摘要
目的 探讨儿童睡眠质量在母子关系与学龄前儿童执行功能关联间的中介作用,为促进学龄前儿童执行功能发展提供参考。方法 采用分层整群抽样方法,于2021年12月选取安徽省芜湖市12所幼儿园842名儿童为第1次随访对象,之后每半年随访一次,3次随访后最终有746名儿童纳入研究。采用Spearman相关分析母子关系与学龄前儿童睡眠质量及其执行功能的关联;通过自举(bootstrap)程序和PROCESS软件检验睡眠质量在母子关系与学龄前儿童执行功能间的中介效应。结果 冲突性母子关系与学龄前儿童执行功能总分、抑制、转换、情绪控制、工作记忆和组织计划得分均呈正相关(r值分别为0.40,0.37,0.36,0.41,0.38,0.34),依赖性母子关系与学龄前儿童执行功能总分、抑制、转换、情绪控制、工作记忆功能和组织计划得分均呈正相关(r值分别为0.23,0.20,0.21,0.22,0.22,0.19),睡眠质量与总执行功能得分呈正相关(r=0.27)(P值均<0.01)。调整混杂因素后,睡眠质量在依赖性、冲突性母子关系和执行功能关联中起部分中介作用,中介效应分别为19.40%,11.22%。结论 睡眠质量在母子关系和学龄前儿童执行功能关联中存在中介效应,改善早期睡眠质量可以促进学龄前儿童执行功能的发展。
Objective To investigate the mediating role of children's sleep quality in the association between mother-child relationship and the executive function of preschool children,providing a reference for promoting the development of the executive function of preschool children.Methods A stratified cluster sampling method was used to select 842 preschoolers from 12 kindergartens in Wuhu City,Anhui Province in December 2021 as the subjects of the first follow-up study with follow-up every six months thereafter.Finally,746 children were included in the study after 3 follow-up.Spearman correlation analysis was used to explore the associations among mother-child relationship,sleep quality and executive function in preschool children.Bootstrap program and PROCESS software were applied to test the mediating effect of sleep quality in the association between mother-child relationship and the executive function of preschool children.Results Conflictual mother-child relationship was positively correlated with the total score of executive function,as well as scores of inhibitory,shifting,emotional control,working memory,and organizational planning(r=0.40,0.37,0.36,0.41,0.38,0.34,all P<0.05).Dependent mother-child relationship was positively correlated with the total score of executive function,as well as scores of inhibitory,shifting,emotional control,working memory,and organizational planning(r=0.23,0.20,0.21,0.22,0.22,0.19,all P<0.05).Sleep quality was positively correlated with the total executive function score(r=0.27,P<0.01).After adjusting for confounding factors,sleep quality played a partial mediating role in the associations between dependent and conflictual mother-child relationships and executive function,the mediating effects were 19.40%and 11.22%respectively.Conclusions Sleep quality plays a mediating role in the association between mother-child relationship and the executive function of preschool children.Improving sleep quality in the early stage can promote the executive function of preschool children.
作者
崔晓晨
何海燕
朱敏
李若瑜
吴峻
万宇辉
CUI Xiaochen;HE Haiyan;ZHU Min;LI Ruoyu;WU Jun;WAN Yuhui(Department of Child Healthcare,Wuhu Maternal and Child Health Hospital,Wuhu 241000,Anhui Province,China;不详)
出处
《中国学校卫生》
北大核心
2025年第8期1166-1169,共4页
Chinese Journal of School Health
基金
国家自然科学基金项目(82273652)
安徽省自然科学基金优青项目(2208085Y23)。
关键词
亲子关系
睡眠
执行功能
精神卫生
儿童
学龄前
Parent-child relations
Sleep
Executive function
Mental health
Child,preschool
