Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China

BackgroundSleep problems in preschoolers are becoming increasingly prominent, and the association between sleep status and anxiety symptoms has attracted growing attention. However, studies investigating the relationship between bedtime and nighttime sleep duration in preschoolers and their anxiety...

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Main Authors: Shuang-Yan Qiu, Xiao-Na Yin, Yanni Yang, Ting Li, Dali Lu, Jie-Min Li, Wei-Kang Yang, Guo-Ming Wen, Jing-Yu Zhang, Yan Zhang, Hai-Yan Lei, Xin Wang, Jian-Bo Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1290310/full
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author Shuang-Yan Qiu
Xiao-Na Yin
Yanni Yang
Ting Li
Dali Lu
Jie-Min Li
Wei-Kang Yang
Guo-Ming Wen
Jing-Yu Zhang
Yan Zhang
Hai-Yan Lei
Xin Wang
Jian-Bo Wu
author_facet Shuang-Yan Qiu
Xiao-Na Yin
Yanni Yang
Ting Li
Dali Lu
Jie-Min Li
Wei-Kang Yang
Guo-Ming Wen
Jing-Yu Zhang
Yan Zhang
Hai-Yan Lei
Xin Wang
Jian-Bo Wu
author_sort Shuang-Yan Qiu
collection DOAJ
description BackgroundSleep problems in preschoolers are becoming increasingly prominent, and the association between sleep status and anxiety symptoms has attracted growing attention. However, studies investigating the relationship between bedtime and nighttime sleep duration in preschoolers and their anxiety symptoms remain scant. We used the large sample data from the Longhua Cohort Study of Children in Shenzhen, China (LCCS) to analyze the association between bedtime and sleep in preschoolers and their anxiety symptoms.MethodsA cross-sectional study of 69,138 preschoolers in Longhua District, Shenzhen, China was conducted in 2022. Data on sociodemographic characteristics of families, bedtime, nighttime sleep duration of preschoolers, and their anxiety symptoms (measured by the Spence Preschool Children Anxiety Scale) were collected through a structured questionnaire completed by the parents. Using binary logistic regression models, the relationship between bedtime, nighttime sleep duration, and childhood anxiety symptoms was examined.ResultsThe bedtimes of preschoolers were concentrated between 21:01–22:00 (52.41%). Among the preschoolers, 38.70% had bedtimes later than 22:00, and 75.49% had insufficient nighttime sleep duration. The positive screening rate for anxiety symptoms among preschoolers was 3.50%. After adjusting for confounding factors using binary logistic regression models, compared with preschoolers with bedtime ≤21:00, The OR (95%CI) values of anxiety in preschoolers with bedtime ≥23:01, 22:01–23:00 and 21:01–22:00 were 2.86 (2.21–3.69), 1.51 (1.27–1.79) and 1.48 (1.26–1.76), respectively. Compared with those with sufficient nighttime sleep duration, the OR (95%CI) of children with nighttime sleep duration less than 9 h was 1.36 (1.23–1.51).ConclusionAn association exists between bedtime and nighttime sleep duration in preschoolers and their anxiety symptoms. Preschoolers with 21:00 for bedtime and a nighttime sleep duration of 10 h may have lower anxiety symptoms. These findings support the importance of adequate sleep for preventing anxiety symptoms in children.
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spelling doaj.art-e806c49f84584cdd99a7bd821d7ca7f62024-01-17T04:39:59ZengFrontiers Media S.A.Frontiers in Psychology1664-10782024-01-011510.3389/fpsyg.2024.12903101290310Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in ChinaShuang-Yan Qiu0Xiao-Na Yin1Yanni Yang2Ting Li3Dali Lu4Jie-Min Li5Wei-Kang Yang6Guo-Ming Wen7Jing-Yu Zhang8Yan Zhang9Hai-Yan Lei10Xin Wang11Jian-Bo Wu12Shenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaXinhe Experimental School, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaKey Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, Institute for Brain Research and Rehabilitation, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, ChinaShenzhen Longhua Maternity and Child Healthcare Hospital, Shenzhen, ChinaBackgroundSleep problems in preschoolers are becoming increasingly prominent, and the association between sleep status and anxiety symptoms has attracted growing attention. However, studies investigating the relationship between bedtime and nighttime sleep duration in preschoolers and their anxiety symptoms remain scant. We used the large sample data from the Longhua Cohort Study of Children in Shenzhen, China (LCCS) to analyze the association between bedtime and sleep in preschoolers and their anxiety symptoms.MethodsA cross-sectional study of 69,138 preschoolers in Longhua District, Shenzhen, China was conducted in 2022. Data on sociodemographic characteristics of families, bedtime, nighttime sleep duration of preschoolers, and their anxiety symptoms (measured by the Spence Preschool Children Anxiety Scale) were collected through a structured questionnaire completed by the parents. Using binary logistic regression models, the relationship between bedtime, nighttime sleep duration, and childhood anxiety symptoms was examined.ResultsThe bedtimes of preschoolers were concentrated between 21:01–22:00 (52.41%). Among the preschoolers, 38.70% had bedtimes later than 22:00, and 75.49% had insufficient nighttime sleep duration. The positive screening rate for anxiety symptoms among preschoolers was 3.50%. After adjusting for confounding factors using binary logistic regression models, compared with preschoolers with bedtime ≤21:00, The OR (95%CI) values of anxiety in preschoolers with bedtime ≥23:01, 22:01–23:00 and 21:01–22:00 were 2.86 (2.21–3.69), 1.51 (1.27–1.79) and 1.48 (1.26–1.76), respectively. Compared with those with sufficient nighttime sleep duration, the OR (95%CI) of children with nighttime sleep duration less than 9 h was 1.36 (1.23–1.51).ConclusionAn association exists between bedtime and nighttime sleep duration in preschoolers and their anxiety symptoms. Preschoolers with 21:00 for bedtime and a nighttime sleep duration of 10 h may have lower anxiety symptoms. These findings support the importance of adequate sleep for preventing anxiety symptoms in children.https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1290310/fullbedtimenighttime sleep durationpreschoolersanxiety symptomsboundary
spellingShingle Shuang-Yan Qiu
Xiao-Na Yin
Yanni Yang
Ting Li
Dali Lu
Jie-Min Li
Wei-Kang Yang
Guo-Ming Wen
Jing-Yu Zhang
Yan Zhang
Hai-Yan Lei
Xin Wang
Jian-Bo Wu
Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China
Frontiers in Psychology
bedtime
nighttime sleep duration
preschoolers
anxiety symptoms
boundary
title Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China
title_full Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China
title_fullStr Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China
title_full_unstemmed Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China
title_short Relationship between bedtime, nighttime sleep duration, and anxiety symptoms in preschoolers in China
title_sort relationship between bedtime nighttime sleep duration and anxiety symptoms in preschoolers in china
topic bedtime
nighttime sleep duration
preschoolers
anxiety symptoms
boundary
url https://www.frontiersin.org/articles/10.3389/fpsyg.2024.1290310/full
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