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Correlation of sleep problems with emotional and behavioral problems among children with cerebral palsy
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Jiewen YANG1, Shaoyi HUANG2, Shan HUANG2, Haorong DENG1, Tao KANG3, Yajun CHEN*, 2
Chinese Journal of School Health | 2025, 46(2) : 181 - 185
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Chinese Journal of School Health | 2025, 46(2): 181-185
• Column on Physical and Mental Health of Children with Disabilities •
Correlation of sleep problems with emotional and behavioral problems among children with cerebral palsy
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Jiewen YANG1, Shaoyi HUANG2, Shan HUANG2, Haorong DENG1, Tao KANG3, Yajun CHEN*, 2
Affiliations
  • 1Guangzhou Social Welfare Institute, Guangzhou (510000), Guangdong Province, China
Published: 2025-02-25 doi: 10.16835/j.cnki.1000-9817.2025056
Outline
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Objective

To investigate the correlation of emotional and behavioral problems with sleep problems in children with cerebral palsy, so as to provide reference for intervention of emotional and behavioral problems in children.

Methods

A cross-sectional survey was conducted, and 402 children aged 6-18 with cerebral palsy who were adopted by social welfare institutions in Guangzhou City from January 2023 to January 2024 were selected to investigate their full-time nurses. The Parents' Strengths and Difficulties Questionnaire (SDQ) was used to assess the emotional and behavioral problems of children with cerebral palsy, and the Children's Sleep Habits Questionnaire (CSHQ) was used to assess sleep problems. Multiple linear regression analysis was used to analyze the correlation between the sleep problem of children with cerebral palsy and the emotional and behavioral problems.

Results

The prevalence of emotional and behavioral difficulties among children with cerebral palsy was 15.7%. The median sleep problem score of children with emotional and behavioral problems [37.0(36.0, 41.0)] was significantly higher than that of children without emotional and behavioral [35.0(34.0, 36.0)] (Z=-5.74, P < 0.01). The results of multiple linear regression analysis showed that after adjusting covariables such as age, gender, cerebral palsy classification, language retardation, visual impairment and epilepsy, the total sleep problem score of children with cerebral palsy was positively correlated with the total difficulty score (β=0.28, 95%CI=0.17-0.34, P < 0.05).

Conclusions

Sleep problems in children with cerebral palsy are associated with emotional and behavioral difficulties. Understanding of the management of sleep problems in children with cerebral palsy should be enhanced to reduce the incidence of emotional and behavioral problems in children with cerebral palsy.

Sleep  /  Emotions  /  Mental health  /  Regression analysis  /  Child  /  Cerebral palsy
杨杰文, 黄绍逸, 黄闪, 邓浩荣, 康涛, 陈亚军. 脑性瘫痪儿童睡眠问题与情绪行为问题的关联. 中国学校卫生, 2025 , 46 (2) : 181 -185 . DOI: 10.16835/j.cnki.1000-9817.2025056
Jiewen YANG, Shaoyi HUANG, Shan HUANG, Haorong DENG, Tao KANG, Yajun CHEN. Correlation of sleep problems with emotional and behavioral problems among children with cerebral palsy[J]. Chinese Journal of School Health, 2025 , 46 (2) : 181 -185 . DOI: 10.16835/j.cnki.1000-9817.2025056
Year 2025 volume 46 Issue 2
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1
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Article Info
doi: 10.16835/j.cnki.1000-9817.2025056
  • Receive Date:2024-05-24
  • Online Date:2026-11-06
  • Published:2025-02-25
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  • Received:2024-05-24
  • Revised:2024-07-21
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    1Guangzhou Social Welfare Institute, Guangzhou (510000), Guangdong Province, China
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小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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