<?xml version="1.0"?>
<Articles JournalTitle="Journal of Sleep Sciences">
  <Article>
    <Journal>
      <PublisherName>Tehran University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Sleep Sciences</JournalTitle>
      <Issn>2476-2938</Issn>
      <Volume>8</Volume>
      <Issue>3-4</Issue>
      <PubDate PubStatus="epublish">
        <Year>2026</Year>
        <Month>07</Month>
        <Day>25</Day>
      </PubDate>
    </Journal>
    <title locale="en_US">The Association between Sleep Disorder Patterns in School-Aged Children with Maternal Anxiety, Stress, and Depression: A Cross-Sectional Study</title>
    <FirstPage>60</FirstPage>
    <LastPage>66</LastPage>
    <AuthorList>
      <Author>
        <FirstName>Asghar</FirstName>
        <LastName>Ghorbani</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Arezu</FirstName>
        <LastName>Najafi</LastName>
        <affiliation locale="en_US">Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Atefeh</FirstName>
        <LastName>Behkar</LastName>
        <affiliation locale="en_US">Occupational Sleep Research Center, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Mohadeseh</FirstName>
        <LastName>Zoghi</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
      <Author>
        <FirstName>Mahsa</FirstName>
        <LastName>Zamanisabzi</LastName>
        <affiliation locale="en_US">Department of Pediatrics, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran</affiliation>
      </Author>
    </AuthorList>
    <History>
      <PubDate PubStatus="received">
        <Year>2023</Year>
        <Month>11</Month>
        <Day>03</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2024</Year>
        <Month>04</Month>
        <Day>06</Day>
      </PubDate>
    </History>
    <abstract locale="en_US">Background and Objective: Sleep problems are common in school-aged children and may have negative impacts on their health. This study aimed to determine the sleep disorder patterns in school-aged children and evaluate their associ-ation with maternal anxiety, stress, and depression.
&#xD;

Materials and Methods: This cross-sectional study was conducted between October 2018 and September 2019 and included children aged 7-12 years using convenience sampling. The Persian version of the BEARS questionnaire, which incorporates five basic sleep domains (Bedtime problems, Excessive sleepiness, Awakenings during the night, Regulari-ty of sleep, Snoring), was used to assess sleep disorders. Maternal anxiety, stress, and depression were measured using the short form of the Depression, Anxiety, and Stress Scale (DASS), a caregiver self-report tool. Multivariable logistic regression was applied to assess the association between child sleep problems and maternal mental health.
&#xD;

Results: In the 99 children included, the most common sleep problem was nocturnal awakening, with 48.5% experienc-ing it. Excessive daytime sleepiness was the second most common problem, affecting 38.4% of children. In the multi-variable-adjusted model, awaking during the night [odds ratio (OR): 3.16, 95% confidence interval (CI): 1.27-7.82] and bedtime problems (OR: 4.20, 95% CI: 1.16-15.20) showed a positive association with moderate to severe levels of maternal anxiety, stress, and depression.
&#xD;

Conclusion: The prevalence of sleep problems among school-aged children underscores the need for family awareness and education about sleep problems.</abstract>
    <web_url>https://jss.tums.ac.ir/index.php/jss/article/view/275</web_url>
  </Article>
</Articles>
