TY  - JOUR
PY  - 2021//
TI  - Disturbed sleep in children born extremely preterm is associated with behavioural and emotional symptoms
JO  - Sleep Medicine
A1  - Trickett, Jayne
A1  - Bernardi, Marialivia
A1  - Fahy, Amanda
A1  - Lancaster, Rebecca
A1  - Larsen, Jennifer
A1  - Ni, Yanyan
A1  - Suonpera, Emmi
A1  - Wolke, Dieter
A1  - Marlow, Neil
A1  - Johnson, Samantha
SP  - 157
EP  - 165
VL  - 85
IS  - 
N2  - AIM: To determine whether children born extremely preterm are at increased risk for sleep disturbances and to explore relationships between extremely preterm birth, sleep and attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional symptoms. <br><br>METHOD: EPICure2 cohort study. Parents of 165 children born ≤26 weeks' gestation (53% male) and 121 children born at term (43% male) completed the Children's Sleep Habits Questionnaire, sleep disordered breathing subscale of the Pediatric Sleep Questionnaire, the emotional problems scale of the Strengths and Difficulties Questionnaire and the ADHD Rating Scale-5 at 11 years of age. <br><br>RESULTS: Extremely preterm children had greater habitual snoring (adjusted odds ratio 6.8; 95% confidence interval 2.3, 20.3), less frequently fell asleep within 20 minutes (Cohen's d 0.33), higher night wakings (d 0.44) and daytime sleepiness scores (d 0.40) than term-born children; there was no between-group difference in sleep duration scores. Among children without severe disability, night wakings scores partially mediated the relationship between preterm birth and inattention (additional 5% of variance explained), hyperactivity/impulsivity (13%) and emotional problems (9%). Snoring partially mediated the relationship between preterm birth, hyperactivity/impulsivity and inattention (additional 1-5% of variance). <br><br>CONCLUSION: Children born extremely preterm are at increased risk of disturbed sleep compared to term-born children. As night wakings partially mediated the relationship between preterm birth and ADHD symptoms and emotional problems, reducing sleep disturbance may improve sleep and reduce attention and emotional problems in this population.<p />  <p>Language: en</p>
LA  - en
SN  - 1389-9457
UR  - http://dx.doi.org/10.1016/j.sleep.2021.07.006
ID  - ref1
ER  -