Is sleepiness associated with anxiety symptoms in schoolchildren aged 9 to 11 years?
DOI:
https://doi.org/10.33448/rsd-v10i8.17148Keywords:
Sleep; Emotions; Anxiety; Child.Abstract
Childhood sleep-related problems can predict later emotional and behavioral disturbances, such as anxiety. Thus, this study aimed to investigate the relationship between sleepiness and anxiety symptoms throughout the semester in schoolchildren aged 9 to 11 years old. Children enrolled in a public school, located in Vitória de Santo Antão, Pernambuco, Brazil, of both genders, without sleep disorders, physical disabilities or cognitive disorders (n = 88) were evaluated. The State-Trait Anxiety Inventory was used to analyze mood. Subjective sleep assessment was performed using the Epworth Sleepiness Scale and the Horne & Ostberg Morningness and Eveningness Questionnaire (MEQ-HO). The questionnaires were applied in the morning at the beginning (P1) and at the end (P2) of the school semester, with the exception of the MEQ-HO. The correlation between sleepiness and state of anxiety in period 1 (r=0.16; p=0.21) was insufficient, as well as in period 2 (r=0.34; p=0.01). There was a low correlation between sleepiness and anxiety traits in period 1, while the correlation was moderate in period 2 (r=0.48; p<0.001). The correlation between sleepiness and the trait and state of anxiety presented a low to moderate correlation in the positive and negative aspects of anxiety. The data reveal that the evaluated students present abnormal daytime sleepiness at the end of the school semester and such alterations can worsen the anxiety trait in the evaluated children.
References
Alfonsi, V., Palmizio, R., Rubino, A., Scarpelli, S., Gorgoni, M., D'Atri, A., Pazzaglia, M., Ferrara, M., Giuliano, S., & De Gennaro, L. (2020). The Association Between School Start Time and Sleep Duration, Sustained Attention, and Academic Performance. Nature and science of sleep, 12, 1161–1172.
AlmondeS, K. M., & Araújo, J. F. (2003). Padrão do ciclo sono- vigília e sua relação com a ansiedade em estudantes universitários. Estudos de Psicologia, 8(1), 37-43.
Andrade, L., Gorenstein, C., Vieira Filho, A. H., Tung, T.C., & Artes, R. (2001). Psychometric properties of the Portuguese version of the State-Trait Anxiety Inventory applied to college students: factor analysis and relation to the Beck Depression Inventory. Brazilian Journal of Medical and Biological Research, 34(3), 367-374.
Benedito-Silva, A. A., Menna-Barreto, L., Marques, N., & Tenreiro, S. (1990). A self-assessment questionnaire for the determination of morningness-eveningness types in Brazil. Progress in Clinical and Biological Research, 341B, 89-98.
Bertolazi, A. N., Fagondes, S. C., Hoff, L. S., Dartora, E. G., Miozzo, I. C., de Barba, M. E., & Barreto, S. S. (2011). Validation of the Brazilian Portuguese version of the Pittsburgh sleep quality index. Sleep Medicine, 12(1), 70-75.
Bueno, C., & Wey, D. (2018). Gênese e ontogênese do ritmo de sono/vigília em humanos. Revista da Biologia, 9(3), 62-67.
Callear, A., Harvey, S. T., Bimler, D., & Catto, N. (2018). Profiling children's emotion regulation behaviours. British Journal of Developmental Psychology, 36 (4), 540-556.
Campos, T. F., Pinheiro, C. D., Diógenes, F. P., Barroso, M. T., & Dantas, A. A. (2011). Chronotype and implications for its use in physical therapy in patients with stroke. Fisioterapia e Pesquisa, 18 (3), 258-263.
Eid, B., Bou, S. M., Melki, I., Torbey, P., Najem J., Saber, M., El, O. N., & Rabbaa, K. L. (2020). Evaluation of Chronotype Among Children and Associations With BMI, Sleep, Anxiety, and Depression. Frontiers in Neurology, 11, 416.
Fallone, G.; Owens, J. A.; & Deane, J. (2002). Sleepiness in children and adolescents: clinical implications. Sleep medicine reviews, 6(4), 287-306.
Ferriolli, S. H. T., Marturano, E. M., & Puntel, L. P. (2007). Contexto familiar e problemas de saúde mental infantil no Programa Saúde da Família. Revista de Saúde Pública, 41, 251-259.
Fioravanti, A. C. M., Santos, L. F., Maissonette, S., Cruz, A. P. M., & Landeira-Fernandez, J. (2006). Avaliação da estrutura fatorial da Escala de Ansiedade-Traço do IDATE. Avaliação Psicológica, 5(2), 217-224.
Fusz, K., Ritecz, B., Balogh, B., Takács, K., Somlai, E., Raposa, L. B., & Oláh, A. (2019). Sleep habits among preschool-and schoolchildren. Ideggyogyaszati szemle, 72(7-8), 264-272.
Gondim, S. M. G., Pereira, C.R., Hirschle, A.L.T., Palma, E. M. S., Alberton, G. D., Paranhos, J., Santana, V., Ribeiro, W. R. B. (2015). Evidências de Validação de uma Medida de Características Pessoais de Regulação das Emoções. Psicologia: Reflexão e Crítica, 28(4), 659-667.
Gustafsson, M. L., Laaksonen, C., Aromaa, M., Asanti, R., Heinonen, O. J., Koski, P., Koivusilta, L., Löyttyniemi, E., Suominen, S., & Salanterä, S. (2016). Association between amount of sleep, daytime sleepiness and health-related quality of life in schoolchildren. Journal of advanced nursing, 72(6), 1263–1272.
Halal, C. S., & Nunes, M. L. (2014). Education in children's sleep hygiene: which approaches are effective? A systematic review. Jornal de pediatria, 90(5), 449–456.
Heins, E., Seitz, C., Schüz, J., Toschke, A. M., Harth, K., Letzel, S., & Böhler E. (2007). Bedtime, television and computer habits of primary school children in Germany. Gesundheitswesen, 69(3),151-7.
Horne, J. A & Stberg, O. (1976). A self-assessement questionnaire to determine morningness-eveningness in human circadian rhythms. Int. J. Chronobiol, 4(2), 97–110.
Iwadare, Y., Kamei, Y., Usami, M., Ushijima, H., Tanaka, T., Watanabe, K., Kodaira, M., & Saito, K. (2015). Behavioral symptoms and sleep problems in children with anxiety disorder. Pediatrics International, 57 (4), 690-3.
Jackson, M. L., Croft, R. J., Kennedy, G. A., Owens, K., & Howard, M. E. (2013). Cognitive components of simulated driving performance: Sleep loss effects and predictors. Accid Anal Prev, 50, 438-44.
Ji, Y., Li, M., Zhang, X., Peng, Y., & Wen, F. (2018). Poor Sleep Quality Is the Risk Factor for Central Serous Chorioretinopathy. Journal of ophthalmology, 2018, 9450297.
Johns, M. W.(1991). A new method for measuring daytime sleepiness: The Epworth Sleepiness Scale. Sleep, 14, 540-545.
Kim, J. H., & Duffy, J. F. (2018). Circadian rhythm sleep-wake disorders in older adults. Sleep Medicine Clinics, 13(1), 39-50.
Kirwan, M., Pickett, S. M., & Jarrett, N. L. (2017). Emotion regulation as a moderator between anxiety symptoms and insomnia symptom severity. Psychiatry Research, 254, 40-47.
Oliveira, W. P. P. D. (2018). Educação Física Escolar: Desenvolvimento Motor, Socialização E Prevenção.
Macchitella, L., Marinelli, C. V., Signore, F., Ciavolino, E., & Angelelli, P. (2020). Sleepiness, Neuropsychological Skills, and Scholastic Learning in Children. Brain Sciences, 10(8), 529.
Martins T, Gomes CRG. (2010) Cronobiologia dos indivíduos em situação de trabalho. Revista Saúde e Pesquisa, 3 (3): 309-314.
Matricciani, L., Paquet, C., Galland, B., Short, M., & Olds, T. (2019). Children's sleep and health: A meta-review. Sleep medicine reviews, 46, 136–150. https://doi.org/10.1016/j.smrv.2019.04.011.
Matthews, K. A., & Pantesco, E. J. (2016). Sleep characteristics and cardiovascular risk in children and adolescents: an enumerative review. Sleep medicine, 18, 36-49.
Menna-Barreto, Luiz, & Marques, Nelson. (2002). O tempo dentro da vida, além da vida dentro do tempo. Ciência e Cultura, 54 (2), 44-46.
McMakin, D. L., & Alfano, C. A. (2015). Sleep and anxiety in late childhood and early adolescence. Current Opinion in Psychiatry, 28(6), 483.
Moreira, G. A., & Pradella-Hallinan, M. (2017). Sleepiness in Children: An Update. Sleep medicine clinics, 12(3), 407–413. https://doi.org/10.1016/j.jsmc.2017.03.013
Moro, J., Santos, P., Giacomin, A., Cardoso M., & Bolan, M. (2021). Associação entre problemas para dormir e condições orais em escolares. Rev. paul. Pediatr., 39, e2019342.
O'Brien, L. M., Ivanenko, A., Crabtree, V. M., Holbrook, C. R., Bruner, J. L., Klaus, C. J., & Gozal D. (2003). Sleep disturbances in children with attention deficit hyperactivity disorder. Pediatric Research, 54(2), 237-243.
Owens, J., & Mindell, J. A. (2011). Sleep in children and adolescents, an issue of pediatric clinics-E-Book. Elsevier Health Sciences.
Silva, R. C. F. D. (2020). Hábitos de sono e de atividade física e desportiva das crianças do 1º ciclo do ensino básico de Évora (Master's thesis, Universidade de Évora).
Silva, F. G., Silva, C. R., Braga, L. B., & Neto, A. S. (2013). Hábitos e problemas do sono dos dois aos dez anos: estudo populacional. Acta Pediatr Port, 44(5), 196-202.
Paavonen, E. J., Räikkönen, K., Pesonen, A. K., Lahti, J., Komsi, N., Heinonen, K., & Porkka-Heiskanen, T. (2010). Sleep quality and cognitive performance in 8-year-old children. Sleep medicine, 11(4), 386-392.
Palmer, C. A., & Alfano, C. A. (2017). Sleep and emotion regulation: An organizing, integrative review. Sleep medicine reviews, 31, 6–16. https://doi.org/10.1016/j.smrv.2015.12.006.
Pavlova, M. (2017). Circadian rhythm sleep-wake disorders. Continuum: Lifelong Learning in Neurology, 23(4), 1051-1063.
Queiroz, A. M., Carvalho, A. B., Censi LL, Cardoso CL, Leite-Panissi CR, da Silva RA, de Carvalho FK, Nelson-Filho P, da Silva LA. (2015). Stress and anxiety in children after the use of computerized dental anesthesia. Brazilian Dental Journal, 26 (3), 303-7.
Reid, K. J., Baron, K. G., Lu, B., Naylor, E., Wolfe, L., & Zee, P. C. (2010). Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep medicine, 11(9), 934–940.
Reyes, A. N., Molina, M. L., Jansen, K., De Lima Bach, S., Do Amaral, P. L., Spessato, B. C., & Silva, R. (2019). Biological rhythm and emotional and behavioral problems among schoolchildren in Southern Brazil. Chronobiology international, 36(3), 353–359. https://doi.org/10.1080/07420528.2018.1545781.
Saunders, T. J., Gray, C. E., Poitras, V. J., Chaput, J. P., Janssen, I., Katzmarzyk, P. T., Olds, T., Connor Gorber, S., Kho, M. E., Sampson, M., Tremblay, M. S., & Carson, V. (2016). Combinations of physical activity, sedentary behaviour and sleep: relationships with health indicators in school-aged children and youth. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 41(6 Suppl 3), S283–S293.
Taylor, B. J., & Hasler, B. P. (2018). Chronotype and mental health: recent advances. Current Psychiatry Reports, 20(8): 1-10, 2018.
Touitou, Y., Reinberg, A., & Touitou, D. (2017). Association between light at night, melatonin secretion, sleep deprivation, and the internal clock: Health impacts and mechanisms of circadian disruption. Life sciences, 173, 94-106.
Touitou, Y., Touitou, D., & Reinberg, A. (2016). Disruption of adolescents’ circadian clock: The vicious circle of media use, exposure to light at night, sleep loss and risk behaviors. Journal of Physiology, 110(4), 467-479.
Xiao, Q., Chaput, J. P., Olds, T., Fogelholm, M., Hu, G., Lambert, E. V., Maher, C., Maia, J., Onywera, V., Sarmiento, O. L., Standage, M., Tremblay, M. S., Tudor-Locke, C., Katzmarzyk, P. T., & ISCOLE Research Group (2020). Sleep characteristics and health-related quality of life in 9- to 11-year-old children from 12 countries. Sleep health, 6(1), 4–14. https://doi.org/10.1016/j.sleh.2019.09.006.
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Copyright (c) 2021 Flávio Henrique de Santana ; Lívia Maria de Lima Leôncio ; Clécia Gabriela Bezerra; Gilberto Ramos Vieira; Letycia dos Santos Neves; Marina Souza Barbosa de Mattos; Nataly Ferreira dos Santos; Mírian Celly Medeiros Miranda David; Rhowena Jane Barbosa de Matos
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