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Open AccessArticle

Sleep Difficulties in Preschoolers with Psychiatric Diagnoses

1
Department of psychology, Université de Montréal, Pavillon Marie-Victorin, C. P. 6128, succursale Centre-ville, Montréal, QC H3C 3J7, Canada
2
Hôpital en santé mentale Rivière-des-Prairies, CIUSSS du Nord-de-l’Ile-de-Montréal, 7070 Boulevard Perras, Montréal, QC H1E 1A4, Canada
3
Department of Psychology, Université du Québec à Trois-Rivières, 3351 Boulevard des Forges, Trois-Rivières, QC G8Z 4M3, Canada
4
Department of Educational and Counselling Psychology, McGill University, Education Building, Room 614, 3700 McTavish Street, Montréal, QC H3A 1Y2, Canada
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(22), 4485; https://doi.org/10.3390/ijerph16224485
Received: 13 September 2019 / Revised: 6 November 2019 / Accepted: 8 November 2019 / Published: 14 November 2019
(This article belongs to the Special Issue Sleep and Wellbeing)
Background: Sleep problems among preschoolers are highly prevalent. Given the impact of poor sleep quality on development, this relationship is particularly relevant in vulnerable populations but is less documented. This study aims to document parental perception of sleep problems in preschoolers assessed in a psychiatric clinic, as a function of diagnosis type. Methods: Children (14–71 months, n = 228) were evaluated by a psychiatrist, and diagnoses were pooled into four categories: behavioral disorders, relational disorders/psychosocial problems, developmental coordination disorder (DCD), and communication disorders. Sleep problems were measured using the Child Behavior Checklist (CBCL). Results: In this clinical sample of preschoolers, 21.6% of children were identified as having a sleep problem by their parents. Behavioral disorders and communication disorders were associated with increased parental report of sleep problems (respectively, trouble falling asleep and nighttime awakenings), while DCD was associated with lower parental report of sleep problems (fewer nighttime awakenings and less difficulty falling asleep) (p < 0.05). Relational disorders were not associated with parental reports of sleep difficulties (p > 0.05). Moreover, some psychiatric categories were associated with specific sleep symptoms (such as difficulty falling asleep and night awakenings). Conclusion: Parents of preschoolers with behavioral disorders and communication disorders are more likely to report sleep problems in their children than parents of preschoolers with DCD and relational disorders. Since different categories of psychiatric disorders are associated with specific types of sleep complaints, screening, and treatment should be adapted accordingly. View Full-Text
Keywords: sleep problems; preschoolers; psychiatric disorders; child psychiatry sleep problems; preschoolers; psychiatric disorders; child psychiatry
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Chénier-Leduc, G.; Béliveau, M.-J.; Dubois-Comtois, K.; Butler, B.; Berthiaume, C.; Pennestri, M.-H. Sleep Difficulties in Preschoolers with Psychiatric Diagnoses. Int. J. Environ. Res. Public Health 2019, 16, 4485.

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