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Prevalence and Determinants of Bad Sleep Perception among Italian Children and Adolescents. | LitMetric

AI Article Synopsis

  • Sleep issues among young people are under-researched, especially regarding factors affecting their perception of sleep quality.
  • A study with over 1,400 participants revealed that 11.7% identified as "bad sleepers," with higher rates in adolescents (15.3%) than in children (8.3%).
  • Factors influencing sleep quality perception varied by age, with children primarily affected by mood and dreams, while adolescents were influenced by sleep interruptions and overall sufficiency of sleep.

Article Abstract

Although sleep problems at young ages are well investigated, the prevalence of bad sleepers and the determinants of sleep quality perception remain unexplored in these populations. For this purpose, we addressed these issues in a sample of children ( = 307), preadolescents ( = 717), and adolescents ( = 406) who completed the School Sleep Habits Survey, addressing sleep quality perception, sleep habits, sleep features, daytime behavior and sleep disturbances, circadian preference, and dreaming. The sample was split in "good sleepers" and "bad sleepers", based on the answer to the question item assessing overall subjective sleep quality. Being a bad sleeper was reported by 11.7% of the sample, with significant between-groups differences (children: 8.3%; preadolescents: 11.3%; adolescents: 15.3%; = 0.01). At all ages, relative to good sleepers, bad sleepers showed higher eveningness, sleepiness, and depression, longer sleep latency, more frequent insufficient sleep, nocturnal awakenings, sleep-wake behavioral problems, and unpleasant dreams (all 's ≤ 0.01). Sleep quality perception was predicted: in children, by depressed mood, eveningness, and unpleasant dreams (all 's ≤ 0.01); in preadolescents, by sleep latency, awakening frequency, depressed mood, sufficiency of sleep, and unpleasant dreams (all 's < 0.01); in adolescents, by awakening frequency, depressed mood, and sufficiency of sleep (all 's < 0.001). In children, bad subjective sleep quality appears to be mainly determined by daytime psychological features, for example, depressed mood, whereas at later ages, sleep characteristics, such as frequent awakenings, add to the former determinants. This could depend on (a) the appearance, with increasing age, of objective sleep modifications and (b) a greater attention paid by adolescents to their sleep characteristics.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7765082PMC
http://dx.doi.org/10.3390/ijerph17249363DOI Listing

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