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Sleep:童年常做噩梦或预示精神健康问题

来源:新华社 2014-03-12 19:48

做梦与人的身体状态、精神状态有一定关系。英国的一项新研究显示,在儿童时期经常做噩梦,可能预示着精神健康问题。

英国伦敦大学国王学院等机构的研究人员在新一期美国《睡眠》月刊上报告说,他们对6796名英国儿童进行了跟踪调查,通过定期询问其父母等方式,了解这些儿童在两岁半至9岁之间的睡眠情况,比如是否经常做噩梦,或睡眠中发生突然惊醒的“夜惊”情况,以及梦游等其他睡眠问题。这些儿童在12岁时接受了一系列精神健康测试,考察他们是否存在妄想、幻觉等问题。

调查显示,大多数儿童都做过噩梦,其中约37%的儿童连续多年常受噩梦困扰。约十分之一的儿童出现过夜惊情况,主要集中在3岁至7岁之间。进一步研究发现,多年经受噩梦及夜惊困扰可使儿童精神健康风险升高约2至3倍,其他睡眠问题则与这种风险无明显关联。

研究人员说,儿童偶尔出现噩梦或夜惊情况属正常现象,但如果经常、连续出现,则有必要警惕精神健康问题。(生物谷Bioon.com)

生物谷推荐的英文摘要

Sleep              doi.org/10.5665/sleep.3478

Childhood Parasomnias and Psychotic Experiences at Age 12 Years in a United Kingdom Birth Cohort

Helen L. Fisher, PhD1; Suzet Tanya Lereya, PhD2; Andrew Thompson, MD3; Glyn Lewis, PhD4; Stanley Zammit, PhD4,5; Dieter Wolke, PhD2

Study Objectives:

To examine associations between specific parasomnias and psychotic experiences in childhood.

Design:

Birth cohort study. Information on the presence of frequent nightmares in children was obtained prospectively from mothers during multiple assessments conducted when children were aged between 2.5 and 9 y. Children were interviewed at age 12 y about nightmares, night terrors, sleepwalking, and psychotic experiences (delusions, hallucinations, and thought interference) occurring in the previous 6 mo.

Setting:

Assessments were completed in participants' homes or a University clinic within the UK.

Patients or Participants:

There were 6,796 children (3,462 girls, 50.9%) who completed the psychotic experiences interview.

Measurements and Results:

Children who were reported by their mothers as experiencing frequent nightmares between 2.5 and 9 y of age were more likely to report psychotic experiences at age 12 y, regardless of sex, family adversity, emotional or behavioral problems, IQ and potential neurological problems (odds ratio (OR) = 1.16, [95% confidence intervals (CI) = 1.00, 1.35], P = 0.049). Children reporting any of the parasomnias at age 12 y also had higher rates of concurrent psychotic experiences than those without such sleeping problems, when adjusting for all confounders (OR = 3.62 [95% CI = 2.57, 5.11], P < 0.001). Difficulty getting to sleep and night waking were not found to be associated with psychotic experiences at age 12 y when controlling for confounders.

Conclusion:

Nightmares and night terrors, but not other sleeping problems, in childhood were associated with psychotic experiences at age 12 years. These findings tentatively suggest that arousal and rapid eye movement forms of sleep disorder might be early indicators of susceptibility to psychotic experiences.

 

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