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• W3025236054 endingPage "105076" @default.
• W3025236054 startingPage "105076" @default.
• W3025236054 abstract "This study investigated the impact of parental migration and other childhood adversities such as peer bullying and poverty on adolescent insomnia and nightmares in Sichuan Province, China, and identified the potential relationships with sleeping problems. In this cross-sectional study, the sleep behaviors of adolescents from migrant working parents known as “left-behind children” (LBC) were compared with adolescents from non-migrant working parents. The left-behind status, left-behind duration and primary caregivers were determined through face-to-face interviews, and insomnia and nightmares, psychological distress, peer bullying and family economic situations were assessed using a battery of self-administered questionnaires. Structural equation models were then used to examine the effects of parental migration and/or other psychosocial difficulties on the incidence of insomnia and nightmares. The LBCs were found to have worse sleep outcomes than the children of non-migrant parents: insomnia (26.3% vs. 19.0%) and nightmares (8.8% vs. 4.4%): with longer periods of separation resulting in higher sleep disturbance and nightmare frequencies. The LBC also experienced more bullying from their peers than the children of non-migrant parents, and it was found that psychological distress partly mediated the relationship between these adversities and insomnia and/or nightmares. The LBC are at a higher risk of developing sleep problems, being bullied and suffering from poverty. Therefore, correctly identifying these children would allow for early intervention to enhance their quality of life. These findings supported the implementation of comprehensive school programs to improve sleep quality that target vulnerable LBC sub-groups, and especially bullied or poverty-stricken adolescents or with psychological distress." @default.
• W3025236054 created "2020-05-21" @default.
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• W3025236054 date "2020-07-01" @default.
• W3025236054 modified "2023-09-25" @default.
• W3025236054 title "Impact of parental absence on insomnia and nightmares in Chinese left-behind adolescents: A structural equation modeling analysis" @default.
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• W3025236054 doi "https://doi.org/10.1016/j.childyouth.2020.105076" @default.
• W3025236054 hasPublicationYear "2020" @default.
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