohort in Norfolk, UK. PLoS ONE, 8(6), e65290.CrossRefPubMedCentralPubMedGoogle Scholar
  34. 34.
    Furihata, R., Uchiyama, M., Takahashi, S., Suzuki, M., Konno, C., Osaki, K., et al. (2012). The association between sleep problems and perceived health status: A Japanese nationwide general population survey. Sleep Medicine, 13(7), 831–837.CrossRefPubMedGoogle Scholar
  35. 35.
    Shankar, A., Charumathi, S., & Kalidindi, S. (2011). Sleep duration and self-rated health: The national health interview survey 2008. Sleep, 34(9), 1173–1177.PubMedCentralPubMedGoogle Scholar
  36. 36.
    Pilcher, J. J., & Ott, E. S. (1998). The relationships between sleep and measures of health and well-being in college students: A repeated measures approach. Behavioral Medicine, 23(4), 170–178.CrossRefPubMedGoogle Scholar
  37. 37.
    Gupta, N. K., Mueller, W. H., Chan, W., & Meininger, J. C. (2002). Is obesity associated with poor sleep quality in adolescents? American Journal of Human Biology, 14(6), 762–768.CrossRefPubMedGoogle Scholar
  38. 38.
    Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: Relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of Psychosomatic Research, 42(6), 583–596.CrossRefPubMedGoogle Scholar
  39. 39.
    Lee, A. J., & Lin, W. H. (2007). Association between sleep quality and physical fitness in female young adults. Journal of Sports Medicine and Physical Fitness, 47(4), 462–467.PubMedGoogle Scholar
  40. 40.
    Lin, J. D., Tung, H. J., Hsieh, Y. H., & Lin, F. G. (2011). Interactive effects of delayed bedtime and family-associated factors on depression in elementary school children. Research in Developmental Disabilities, 32(6), 2036–2044.CrossRefPubMedGoogle Scholar
  41. 41.
    Fredriksen, K., Rhodes, J., Reddy, R., & Way, N. (2004). Sleepless in Chicago: Tracking the effects of adolescent sleep loss during the middle school years. Child Development, 75(1), 84–95.CrossRefPubMedGoogle Scholar
  42. 42.
    Paunio, T., Korhonen, T., Hublin, C., Partinen, M., Kivimaki, M., Koskenvuo, M., et al. (2009). Longitudinal study on poor sleep and life dissatisfaction in a nationwide cohort of twins. American Journal of Epidemiology, 169(2), 206–213.CrossRefPubMedGoogle Scholar
  43. 43.
    Hossain, N. K., Irvine, J., Ritvo, P., Driver, H. S., & Shapiro, C. M. (2007). Evaluation and treatment of sleep complaints: Patients’ subjective responses. Psychotherapy and Psychosomatics, 76(6), 395–399.CrossRefPubMedGoogle Scholar
  44. 44.
    Kalak, N., Gerber, M., Kirov, R., Mikoteit, T., Puhse, U., Holsboer-Trachsler, E., et al. (2012). The relation of objective sleep patterns, depressive symptoms, and sleep disturbances in adolescent children and their parents: A sleep-EEG study with 47 families. Journal of Psychiatric Research, 46(10), 1374–1382.CrossRefPubMedGoogle Scholar
  45. 45.
    Lemola, S., Schwarz, B., & Siffert, A. (2012). Interparental conflict and early adolescents’ aggression: is irregular sleep a vulnerability factor? Journal of Adolescence, 35(1), 97–105.CrossRefPubMedGoogle Scholar
  46. 46.
    Ailshire, J. A., & Burgard, S. A. (2012). Family relationships and troubled sleep among U.S. adults: Examining the influences of contact frequency and relationship quality. Journal of Health and Social Behavior, 53(2), 248–262.CrossRefPubMedCentralPubMedGoogle Scholar
  47. 47.
    Ong, S. H., Wickramaratne, P., Tang, M., & Weissman, M. M. (2006). Early childhood sleep and eating problems as predictors of adolescent and adult mood and anxiety disorders. Journal of Affective Disorders, 96(1–2), 1–8.CrossRefPubMedGoogle Scholar
  48. 48.
    Dewald, J. F., Meijer, A. M., Oort, F. J., Kerkhof, G. A., & Bogels, S. M. (2010). The influence of sleep quality, sleep duration and sleepiness on school performance in children and adolescents: A meta-analytic review. Sleep Medicine Reviews, 14(3), 179–189.CrossRefPubMedGoogle Scholar
  49. 49.
    Gruber, R., Laviolette, R., Deluca, P., Monson, E., Cornish, K., & Carrier, J. (2010). Short sleep duration is associated with poor performance on IQ measures in healthy school-age children. Sleep Medicine, 11(3), 289–294.CrossRefPubMedGoogle Scholar
  50. 50.
    Wilhelm, I., Prehn-Kristensen, A., & Born, J. (2012). Sleep-dependent memory consolidation–what can be learnt from children? Neuroscience and Biobehavioral Reviews, 36(7), 1718–1728.CrossRefPubMedGoogle Scholar
  51. 51.
    Luntamo, T., Sourander, A., Rihko, M., Aromaa, M., Helenius, H., Koskelainen, M., et al. (2012). Psychosocial determinants of headache, abdominal pain, and sleep problems in a community sample of Finnish adolescents. European Child and Adolescent Psychiatry, 21(6), 301–313.CrossRefPubMedGoogle Scholar
  52. 52.
    Luntamo, T., Sourander, A., Santalahti, P., Aromaa, M., & Helenius, H. (2012). Prevalence changes of pain, sleep problems and fatigue among 8-year-old children: Years 1989, 1999, and 2005. Journal of Pediatric Psychology, 37(3), 307–318.CrossRefPubMedGoogle Scholar
  53. 53.
    Pereira, D., & Elfering, A. (2014). Social stressors at work, sleep quality and psychosomatic health complaints: A longitudinal ambulatory field study. Stress Health, 30(1), 43–52.CrossRefPubMedGoogle Scholar
  54. 54.
    Wiklund, M., Malmgren-Olsson, E. B., Ohman, A., Bergstrom, E., & Fjellman-Wiklund, A. (2012). Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender: A cross-sectional school study in Northern Sweden. BMC Public Health, 12, 993.CrossRefPubMedCentralPubMedGoogle Scholar
  55. 55.
    Brooks-Gunn, J., Petersen, A. C., & Eichorn, D. (1985). The study of maturational timing effects in adolescence. Journal of Youth and Adolescence, 14(3), 149–161.CrossRefPubMedGoogle Scholar
  56. 56.
    Moreno, C., Muñoz-Tinoco, V., Pérez, P., Sánchez-Queija, I., M.C., G., Ramos, P., et al. (2008). Desarrollo adolescente y salud. Resultados del Estudio HBSC-2006 con chicos y chicas españoles de 11 a 17 años.: Madrid: Ministerio de Sanidad y Consumo. Edición electrónica.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Víctor Segura-Jiménez
    • 1
  • Ana Carbonell-Baeza
    • 2
  • Xiaofen D. Keating
    • 3
  • Jonatan R. Ruiz
    • 1
  • José Castro-Piñero
    • 2
  1. 1.Department of Physical Education and Sport, Faculty of Sport SciencesUniversity of GranadaGranadaSpain
  2. 2.Department of Physical Education, Faculty of Education SciencesUniversity of CádizCádizSpain
  3. 3.Department of Curriculum and Instruction, College of EducationUniversity of Texas-AustinAustinUSA

Personalised recommendations