Relationship of Mothers’ Mental and Physical Health to Characteristics of Mothers and Their Children With Developmental Disabilities

Lee, Jiwon; Hayat, Matthew J.; Spratling, Regena; Sevcik, Rose A.; Clark, Patricia C.

doi:10.1097/nnr.0000000000000309

Cited by 7 publications

(8 citation statements)

References 40 publications

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“…As we predicted, caregiver's sleep quality was associated with caregiver psychological health (including depression, anxiety, stress) and well‐being; but not resilience. Our findings are consistent with previous research using broad measures of psychological health with mixed populations of children with disability (Bourke‐Taylor et al, 2013) and depression‐specific measures with CP samples (Lee et al, 2018; Safer et al, 2016; Wayte et al, 2012) and provide further support for the importance of sleep for psychological health and well‐being among caregivers of children with CP.…”

Section: Discussionsupporting

confidence: 91%

“…Research with children with CP indicates a child's sleep disturbance can impact parents' sleep (Adiga et al, 2014; Atmawidjaja et al, 2014). Poorer parental sleep quality is associated with poorer memory (McBean & Schlosnagle, 2016), worse physical health (Lee et al, 2018; McBean & Schlosnagle, 2016) and higher depressive symptoms (Lee et al, 2018) for parents of children with a range of developmental disabilities, including CP. Despite the potential effects of the child's and caregiver's sleep disturbance on caregivers' psychological health, few studies have focused on these likely effects.…”

Section: Introductionmentioning

confidence: 99%

“…Caregivers of children with CP experience high levels of depression, anxiety and stress (Barreto et al, 2020; Raina et al, 2005). Three studies of mothers of children with CP reporting depression have indicated that sleep quality may explain a large portion of variance in depression scores (Lee et al, 2018; Safer et al, 2016; Wayte et al, 2012). In addition, Bourke‐Taylor et al (2013) reported that mothers of children with a range of disabilities (19% children with CP) experiencing the most sleep interruptions reported significantly poorer mental health.…”

Section: Introductionmentioning

confidence: 99%

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Children with cerebral palsy: A cross‐sectional study of their sleep and their caregiver's sleep quality, psychological health and well‐being

Lang

Boucaut

Guppy

et al. 2021

Child

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Background Children with cerebral palsy (CP) are more likely to experience sleep problems. Their sleep difficulties have been shown to be related to poorer sleep quality for their parents and caregivers. While poor sleep has been linked with poorer psychological health in other populations, few studies have focused on the potential effects of children's and caregivers' sleep disturbance on caregivers' psychological health and well‐being in families of children with CP. This study investigated the association between caregivers' psychological health and well‐being and their sleep quality and the sleep of their children with CP. Method Ninety‐four caregivers (86% mothers; age range = 29–76 years) of children with CP aged 4 to 14 years of varying physical abilities (Gross Motor Function Classification Scale expanded and revised—level I (24), II (20), III (16), IV (10), V (24)) were recruited from a state‐wide rehabilitation service. Caregivers completed the Depression, Anxiety and Stress Scale‐21, Warwick‐Edinburgh Mental Wellbeing Scale, Resilience Scale, Pediatric Sleep Questionnaire, Pittsburgh Sleep Quality Index, and a demographic questionnaire. Results Sleep problems were reported for 55% of children. Poor sleep quality was reported by 71% of caregivers. While 25% of caregivers reported positive well‐being and 86% reported high to very high levels of resilience, 44% reported poor psychological health. Child sleep problems were related to poorer caregiver sleep quality (r = 0.47, p < 0.001). Poorer caregiver sleep quality was related to poorer caregiver psychological health (r = 0.43–0.51, all p < 0.001) and well‐being (r = −0.48, p < 0.001), but not resilience (r = 0.18, p = 0.11). Conclusions High numbers of children with CP and their caregivers experience poor sleep that extends far past infancy. Poor sleep quality is associated with poorer psychological health and well‐being for caregivers. Further development of responsive support services that address caregivers' sleep is essential.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Children with cerebral palsy: A cross‐sectional study of their sleep and their caregiver's sleep quality, psychological health and well‐being

Lang

Boucaut

Guppy

et al. 2021

Child

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show abstract

“…(27) Outro estudo também aponta para a relação diretamente proporcional entre níveis de depressão e sobrecarga de cuidados em mães de crianças com déficit no desenvolvimento, além de relação inversamente proporcional com a qualidade do sono. (28) Portanto, com o aumento da sobrecarga de cuidados durante a pandemia, as mães de crianças com SCZ podem sofrer com sintomas depressivos e má qualidade do sono.…”

Section: Discussionunclassified

Repercussões da pandemia da COVID-19 em mães-crianças com síndrome congênita do Zika

Vale¹,

Silva²,

Costa³

et al. 2021

Acta Paulista De Enfermagem

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“…Relying on self-report may be problematic as 14.9 to 52.5% of these mothers often experience high depressive symptoms (Gallagher et al, 2009b ; Lee et al, 2018a ; Wayte et al, 2012 ) may alter perceptions of their and their children’s sleep problems. Furthermore, although mothers’ impaired sleep was associated with their child’s sleep problems and nighttime caregiving activities for their child with DDs (Bourke-Taylor et al, 2013 ; Goldman et al, 2014 ; Lee et al, 2018b ; Wayte et al, 2012 ), available studies were unable to delineate the extent to which child sleep-wake behaviors required mothers’ nighttime caregiving and its influence on mothers’ impaired sleep.…”

mentioning

confidence: 99%

Simultaneous Recording of Objective Sleep in Mothers and School-aged Children with Developmental Disabilities: A Pilot Study of Actigraphy and Videosomnography

et al. 2023

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Mothers of school-aged children ages 3 to 17 years with developmental disabilities (DDs) commonly report sleep problems in their children associated with impaired maternal sleep. However, existing research relies heavily on mothers’ self-reported sleep. This study aimed to determine the feasibility of objectively measuring child and mother sleep-wake patterns using actigraphy and videosomnography. This was an observational pilot study. Mothers wore actigraphy watches and video-recorded their child’s sleep for 7 nights. Mothers also completed a 7-day sleep diary and questionnaires on sleep quality, depressive symptoms, stress, and child sleep problems. Ten mothers (32–49 years) and ten children with DDs (8–12 years) completed this study. Half of the children were boys with autism spectrum disorders. We successfully recruited 77% of eligible mothers for the study during the pandemic. Eight mothers successfully wore the actigraphy, and nine successfully video-recorded their child’s sleep. Mothers rated their participation positively and considered the data collection protocol acceptable. While mothers’ sleep patterns from actigraphy were mostly within recommendations, self-reported sleep quality was poor. Child’s sleep estimates from videosomnography showed children slept substantially less than recommended sleep hours. Mothers also reported a high frequency of child sleep problems. Consistent with this pattern, mothers also endorsed elevated stress and depression. The use of actigraphy and videosomnography is feasible. Objective sleep measurement for mothers’ and children’s sleep is needed with self-report to measure multidimensional aspects of sleep and discrepancies between objective and self-report sleep measures. Future studies can use multi-methods sleep measures and work toward interventions that can improve family sleep and reduce mothers’ stress and depression.

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Relationship of Mothers’ Mental and Physical Health to Characteristics of Mothers and Their Children With Developmental Disabilities

Abstract: Sleep health assessment may be beneficial when providing care to families of children with DDs.

Cited by 7 publications

References 40 publications

Children with cerebral palsy: A cross‐sectional study of their sleep and their caregiver's sleep quality, psychological health and well‐being

Children with cerebral palsy: A cross‐sectional study of their sleep and their caregiver's sleep quality, psychological health and well‐being

Repercussões da pandemia da COVID-19 em mães-crianças com síndrome congênita do Zika

Simultaneous Recording of Objective Sleep in Mothers and School-aged Children with Developmental Disabilities: A Pilot Study of Actigraphy and Videosomnography

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