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Objectives : The aim of this study was to investigate the sleep patterns of South Korean elementary school children and whether the differences in sleep patterns were related to behavior, emotional problems, attention and academic performance.

Method : This study included a community sample of 268 boys and girls from fourth-, fifth- and sixth-grade classes in a South Korean metropolitan city from November to December 2010. The primary caregivers completed a questionnaire that included information on demographic characteristics, as well as the Child’s Sleep Habit Questionnaire (CSHQ), the Korean version of Child Behavior Checklist (K-CBCL), the Korean version of the Learning Disability Evaluation Scale (K-LDES), the Korean version of ADHD Rating Scale (K-ARS) and the Disruptive Behavior Disorder Scale (DBDS). We conducted analyses on the CSHQ individual items, between the subscales, on the total scores and on the K-CBCL, the K-LEDS, the K-ARS and the DBDS.

Results : Based on the findings from the CHSQ, the subjects had significantly higher scores for bedtime resistance (9.18±2.17), delayed sleep onset (1.32±0.62), the sleep duration (4.19±1.52) and daytime sleepiness (14.10±3.55) than the scores from the previous reports on children from western countries. The total CHSQ score showed positive correlations to all subscales of the K-CBCL : withdrawn (r=0.24, p＜.005), somatic complaint (r=0.24, p＜.005) and anxious/depressive (r=0.38, p＜.005). Bedtime resistance was associated with oppositional defiant disorder (r=0.15, p＜.05) and a positive correlation was demonstrated between sleep anxiety and the oppositional defiant disorder score (r=0.13, p＜.05), night waking and the conduct disorder score (r=0.16, p＜.05). Delayed sleep onset was related with low performance on the K-LDES with respect to thinking (r=-0.17, p＜.05) and mathematical calculation (r=-0.17, p＜.05).

Conclusion : The results of this study reconfirm Korean children’s problematic sleep patterns. Taken together the results provide that the reduced sleep duration and disruption of sleep pattern can have a significant impact on emotion, behavior, performance of learning in children. Further studies concerning more diverse psychosocial factors affecting sleep pattern will be helpful to understanding of the sleep health in Korean children.

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참고문헌 (30건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Introduction 네이버 미소장
2 Sleep-disordered breathing and school performance in children. 네이버 미소장
3 Effects of sleep deprivation on performance: a meta-analysis. 네이버 미소장
4 Sleep disturbance and injury risk in young children. 네이버 미소장
5 Experimental restriction of sleep opportunity in children: effects on teacher ratings. 네이버 미소장
6 Regulation of Adolescent Sleep: Implications for Behavior 네이버 미소장
7 Sleep, Neurobehavioral Functioning, and Behavior Problems in School-Age Children 네이버 미소장
8 Age-related changes in sleep/wake patterns among Korean teenagers. 네이버 미소장
9 Cross-cultural differences in infant and toddler sleep 네이버 미소장
10 Mental health and extracurricular education in Korean first graders: a school-based cross-sectional study. 네이버 미소장
11 Sleep patterns and their age-related changes in elementary-school children 네이버 미소장
12 The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. 네이버 미소장
13 Differences between objective and subjective sleep measures in children with attention deficit hyperactivity disorder. 네이버 미소장
14 The effect of OROS methylphenidate on the sleep of children with attention-deficit/hyperactivity disorder. 네이버 미소장
15 Oh KJ, Lee HL. Empirically derived syndromes of Korean children and adolescents : analyses of child behavior checklist data from clinic refered boys aged 4-5, 6-11, and 12-16. Korean J Clin Psychol 1990;9:33-55. 미소장
16 Jeon SY, Shin MS, Cho SC, Kim BN. Diagnostic validity of the KABC and The K-LDES for children with learning disorder and learning problem. J Korean Acad Child Adolesc Psychiatry 2003; 14:209-217. 미소장
17 The Reliability and Validity of Korean Parent and Teacher ADHD Rating Scale 소장
18 Screening for Attention Deficit/Hyperactivity Disorder in Community Mental Health Services for Children 소장
19 Behavioral and Emotional Problems in Children with Nocturnal Enuresis : Results of a Multicenter Study 소장
20 “My child has a sleep problem”: A cross-cultural comparison of parental definitions 네이버 미소장
21 Clinical Analysis of Sleep Disorders in Korean Children 소장
22 The Prevalences of Anxiety and Depressive Disorders in Patients of Pediatric Sleep Disorders 소장
23 The association of psychosocial and familial factors with adolescent suicidal ideation: A population-based study 네이버 미소장
24 Physiology of sleep 소장
25 Characteristics of Sleep Disorders in Childhood and Adolescence 네이버 미소장
26 School performance and behavior of Korean elementary school students with sleep-disordered breathing. 네이버 미소장
27 Actigraphy and parental ratings of sleep in children with attention-deficit/hyperactivity disorder (ADHD). 네이버 미소장
28 Starting times of school: effects on daytime functioning of fifth-grade children in Israel. 네이버 미소장
29 Television-viewing habits and sleep disturbance in school children. 네이버 미소장
30 Hobson JA, Pace-Schott EF. The cognitive neuroscience of sleep: neuronal systems, consciousness and learning. Nat Rev Neurosci 2002;3:679-693. 미소장

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