Parents of children referred to a sleep laboratory for disordered breathing reported anxiety, daytime sleepiness and poor sleep quality

Cadart, Marion; Sanctis, Livio De; Khirani, Sonia; Amaddeo, Alessandro; Ouss, Lisa; Fauroux, Brigitte

doi:10.1111/apa.14353

Cited by 17 publications

(29 citation statements)

References 29 publications

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“…Importantly, a large proportion of children were afflicted by severe diseases. Such diseases are known to affect family/caregiver interactions through single parenting, anxiety and depression, as we have observed recently in parents of children with sleep‐disordered breathing explored in our unit 19 . These parental conditions and stress can in turn affect children's perceptions when expressing feelings through drawings.…”

Section: Discussionmentioning

confidence: 73%

Drawing of their own sleep by children with sleep‐disordered breathing gives insight into their imaginary life

et al. 2020

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Obstructive sleep apnoea (OSA) is characterised by repetitive episodes of upper airway obstruction during sleep and represents the most common sleep disorder in childhood. OSA affects approximately 2%-5% of children with peak prevalence between the age of 2 and 6 years due to the hypertrophy of the adenoids and/or the tonsils and is associated with a decrease in sleep quality and quality of life due to arousals, a decrease in sleep efficiency and a disruption of the physiological sleep architecture. OSA is significantly more common and severe in children with underlying disorders. For these children, adenotonsillectomy, which is the first line treatment in the general population, is often not sufficient to cure OSA. Other maxillofacial and, or, neurosurgical interventions, and, or non-invasive ventilation may then be necessary to relieve the airway obstruction during sleep. Sleep may thus be stressful for these children with severe OSA. Our experience has revealed that the perception of the child's sleep quality by caregivers and healthcare professionals may be erroneous. Assessing the child's

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Section: Discussionmentioning

confidence: 73%

Drawing of their own sleep by children with sleep‐disordered breathing gives insight into their imaginary life

et al. 2020

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“…Our survey found that the anxious level of caregivers was positively related to the children’s CSHQ score, the higher a caregivers’ anxiety level, the more sleep problems their child had. Previous studies have shown that the association between parental anxiety and sleep problems of children may be bidirectional [1, 4, 34, 35]. Children are likely to be exposed to parental mood disturbances which could create an environment of uncertainty and insecurity that may increase the risk of sleep problems [1, 36].…”

Section: Discussionmentioning

confidence: 99%

Sleep disturbances and related factors among preschool children in rural areas of China: a cross-sectional study

Zhao

Xuan

Liu

et al. 2020

Preprint

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Objective: Sleep disturbances have been serious since they are believed to be associated with various health problems in preschool children. In this study, we aimed to explore the prevalence of sleep disturbances amongst preschool children in rural areas of China and examine the underlying associated factors. Methods: A cross-sectional study was conducted in rural areas of Anhui province, China from September 2019 to January 2020. To explore the potential associated factors comprehensively, caregivers of children completed a structured questionnaire, the Children's Sleep Habits Questionnaire (CSHQ), the Strengths and Difficulties Questionnaire (SDQ), Self-rating Anxiety Scale (SAS) and the Chinese version of the adapted Identification and Management of Feeding Difficulties (IMFeD). One-way ANOVA and hierarchical multiple regression are conducted to explore the potential influencing factors of sleep disturbances in preschool children. Results: About 89.3% of the preschool children aged from 3 to 6 years had potential sleep disturbances (scored above the cutoff value). Besides, ages of children, discipline attitudes of father and mother, main educational methods, caregivers of children, caregiver anxiety and hyperactivity/inattention, prosocial behavior, conduct problems, emotional symptoms, peer problems, food preference, fear of feeding, parental misperception and organic disease all contributed significantly to CSHQ total score by accounting for approximately 27.4% (R2=0.274) of the variation. Conclusions: Our study indicated that the prevalence of sleep disturbances among preschool children in rural area of China is quite high. Furthermore, the potential risk factors are complicated which include factors related to both children and caregivers especially their parents.

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“…These results might implicate that duration of epilepsy could be a risk factor for experiencing more burden in parenting. In this specific group with enduring epilepsy, the intractability of the epilepsy [1] and nocturnal seizures (and partly also poor quality of sleep), over a longer period of time may impact the family system [59,60] leading to exhausted parents. This can account for, at least a part of, the experienced burden.…”

Section: Discussionmentioning

confidence: 99%

The burden of parenting children with frontal lobe epilepsy

Berg

Weerd

Reuvekamp

et al. 2019

Epilepsy & Behavior

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Caring for a child with a chronic illness adds stress to the typical parenting stress in healthy developing children. This stress can place a heavy burden on parents and may increase when a child displays problem behavior. In general, parenting and child's behavior problems are associated. Furthermore, externalizing (more outgoing) behavior is reported frequently in children with frontal lobe epilepsy (FLE). Therefore, in this study, we first investigated the burden of parents of children with FLE, and second, we investigated the relation between the experienced burden and reported behavioral problems. The validity of parents' reports on proxy measures as well as duration of epilepsy is taken into account. Methods: Thirty-one parents of children with FLE completed validated questionnaires about behavioral problems and burden of parenting. To examine if parents tend to be inconsistent or unusually negative, we used the two validity scales of the Behavioral Rating Inventory of Executive Function (BRIEF) (Negativity and Inconsistency). Results: Only parents of children with FLE who have had epilepsy for 5 years or longer report more problems on the Nijmeegse Vragenlijst voor de Opvoedingssituatie (NVOS) subscales 'Able to manage', 'Child is a burden', and 'Good Interaction' compared with the healthy controls. The subscale 'Child is a burden' significantly predicts scores in about 20% to 49% on the main scales of the Child Behavior Checklist (CBCL), the Global Executive Composite (GEC), and Behavioral Regulation Index (BRI) of the BRIEF. Only 6% of parents scored in the clinical range of the negativity scale of the BRIEF. For the inconsistency scale, this was 45%. Conclusion: Parents of children with FLE do not report excessive parental burden. Longer duration of epilepsy might be a risk factor in experiencing burden. The findings suggest a link between parental burden and behavioral problems in children with FLE. Externalizing behavioral problems are the most marked behavioral problems, which relate to the parental burden. Parents tend to be inconsistent in their ratings.

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Parents of children referred to a sleep laboratory for disordered breathing reported anxiety, daytime sleepiness and poor sleep quality

Abstract: The parents of children referred to a sleep laboratory reported frequent anxiety, daytime sleepiness and poor sleep quality.

Cited by 17 publications

References 29 publications

Drawing of their own sleep by children with sleep‐disordered breathing gives insight into their imaginary life

Drawing of their own sleep by children with sleep‐disordered breathing gives insight into their imaginary life

Sleep disturbances and related factors among preschool children in rural areas of China: a cross-sectional study

The burden of parenting children with frontal lobe epilepsy

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