Main Article Content
Abstract
Background: A quarter of child population experiences sleep problems in their first three years of life. Inadequacy and problems of sleep for children may be caused by various causes that impact their mental health, emotional states, physical states, and immune systems. This also may culminate to behavioural problems.
Objective: The aim of this study is to identify the prevalence of sleep problems in 0–36 months old Indonesian children.
Methods: A cross-sectional study was conducted in Tulungagung, East Java, Indonesia. Children aged 0–36 months old were enrolled by using a quota sampling. Brief Infant Sleep Questionnaire (BISQ) was used in this study to assess the sleep problems. All obtained data were presented as a distribution and percentage of each variable referring to the BISQ indicators.
Results: A total of 493 children were enrolled in this study. This study found that there were 153 children (31%) who had experienced sleep problems, 79 children (16%) who had nocturnal sleep duration less than 9 hours, 62 children (12,8%) who had nocturnal waking more than 3 times, and 20 children (4%) who had duration of wakefulness during the night more than 1 hour respectively.
Conclusion: Although majority of parents thought that there were no sleeping problems with their children, the prevalence of sleep problems in 0–36 months old Indonesian children was quite high (31%), suggesting low parental awareness towards sleep problems of their children.
Keywords
Article Details
Authors who publish in the Jurnal Kedokteran dan Kesehatan Indonesia agree to the following terms:
- Authors retain copyright and grant Jurnal Kedokteran dan Kesehatan Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution Licence that allows others to adapt (remix, transform, and build) upon the work non-commercially with an acknowledgement of the work's authorship and initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
- Authors are permitted to share (copy and redistribute) the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in Jurnal Kedokteran dan Kesehatan Indonesia.
References
- Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Current Problems in Pediatric and Adolescent Health Care. 2017;47(2):29–42.
- Allen SL, Howlett MD, Coulombe JA, Corkum PV. ABCs of sleeping: A review of the evidence behind pediatric sleep practice recommendations. Sleep Medicine Reviews. 2016;29:1–14.
- Sadeh A. A brief screening questionnaire for infant sleep problems: Validation and findings for an Internet sample. Pediatrics. 2004;113(6):e570-7.
- Sadeh A, Mindell JA, Luedtke K, Wiegand B. Sleep and sleep ecology in the first 3 years: A web-based study. Journal of Sleep Research. 2009;18(1):60–73.
- Tikotzky L. Parenting and sleep in early childhood. Current Opinion in Psychology. 2017;15:118–24.
- Gregory AM, Sadeh A. Sleep, emotional and behavioral difficulties in children and adolescents. Sleep Medicine Reviews. 2012;16(2):129–36.
- Field T. Infant sleep problems and interventions: A review. Infant Behavior and Development. 2017;47:40–53.
- Meltzer LJ, Johnson C, Crosette J, Ramos M, Mindell JA. Prevalence of diagnosed sleep disorders in pediatric primary care practices. Pediatrics. 2010;125(6):e1410-8.
- Pandey S, Bhattarai S, Bhatta A. Sleep pattern and problems in young children visiting outpatient department of a tertiary level hospital in Kathmandu, Nepal. Sleep Disorders. 2020;2020:1-5.
- Barathy C, Prabha S, Shanthi AK, Devikittu. Study of sleep pattern in children aged 1-12 years attending OPD at tertiary care hospital, Puducherry, India. International Journal of Contemporary Pediatrics. 2017;4(6):1980-5.
- Mindell JA, Sadeh A, Wiegand B, How TH, Goh DYT. Cross-cultural differences in infant and toddler sleep. Sleep Medicine. 2010;11(3):274–80.
- Liu X, Liu L, Owens JA, Kaplan DL. Sleep patterns and sleep problems among school children in the United States and China. Pediatrics. 2005;115(1 Suppl):241–9.
- Ahn Y, Williamson AA, Seo HJ, Sadeh A, Mindell JA. Sleep patterns among South Korean infants and toddlers: Global comparison. Journal of Korean Medical Science. 2016;31(2):261–9.
- Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health. 2015;1(1):40–3.
- Mindell JA, Gould RA, Tikotzy L, Leichman ES, Walters RM. Norm-referenced scoring system for the Brief Infant Sleep Questionnaire – Revised (BISQ-R). Sleep Medicine. 2019;63:106–14.
- Martin J, Hiscock H, Hardy P, Davey B, Wake M. Adverse associations of infant and child sleep problems and parent health: An Australian population study. Pediatrics. 2007;119(5):947–55.
- Galland BC, Taylor BJ, Elder DE, Herbison P. Normal sleep patterns in infants and children: A systematic review of observational studies. Sleep Medicine Reviews. 2012;16(3):213–22.
References
Bathory E, Tomopoulos S. Sleep regulation, physiology and development, sleep duration and patterns, and sleep hygiene in infants, toddlers, and preschool-age children. Current Problems in Pediatric and Adolescent Health Care. 2017;47(2):29–42.
Allen SL, Howlett MD, Coulombe JA, Corkum PV. ABCs of sleeping: A review of the evidence behind pediatric sleep practice recommendations. Sleep Medicine Reviews. 2016;29:1–14.
Sadeh A. A brief screening questionnaire for infant sleep problems: Validation and findings for an Internet sample. Pediatrics. 2004;113(6):e570-7.
Sadeh A, Mindell JA, Luedtke K, Wiegand B. Sleep and sleep ecology in the first 3 years: A web-based study. Journal of Sleep Research. 2009;18(1):60–73.
Tikotzky L. Parenting and sleep in early childhood. Current Opinion in Psychology. 2017;15:118–24.
Gregory AM, Sadeh A. Sleep, emotional and behavioral difficulties in children and adolescents. Sleep Medicine Reviews. 2012;16(2):129–36.
Field T. Infant sleep problems and interventions: A review. Infant Behavior and Development. 2017;47:40–53.
Meltzer LJ, Johnson C, Crosette J, Ramos M, Mindell JA. Prevalence of diagnosed sleep disorders in pediatric primary care practices. Pediatrics. 2010;125(6):e1410-8.
Pandey S, Bhattarai S, Bhatta A. Sleep pattern and problems in young children visiting outpatient department of a tertiary level hospital in Kathmandu, Nepal. Sleep Disorders. 2020;2020:1-5.
Barathy C, Prabha S, Shanthi AK, Devikittu. Study of sleep pattern in children aged 1-12 years attending OPD at tertiary care hospital, Puducherry, India. International Journal of Contemporary Pediatrics. 2017;4(6):1980-5.
Mindell JA, Sadeh A, Wiegand B, How TH, Goh DYT. Cross-cultural differences in infant and toddler sleep. Sleep Medicine. 2010;11(3):274–80.
Liu X, Liu L, Owens JA, Kaplan DL. Sleep patterns and sleep problems among school children in the United States and China. Pediatrics. 2005;115(1 Suppl):241–9.
Ahn Y, Williamson AA, Seo HJ, Sadeh A, Mindell JA. Sleep patterns among South Korean infants and toddlers: Global comparison. Journal of Korean Medical Science. 2016;31(2):261–9.
Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health. 2015;1(1):40–3.
Mindell JA, Gould RA, Tikotzy L, Leichman ES, Walters RM. Norm-referenced scoring system for the Brief Infant Sleep Questionnaire – Revised (BISQ-R). Sleep Medicine. 2019;63:106–14.
Martin J, Hiscock H, Hardy P, Davey B, Wake M. Adverse associations of infant and child sleep problems and parent health: An Australian population study. Pediatrics. 2007;119(5):947–55.
Galland BC, Taylor BJ, Elder DE, Herbison P. Normal sleep patterns in infants and children: A systematic review of observational studies. Sleep Medicine Reviews. 2012;16(3):213–22.