title: Association of sleep patterns with psychological positive health and health complaints in children and adolescents.
abstract: OBJECTIVE
  Psychological positive health and health complaints have long been ignored scientifically. Sleep plays a critical role in children and adolescents development. We aimed at studying the association of sleep duration and quality with psychological positive health and health complaints in children and adolescents from southern Spain.
  
  
  METHODS
  A randomly selected two-phase sample of 380 healthy Caucasian children (6-11.9 years) and 304 adolescents (12-17.9 years) participated in the study. Sleep duration (total sleep time), perceived sleep quality (morning tiredness and sleep latency), psychological positive health and health complaints were assessed using the Health Behaviour in School-aged Children questionnaire.
  
  
  RESULTS
  The mean (standard deviation [SD]) reported sleep time for children and adolescents was 9.6 (0.6) and 8.8 (0.6) h/day, respectively. Sleep time ≥10 h was significantly associated with an increased likelihood of reporting no health complaints (OR 2.3; P = 0.005) in children, whereas sleep time ≥9 h was significantly associated with an increased likelihood of overall psychological positive health and no health complaints indicators (OR ~ 2; all P < 0.05) in adolescents. Reporting better sleep quality was associated with an increased likelihood of reporting excellent psychological positive health (ORs between 1.5 and 2.6; all P < 0.05). Furthermore, children and adolescents with no difficulty falling asleep were more likely to report no health complaints (OR ~ 3.5; all P < 0.001).
  
  
  CONCLUSIONS
  Insufficient sleep duration and poor perceived quality of sleep might directly impact quality of life in children, decreasing general levels of psychological positive health and increasing the frequency of having health complaints.
authors.affiliation: Department of Physical Education and Sport, Faculty of Sport Sciences, University of Granada, Carretera de Alfacar, s/n, 18011, Granada, Spain, vsegura@ugr.es.
authors.forename: Víctor
authors.initials: V
authors.lastname: Segura-Jiménez
authors.forename: Ana
authors.initials: A
authors.lastname: Carbonell-Baeza
authors.forename: Xiaofen D
authors.initials: XD
authors.lastname: Keating
authors.forename: Jonatan R
authors.initials: JR
authors.lastname: Ruiz
authors.forename: José
authors.initials: J
authors.lastname: Castro-Piñero
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005195:Family Relations; D005221:Fatigue; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D010379:Peer Group; D011788:Quality of Life / Q000523:psychology*; D012574:Schools; D012890:Sleep / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000523:psychology*; D013030:Spain; D011795:Surveys and Questionnaires