Cited by 174Sleep and related disordersInfant Health and DevelopmentChild and Adolescent Psychosocial and Emotional Development

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“My child has a sleep problem”: A cross-cultural comparison of parental definitions

Sadeh, Avi, Mindell, Jodi, Rivera, Luis·2011·Sleep Medicine

DOI 10.1016/j.sleep.2010.10.008

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Abstract

Background Sleep problems are highly prevalent in early childhood. In many cases, parents seek professional help when they suspect their child suffers from a sleep problem. The aim of this study was to explore sleep, demographic and cultural factors associated with parental definition of child sleep problem in a large-scale, cross cultural study.Methods Parents (or caregivers) of 29,287 infants and toddlers (aged 0-3 years) from 17 countries completed a questionnaire on their child's sleep patterns, sleep setting, and demographic variables.Results The results indicated that, in comparison to parents from predominantly Caucasian (PC) countries, parents from predominantly Asian (PA) countries were significantly more likely to identify a sleep problem in their children (26% vs 52% overall; 2% vs 17% "severe" sleep problem). Furthermore, whereas infant sleep variables were strong predictors of a sleep problem definition in PC countries, they were significantly less predictive in PA countries where demographic variables played a significant role.Conclusions These results highlight the need to further explore the role of demographic and cultural variables in determining parental perception of a sleep problem, a perception that relates to help seeking professional treatment for infant sleep problems. Our findings also emphasize the need to educate parents about infant and toddler sleep and to provide parents information and screening tools to help them identify sleep problems in a more evidence-based approach.

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Authors: Sadeh, A., Mindell, J., & Rivera, L.
Affiliations: Tel Aviv University (IL)
Children's Hospital of Philadelphia (US)
Makati Medical Center (PH)
Corresponding author: Sadeh, Avi
ORCID: Sadeh, Avi
Mindell, Jodi
Venue: Sleep Medicine
Publisher: Elsevier BV
Published: 2011-05
Volume: 12
Issue: 5
Pages: 478-482
ISSN: 1389-9457 (ISSN-L)
DOI: 10.1016/j.sleep.2010.10.008
OpenAlex: W2047759042
Cited by: 173
References: 30
Citations by year: 2026: 10 · 2025: 13 · 2024: 10 · 2023: 6 · 2022: 17 · 2021: 23 · 2020: 20 · 2019: 14 · 2018: 11 · 2017: 11 · 2016: 8 · 2015: 12 · 2014: 5 · 2013: 7 · 2012: 3
FWCI: 7.41
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: infant sleep problems, toddler sleep, parental attitudes, cross-cultural comparison, Asian countries, sleep patterns, sleep environment, demographic factors, professional help-seeking, parent education, screening tool
MeSH terms: Adult, Child, Preschool, Cross-Cultural Comparison, Female, Humans, Infant, Infant, Newborn, Male, Parents, Predictive Value of Tests, Surveys and Questionnaires, Sleep, Sleep Wake Disorders, Prevalence, Logistic Models, Internationality, White People, Asian People

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“My child has a sleep problem”: A cross-cultural comparison of parental definitions

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