• 아동학회지
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• 제38권3호
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• pp.33-48
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• 2017

Objective: This study examined the relationships among sleep problems, executive function and social behavior during the preschool period. In addition, the mediating role of executive function between sleep problems and social behavior was investigated. Methods: A total of 304 preschool children participated in this study. The data were collected through maternal reports. Results: First, preschoolers' sleep problems were found to be significantly related to overt aggression and prosocial behavior. Second, preschoolers with sleep problems displayed lower levels of executive function. Third, preschoolers' executive function was significantly associated with social behavior. Lastly, preschoolers' executive function fully mediated the relationship between sleep problems and overt aggression, and between sleep problems and prosocial behavior. That is, preschoolers' sleep problems had effects on overt aggression and prosocial behavior, only through the effects on executive function. Conclusion: This study contributes to the sleep literature by examining the role of executive function and emphasizes the importance of forming a healthy sleep habit during the preschool period.

• 수면정신생리
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• 제3권2호
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• pp.56-64
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• 1996

The sleeplessness in childhood is quite different from that in adulthood in terms of causes, developmental process, and treatment. Sleep behavior in childhood is strongly influenced by parental personality and familial and cultural background. In understanding and management of sleeplessness of children, it is especially important to understand the separation anxiety and the ways of its management in bedtime because bedtime routine with children one of separation process from parents. Co-sleeping, parental intervention, transional object and bedtime routines can be appeared in order to reduce the anxiety from bedtime separation. Causes of sleeplessness in infant and toddler are bad sleep-onset association, nocturnal drinking, colic, and food allergy. In preschool and school aged children, limit-setting sleep problem and fears and nightmare can be causes of sleeplessness. When good sleep environment and habits are established sound sleep and more mature personality can be developed.

• Human Ecology Research
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• 제61권1호
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• pp.1-13
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• 2023

Household chaos, represented by high levels of disorganization and instability in the home, has been linked with suboptimal outcomes for preschoolers. The aim of this study was to examine the roles that sleep problems and executive function play in the association between household chaos and preschoolers' aggression and prosocial behavior. The sample for the study consisted of 420 preschoolers and their mothers. The mothers provided reports on the level of chaos in the home and their preschoolers' sleep problems, executive function, and social behavior, including aggression and prosocial behavior. The data was analyzed using structural equation modeling. When preschoolers' sleep problems and executive function were included in the model as mediators, the results indicated that household chaos did not have direct effects on preschoolers' aggression and prosocial behavior. Such effects were instead serially mediated by preschoolers' sleep problems and executive function, respectively. The higher the degree of household chaos, the more preschoolers displayed sleep problems and deficits in executive function, resulting in more aggression and less prosocial behavior. The findings from this study emphasize the significance of reducing household chaos in order to reduce preschoolers' aggression and promote prosocial behavior. They also underscore the need to identify additional variables that mediate the impact of household chaos on preschoolers' social outcomes.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권1호
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• pp.9-16
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• 2019

Objectives: The purpose of this study was to analyze the discriminant validity and the clinical cut off scores of the Child Behavior Checklist 1.5-5 (CBCL 1.5-5) in the diagnosis of autism spectrum disorder (ASD) and non-ASD. Methods: In total, 104 ASD and 441 non-ASD infants were included in the study. T-test, discriminant analysis, receiver operating characteristic (ROC) curve analysis, and odds ratio analysis were performed on the data. Results: The discriminant validity was confirmed by mean differences and discriminant analysis on the subscales of Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, and Total problems, along with the Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales between the two groups. ROC analysis showed that the following subscales significantly separated ASD from normal infants: Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Moreover, the clinical cut off score criteria adopted in the Korean-CBCL 1.5-5 were shown to be valid for the subscales Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Conclusion: The subscales of Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems significantly discriminated infants with ASD.

• 한국보육지원학회지
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• 제14권1호
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• pp.109-128
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• 2018

Objective: This study examined the relationships among mothers' marital satisfaction, parenting behavior, and preschoolers' sleep problems. Methods: Three hundred mothers of preschoolers completed questionnaires on three research variables. Data were analyzed by correlation analyses and regression analyses. Results: First, mothers' marital satisfaction was negatively related to preschoolers' sleep problems. Second, mothers' marital satisfaction was positively associated with warmth and reasoning, while mothers' marital satisfaction was negatively associated with intrusiveness, coercion, and neglect. Third, mothers' warmth and reasoning were negatively linked to preschoolers' sleep problems, but mothers' coercion was positively linked to preschoolers' sleep problems. Lastly, mothers' warmth partially mediated the relationship between mothers' marital satisfaction and preschoolers' sleep problems. Conclusion/Implications: This study confirmed that mothers' marital satisfaction and parenting behavior had an influence on preschoolers' sleep problems. These findings highlight the importance of the family context for preschoolers' healthy sleeping habits.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권4호
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• pp.236-245
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• 2011

Objectives : The objective of this study was to evaluate the relationship of the parenting stress with their children's characteristics for typically developing preschool children. Methods : Parents of 38 preschool children (mean age : 4.4${\pm}$0.7 years, 22 boys) completed the Korean Parenting Stress Index, the Korean Child Behavior Checklist, the Conners Parent and Teacher Rating Scale-Abbreviated form (CPRS and CTRS), the Junior Temperament and Character Inventory, the Children's Sleep Habit Questionnaire and the Social Responsiveness Scale. All 38 children performed the Comprehensive Attention Test (CAT). Results : The children's inattentive and hyperactive problems, as measured by the CBCL, CPRS and CAT, had positive correlation with parenting stress. Both internalizing and externalizing behavioral problems were associated with parenting stress. Of the child's temperament dimensions, Novelty Seeking and Harm Avoidance were positively correlated with parenting stress, but Persistence and Cooperativeness were negatively correlated with parenting stress. Sleep anxiety and other sleep characteristics showed a correlation with parenting stress. Social Motivation and Communication were also positively related to parenting stress. Conclusion : Our results suggest that parenting stress could be related to the children's cognition, emotion, behavioral characteristics, sleep habits and social development. These results could assist in the development of interventions to improve the parental well-being in typically developing preschool children.

• 아동학회지
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• 제37권3호
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• pp.13-26
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• 2016

Objective: The purpose of this study was to investigate the relationship between sleep duration and school adjustment of elementary-, middle-, high-school youth and to verify the mediating effects of parenting behavior. Methods: We analyzed the data from Wave 4 of the first-grade panel of elementary school and Waves 1 and 4 of the first-grade panel of middle school in Korean Children and Youth Panel Survey (KCYPS), including 1,703 fourth graders, 2,119 seventh graders, and 2,108 tenth graders. Multiple regression was used for the data analyses. Results: The results of this study were as follows. First, longer sleep duration was associated with a higher level of school adjustment in fourth grade. In contrast, longer sleep duration was associated with a lower level of school adjustment in seventh and tenth grades. Second, longer sleep duration was related to a higher level of discipline through reasoning in fourth grade. However, longer sleep duration was related to a lower level of parental monitoring in seventh and tenth grades. Third, the relationship between sleep duration and school adjustment was mediated by parenting behavior. Discipline through reasoning had a mediating effect in fourth grade, but the mediating effect of parental monitoring was found in seventh and tenth grades. Conclusion: These results suggest a differentiated approach on sleep duration in accordance with developmental stage and the need for parent education.

• Child Health Nursing Research
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• 제7권2호
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• pp.149-160
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• 2001

The purpose of this study was to explore the health and illness concepts of hospitalized children. The subjects were 129 hospitalized children from 3 to 12 years old in one general hospital. Data were collected through semistructured interviews by authors. This study was conducted from Jun. 1, 2000 to Dec. 31, 2000. Data were coded and categorized by content analysis. The results were as follows : 1. Perceived health concept were physical well-being, food, exercise, powerfulness, emotional stability, obeidence, cleanliness, sleep and ability of social adaptation. 2. Perceived health behavior to maintain health were food, treatment, exercise, cleanliness, obeidence, sleep, emotional stability, power-fulness and psychological stability, physical well-being. 3. Perceived prevention of illness were food, cleanliness, treatment, exercise, obedience, sleep, powerfulness, psychological stability, emotional stability, recreation and ability of social adaptation. 4. Perceived causes of illness were illness, trauma and food. 5. Perceived treatment of illness were treatment, sleep, rest, food, obedience, emotional stability, psychological stability, cleanliness, exercise and powerfulness.

• 부모자녀건강학회지
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• 제20권1호
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• pp.1-9
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• 2017

Purpose: This study aimed to investigate problem behavior and its related factors in school-aged children. Methods: A descriptive correlational study was conducted with 221 mothers of children at 1st to 6th grades. Data were collected from March to April, 2015 using self-report structured questionnaires. Questionnaires included characteristics of subjects, Korean Child Behavior Checklist for measuring problem behavior and Children's Sleep Habits Questionnaire for assessing sleeping habits. Collected data were analyzed by independent t-test, $x^2$ test, and multiple logistic regression. Results: In logistic regression analysis, having any maternal job (aOR=2.8, 95% CI=1.1~6.9) and higher daytime sleepiness (aOR=2.9, 95% CI=1.2~7.4) were statistically significant contributors of internal problems. Higher bedtime resistance (aOR=2.2, 95% CI=1.0~4.9) and higher daytime sleepiness (aOR=2.8, 95% CI=1.2~6.3) were statistically significant contributors of external problems. Higher bedtime resistance (aOR=4.3, 95% CI=1.5~12.4) was statistically significant contributors of total problem behavior. Conclusion: School-aged children with sleeping problem are at risk for problem behavior. More attention is need to consider sleeping habits for supporting behavioral improvement in school-aged children.

• Child Health Nursing Research
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• 제30권2호
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• pp.77-86
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• 2024

Purpose: This study examined the combined effects of sugar-sweetened beverage (SSB) consumption, screen-based sedentary behaviors, and sleep duration on adolescent obesity. Methods: It followed a cross-sectional study design and conducted secondary analysis on data from 20,497 high school students who participated in the 17th (2021) Korea Youth Risk Behavior Web-based Survey. This study underwent logistic regression analysis in complex sampling analysis. Results: The combinations of low and medium consumption of SSBs, excessive screen-based sedentary behaviors, and short sleep durations were associated with a 1.18 and 1.12 fold increased likelihood of obesity (95% confidence interval [CI]=1.03-1.35) and (95% CI=1.02-1.22), respectively. The combination of high SSB consumption, appropriate screen-based sedentary behaviors, and short sleep duration (adjusted odds ratio [aOR]=1.15, 95% CI=1.01-1.31) and high SSB consumption, excessive screen-based sedentary behaviors, and short sleep duration (aOR=1.40, 95% CI=1.16-1.69) were associated with obesity. Conclusion: Integrated and tailored programs considering combination patterns of SSB consumption, screen-based sedentary behaviors, and short sleep duration need to be developed for preventing adolescent obesity.