Association of sleep patterns with psychological positive health and health complaints in children and adolescents
- 702 Downloads
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.
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.
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).
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.
KeywordsSleep duration Perceived sleep quality Health status Quality of life Life satisfaction Family and peer relationships
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.
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.
- 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
- 11.Ong, A. D., & van Dulmen, M. H. M. (2007). Oxford handbook of methods in positive psychology. New York: Oxford University Press.Google Scholar
- 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
- 19.Balaguer, I. (2002). Estilos de vida en la adolescencia. Valencia: Promolibro.Google Scholar
- 20.Wold, B. (1995). Health-behavior in schoolchildren: A WHO cross-national survey. Resource package questions 1993–94. Bergen: University of Bergen.Google Scholar
- 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.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.National Sleep Foundation. 2004 Sleep in America Poll: Children and Sleep. (2004). from http://www.sleepfoundation.org/.
- 24.National Sleep Foundation. 2006 Sleep in America Poll: Teens and Sleep. (2006). from http://www.sleepfoundation.org/.
- 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
- 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
- 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
- 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
- 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
- 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