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Sleep actigraphy pattern and behavioral/emotional difficulties in kindergarten children: Associations with hypothalamic-pituitary-adrenocortical (HPA) activity


Hatzinger, M; Perren, S; Stadelmann, S; Wyl, A; von Klitzing, K (2010). Sleep actigraphy pattern and behavioral/emotional difficulties in kindergarten children: Associations with hypothalamic-pituitary-adrenocortical (HPA) activity. Journal of Psychiatric Research, 44(4):253-261.

Abstract

Background: Various studies of adult endocrinology and sleep show close connections between poor sleep quality, deterioration of the HPA axis and negative psychological characteristics. However, the extent to which these associations may have already emerged and developed in childhood remains unclear. Methods: A total of 82 preschoolers (age 4.91 ± 0.48) underwent activity monitoring for seven consecu- tive days and nights, wearing a digital movement-measuring instrument. Additionally, on the first and on the last morning of sleep registration, the activity of the HPA axis was assessed via the amount of cortisol in the saliva. Psychological and behavioral assessments were also made. Results: Three sub-groups of good (22%), normal (58.5%) and poor (19.5%) sleepers were distinguished. Poor sleep patterns were associated with higher HPA activity and with behavioral/emotional difficulties. Conclusions: The interplay between unfavorable sleep patterns, deterioration of the HPA axis and behav- ioral/emotional difficulties is already apparent in pre-school children

Abstract

Background: Various studies of adult endocrinology and sleep show close connections between poor sleep quality, deterioration of the HPA axis and negative psychological characteristics. However, the extent to which these associations may have already emerged and developed in childhood remains unclear. Methods: A total of 82 preschoolers (age 4.91 ± 0.48) underwent activity monitoring for seven consecu- tive days and nights, wearing a digital movement-measuring instrument. Additionally, on the first and on the last morning of sleep registration, the activity of the HPA axis was assessed via the amount of cortisol in the saliva. Psychological and behavioral assessments were also made. Results: Three sub-groups of good (22%), normal (58.5%) and poor (19.5%) sleepers were distinguished. Poor sleep patterns were associated with higher HPA activity and with behavioral/emotional difficulties. Conclusions: The interplay between unfavorable sleep patterns, deterioration of the HPA axis and behav- ioral/emotional difficulties is already apparent in pre-school children

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Jacobs Center for Productive Youth Development
Dewey Decimal Classification:370 Education
Language:English
Date:2010
Deposited On:28 Jan 2011 10:28
Last Modified:05 Apr 2016 14:28
Publisher:Elsevier
ISSN:0022-3956
Publisher DOI:https://doi.org/10.1016/j.jpsychires.2009.08.012
PubMed ID:19762039

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