Hábitos de Sono e Relação com Indicadores de Saúde Mental na Infância

Conteúdo do artigo principal

Thaísa Gios
Tatiana Pontrelli Mecca
Juliana Akemi
Lucas Eji Kataoka
Rosane Lowenthal

Resumo

Este estudo investigou a relação entre hábitos de sono e indicadores de saúde mental na infância relatados por cuidadores, além de buscar evidências de validade e precisão da adaptação para o Brasil do Children’s Sleep Habits Questionnaire (CSHQ). Participaram 60 crianças, entre 4 e 10 anos, de uma escola pública da região central de São Paulo, em 2019. A média geral no CSHQ-BR foi 49,08. Não houve diferenças de sexo nos escores do CSHQ e do Strengths and Difficulties Questionnaire (SDQ). Houve correlações positivas e significativas entre o CSHQ e o SDQ, especificamente entre dificuldades, parassonias e distúrbios respiratórios do sono com problemas emocionais e hiperatividade. Hábitos de sono explicaram 23% da variância no SDQ. O coeficiente alfa de Cronbach do CSHQ-BR foi 0,75, indicando consistência interna adequada. Esses achados apontam evidências de validade e precisão do CSHQ-BR. Hábitos de sono estão associados a indicadores de problemas emocionais e comportamentais.

Downloads

Não há dados estatísticos.

Detalhes do artigo

Seção
Artigos

Referências

Associação Brasileira de Empresas de Pesquisa (ABEP). (2019). Critério de Classificação Econômica Brasil. http://www.abep.org/criterio-brasil

Barbisan, B., & Bueno, C. (2019). Sono normal na criança: A evolução do sono nas diversas idades. In B. Barbisan., C. Santos & E. Motta. (Orgs.), Medicina do Sono (pp. 3–24). Atheneu.

Borsa, J. C., Damasio, B. F., & Bandeira, D. R. (2012). Cross-cultural adaptation and validation of psychological instruments: Some considerations. Paidéia, 22(53), 423–432. https://doi.org/10.1590/S0103-863X2012000300014

Crabtree, V., Korhonen, J., Montgomery-Downs, H., Jones, V., O’Brien, L., & Gozal, D. (2005). Cultural influences on the bedtime behaviors of young children. Sleep Medicine, 6(4), 319–324. https://doi.org/10.1016/j.sleep.2005.02.001

Cruz, L., Vizcaino, V. M., Bueno, C. A., Palencia, N. A., Lopez, M. S., & Pacheco, B. N. (2016). Reability and validity of the Spanish version of the Children’s Sleep Habits Questionnaire in school-age children. Child: Care, Health and Development, 42(6), 675–682. https://doi.org/10.1111/cch.12357

Damiani, J., Sweet, B., & Sohoni, P. (2014). Melatonin: An option for managing sleep disorders in children with autism spectrum disorder. American Journal of Health-System Pharmacy, 71(2), 95–101. https://doi.org/10.2146/ajhp130215

Gios, T. S. (2020). Tradução e Adaptação Cultural para a Língua Portuguesa do Brasil do Questionário de Hábitos de Sono em Crianças (CSHQ-BR). [Unpublished Master’s Dissertation]. Faculdade de Ciências Médicas da Santa Casa de São Paulo.

Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x

Hoge, E., Bickham, D., & Cantor, J. (2017). Digital media, anxiety, and depression in children. Pediatrics, 140(2), S76–S80. https://doi.org/10.1542/peds.2016-1758G

Li, S., Jin, X., Yan, C., Wu, S., Jiang, F., & Shen, X. (2008). Bed- and room-sharing in Chinese school-aged children: Prevalence and association with sleep behaviors. Sleep medicine, 9(5), 555–563. https://doi.org/10.1016/j.sleep.2007.07.008

Lianqi, L., Chaojuan M., Ruzhan, W., Chunni, G., & Xianchen, L. (2004). Sleep problems and related factors of elementary school students. Chinese Mental Health Journal, 18(9), 52–69. http://en.cnki.com.cn/Article_en/CJFDTotal-ZKLS201207026.html

Liu, X., Liu, L., & Wang, R. (2003). Bed sharing sleep habits, and sleep problems among Chinese schoolaged children. Sleep, 26(7), 839–844. https://doi.org/10.1093/sleep/26.7.839

Liu, Z., Wang, G., Tang, H., Wen, F., & Li, N. (2014). Reliability and validity of the children’s sleep habits questionnaire in preschool-aged Chinese children. Sleep and Biological Rhythms, 12(3), 187–193. https://doi.org/10.1111/sbr.2014.12.issue-3

Liu, Y., Zhang, J., Li, S. X., Chan, N. Y., Yu, M. W. M., Lam, S. P., & Wing, Y. K. (2019). Excessive daytime sleepiness among children and adolescents: Prevalence, correlates, and pubertal effects. Sleep Medicine, 53, 1–8. https://doi.org/10.1016/j.sleep.2018.08.028

Loekmanwidjaja, J., Carneiro, A. C. F., Nishinaka, M. L. T., Munhoes, D. A., Benezoli, G., Wandalsen, G. F., & Solé, D. (2018). Distúrbios do sono em crianças com rinite alérgica persistente moderada-grave. Brazilian Journal of Otorhinolaryngology, 84(2), 178–184. https://doi.org/10.1016/j.bjorl.2017.01.008

Miano, S., Parisi, P., & Villa, M.P. (2012). The sleep phenotypes of attention deficit hyperactivity disorder: The role of arousal during sleep and implications for treatment. Med Hypotheses, 79(2), 147–153. https://doi.org/10.1016/j.mehy.2012.04.020

Moore, M., Evans, V., Hanvey, G., & Johnson, C. (2017). Assesment of sleep in children with autism spectrum disorder. Children, 4(8), 72. https://doi.org/10.3390/children4080072

Nelson, T. D., Kidwell, K. M., Hankey, M., Nelson, J. M., & Espy, K. A. (2018). Preschool executive control and sleep problems in early adolescence. Behavioral Sleep Medicine, 16(5), 494–503. https://doi.org/10.1080/15402002.2016.1228650

Neves, G., Macedo P., & Gomes M. (2017). Transtornos do Sono: Atualização. Revista Brasileira de Neurologia, 53(3), 19–30. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-876873

Nunes, M. L., & Bruni, O. (2015). Insomnia in childhood and adolescence: Clinical aspects, diagnosis and therapeutic approach. Jornal de Pediatria, 91(6), 26–35. https://doi.org/10.1016/j.jped.2015.08.006

Owens, J. A., Spirito, A., & McGuinn, M. (2000). The Children’s Sleep Habits Questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 15;23(8), 1043–1051. https://doi.org/10.1037/t33022-000

Owens, J. A., & Mindell, J. A. (2011). Pediatric Insomnia. Pediatric Clinics of North America, 58(3), 555–569. https://doi.org/10.1016/j.pcl.2011.03.011

Paavonen, E. J., Räikkönen, K., Lahti, J., Komsi, N., Heinonen, K., Pesonen, A. K., Jarvenpaa, A., Strandberg, T., Kajantie, E., & Porkka-Heiskanen, T. (2009). Short sleep duration and behavioral symptoms of attention- deficit/hyperactivity disorder in healthy 7-to 8-year-old children. Pediatrics, 123(5), e857–e864. https://doi.org/10.1542/peds.2008-2164

Saur, A. M., & Loureiro, S. R. (2012). Qualidades psicométricas do Questionário de Capacidades e Dificuldades: Revisão da literatura. Estudos de Psicologia (Campinas), 29(4), 619–629. https://doi.org/10.1590/S0103-166X2012000400016

Schlarb, A. A., Jaeger, S., Schneider, S., In-Albon, T., & Hautzinger, M. (2016). Sleep problems and separation anxiety in preschool-aged children: A path analysis. Journal of Child and Family Studies, 25(3), 902–910. https://doi.org/10.1007/s10826-015-0262-z

Schlarb, A. A., Schwerdtle, B., & Hautzinger, M. (2010). Validation and psychometric properties of the German version of the Children’s Sleep Habits Questionnaire. Somnologie. Schiafforschung und Schlafmedizin, 14, 260–266. https://doi.org/10.1007/s11818-010-0495-4

Silva, T. B., Osório, F. L., & Loureiro, S. R. (2015). SDQ: Discriminative validity and diagnostic potential. Frontiers in Psychology, 6, 811. https://doi.org/10.3389/fpsyg.2015.00811

Silva, F. G., Silva, C. R., Braga, L. B., & Neto, A. S. (2014). Portuguese Children’s Sleep Habits Questionnaire: Validation and cross-cultural comparison. Jornal de Pediatria, 90(1), 78−84. http://dx.doi.org/10.1016/j.jped.2013.06.009

Tso, W., Rao, N., Jiang, F., Li, A. M., Lee, S. L., Li, S., Ip, P., & Ho, F. K. (2016). Sleep duration and school readiness of Chinese preschool children. The Journal of Pediatrics, 169(11), 266–271. https://doi.org/10.1016/j.jpeds.2015.10.064

Tzchishinsky, O., Lufi, D., & Shochat, T. (2008). Reliability of the Children’s Sleep Habits Questionnaire Hebrew Translation and Cross Cultural Comparison of the Psychometric Properties. Sleep Diagnosis and Therapy, 3(3). https://sleepdt.com/reliability-of-the-childrens-sleep-habits-questionnaire-hebrew-translation-and-cross-cultural-comparison-of-the-psychometric-properties/

Urrutia-Pereira, M., Solé, D., Neto, H. C., Acosta, V., Cepeda, A. M., Álvarez-Castelló, M., Almendarez, J., Lozano-Saenz, J. C., Sisul-Alvariza, N. A., Rosario, A. J., Castillo, M., Valentin-Rostan, H., Badellino, R. L., Castro-Almarales, M., González-León, C., Sanchez-Silot, M. M., Avalos, C., Fernandez, F., Berroa, M. M., De la Cruz, R. O. S., & Sarni, R. S. (2017). Sleep disorders in Latin-American children with asthma and/or allergic rhinitis and normal controls. Allergologia et immunopathologia, 45(2), 145–151. https://doi.org/10.1016/j.aller.2016.05.005

Vaughn, B. E., Elmorestaton, L., Shin, N., & Elsheikh, M. (2015). Sleep as a support for social competence, peer relations, and cognitive functioning in preschool children. Behavioral Sleep Medicine, 13(2), 92–106. https://doi.org/10.1080/15402002.2013.845778

Waumans, R. C., Terwee, C. B., Van den Berg, G., Knol, D. L., Van Litsenburg, R. R. L., & Gemke, R. J. (2010). Sleep and Sleep Disturbance in Children: Reliability and Validity of the Dutch Version of the Child Sleep Habits Questionnaire. Sleep, 33(6), 841–845. https://doi.org/10.1093/sleep/33.6.841

Whalen, D. J., Gilbert, K. E., Barch, D. M., Luby, J. L., & Belden, A. C. (2016). Variation in common preschool sleep problems as an early predictor for depression and anxiety symptom severity across time. Journal of Child Psychology & Psychiatry, 58(2), 151–159. https://doi.org/10.1111/jcpp.12639

Wang, G., Takahashi, M., Wu, R., Liu, Z., Adachi, M., Saito, M., Nakamura, K., & Jiang, F. (2020). Association between Sleep Disturbances and Emotional/Behavioral Problems in Chinese and Japanese Preschoolers. Behavioral Sleep Medicine, 18(3), 420–431. https://doi.org/10.1080/15402002.2019.1605995

Wu, X., Tao, S., Rutayisire, E., Chen, Y., Huang, K., & Tao, F. (2016). The relationship between screen time, nighttime sleep duration, and behavioural problems in preschool children in China. European Child & Adolescent Psychiatry, 26(5), 541–548. https://doi.org/10.1007/s00787-016-0912-8

Xie, Z., Chen, F., Li, W., Geng, X., Li, C., Meng, X., Feng, Y., Liu, W., & Yu, F. (2017). A review of sleep disorders and melatonin. Neurological Research, 39(6), 559–565. https://doi.org/10.1080/01616412.2017.1315864