Sleep disturbances in preschool age children with cerebral palsy: a questionnaire study

Romeo, Domenico M.; Brogna, Claudia; Musto, Elisa; Baranello, Giovanni; Pagliano, Emanuela; Casalino, Tiziana; Ricci, Daniela; Mallardi, Maria; Sivo, Serena; Cota, Francesco; Battaglia, Domenica; Bruni, Oliviero; Mercuri, Eugenio

doi:10.1016/j.sleep.2014.05.008

Cited by 47 publications

(48 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several factors such as epilepsy,17,18 severe visual impairment18 and having a single parent18 have been shown to be related to sleep disorders in children with CP 18. The results of this study did not show relationship between epilepsy, severe visual impairment and sleep disorders.…”

Section: Discussioncontrasting

confidence: 61%

See 1 more Smart Citation

Effects of botulinum toxin serotype A on sleep problems in children with cerebral palsy and on mothers’ sleep quality and depression

Safer

Demir

Özkan

et al. 2016

NSJ

View full text Add to dashboard Cite

Objective:To evaluate botulinum toxin serotype A (BoNT-A) effects on sleep problems in children with cerebral palsy (CP) and on mothers’ sleep quality and depression at multiple time points.Methods:This is a single center, cross sectional, and observational study was conducted to assess children with CP who were admitted. We recruited children with CP who were admitted to Ministry of Health Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey between September 2012 and April 2014 for the BoNT-A injection for lower limb spasticity. Sleep quality of children with CP were determined at baseline and at the first, third and sixth month after the BoNT-A injection. Sleep quality Pittsburgh Sleep Quality Index (PSQI) and depression (by Beck Depression Inventory-II Turkish version) in mothers were also assessed.Results:Twenty-four children with CP (7.05±2.69 years) underwent final assessment. Their bedtime resistance (11.71±3.26 versus (vs) 10±2.75, p<0.01), sleep anxiety (8.00±2.57 vs. 7.13±2.27, p=0.046) and daytime sleepiness (11.67±2.14 vs. 10.25±1.96, p<0.01) were significantly improved in the first month after the BoNT-A injection. In accordance with this, PSQI and BDI scores of the mothers decreased in the first month after the BoNT-A injection. Thereafter, BDI scores continued to decrease, whereas PSQI slightly increased in the third month.Conclusions:The BoNT-A injection for spasticity in children with CP may have the potential to improve sleep quality in children with CP and their primary caregiver, the mother, as well as to reduce depression in the mother.

show abstract

Section: Discussioncontrasting

confidence: 61%

“…Earlier studies have shown that up to 35% of children with CP have sleep disorders 17,18. Several factors such as epilepsy,17,18 severe visual impairment18 and having a single parent18 have been shown to be related to sleep disorders in children with CP 18.…”

Section: Discussionmentioning

confidence: 99%

Effects of botulinum toxin serotype A on sleep problems in children with cerebral palsy and on mothers’ sleep quality and depression

Safer

Demir

Özkan

et al. 2016

NSJ

View full text Add to dashboard Cite

show abstract

“…Although sleep problems are common in young children (Mindell, Sadeh, Kwon, & Goh, ), only in recent years have these problems been linked to adjustment in preschool settings. The findings, however, are mixed: Some studies showed that sleep problems are positively associated with externalizing behaviors (Anders, Iosif, Schwichtenberg, Tang, & Goodlin‐Jones, ; Jackman et al, ; Paavonen, Porkka‐Heiskanen, & Lahikainen, ) and negatively associated with preacademic performance (Liu et al, ; Ravid, Afek, Suraiya, Shahar, & Pillar, ; Yorkbik, Mutlu, Koc, & Mutluer, ), whereas other studies documented null associations between sleep problems and behavioral and academic adjustment (Jackman et al, ; Jung, Molfese, Beswick, Jacobi‐Vessels, & Molnar, ; Romeo et al, ). One possible explanation for the inconsistent findings is that sleep problems are multidimensional (Ackerman & Brown, ): Different types of sleep problems may have different implications for youth adjustment, and the common practices of focusing on just one or two types of sleep problems, or aggregating multiple types of sleep problems into one single variable, may not be able to capture such nuances.…”

Section: Introductionmentioning

confidence: 99%

Associations of sleep problems with externalizing behaviors and preacademic performance: The moderating role of family socioeconomic status

Lam

Chung

2017

Infant and Child Development

View full text Add to dashboard Cite

Previous research has tended to measure sleep problems as an aggregated construct and neglected the potential moderating role of family socioeconomic status (SES). Also, most research has been conducted with school‐aged children and adolescents from European and European–American families. This study filled some of these gaps in the literature by examining whether family SES moderated the associations of bedtime resistance, parasomnia, and disordered breathing with externalizing behaviors and preacademic performance in a community sample of Chinese families with preschool children. Four hundred eighty‐six parents from Hong Kong, China, provided questionnaire data on their preschool children's sleep and adjustment. Hierarchical regression analyses evaluated the associations of sleep problems and child adjustment, controlling for demographic factors. Interaction terms were entered to examine whether the associations varied by family SES, as indexed by family income. Results suggested that bedtime resistance, parasomnia, and disordered breathing were positively and uniquely associated with externalizing behaviors. Bedtime resistance was positively associated with externalizing behaviors and negatively associated with preacademic performance in low‐, but not high‐, SES families. Discussion highlighted the utility of a multidimensional approach to studying sleep problems and the potential moderating roles of environmental stressors when examining the impact of sleep on adjustment. Highlights This study examined the associations of sleep problems with externalizing behaviors and preacademic performance. Four hundred eighty‐six Chinese parents provided questionnaire data on their children's sleep and adjustment. Bedtime resistance, parasomnia, and disordered breathing were linked positively to externalizing behaviors. Bedtime resistance was linked positively to externalizing behaviors and negatively to preacademic performance in low‐income families. Results highlighted the importance of considering the potential moderating role of environmental stressors when studying sleep problems.

show abstract

“…Sleep duration is a quantitative measure of sleep, whereas sleep quality may be a better predictor of mental health functioning in children with neurodevelopmental disabilities (Romeo et al . ; Zuculo et al . ).…”

Section: Discussionmentioning

confidence: 99%

Factors associated with depression and anxiety in children with intellectual disabilities

Whitney

Shapiro

Peterson

et al. 2018

J intellect Disabil Res

View full text Add to dashboard Cite

Background Individuals with intellectual disabilities (ID) are at increased risk for depression and anxiety disorders; however, there is a paucity of research that pertains to associative factors for these mental health disorders in this population. The objective of this investigation was to determine factors associated with depression and anxiety problems in children with ID. Methods Children 6–17 years with ID (n = 423; 63% male) from the 2016 National Survey of Children's Health were included in this cross‐sectional study. Outcome measures included depression and anxiety problems. Predictor variables included sociodemographics, ID severity, co‐morbid conditions (autism spectrum disorders, epilepsy, cerebral palsy, Down syndrome and attention‐deficit/hyperactivity disorder), physical factors (i.e. physical activity, sleep duration and pain) and social factors (e.g. participation in activities and bully victimisation). Multivariable logistic regression was performed to determine the association between all factors and depression and/or anxiety problems among children with ID. Results The prevalence of depression and/or anxiety problems was 35.4%. After adjusting for sociodemographics, Hispanic race was associated with lower odds [odds ratio (OR), 0.3; 95% confidence interval (CI), 0.1–0.8] of depression and/or anxiety problems. After adjusting for race, co‐morbid conditions, and physical and social factors, autism spectrum disorders (OR, 4.4; 95% CI, 1.1–10.1), Down syndrome (OR, 0.2; 95% CI, 0.1–0.8), attention‐deficit/hyperactivity disorder (OR, 5.9; 95% CI, 2.5–14.3), pain (OR, 7.0; 95% CI, 2.9–17.1) and bully victimisation (OR 2.3; 95% CI, 1.0–5.3) were each associated with depression and/or anxiety problems. Conclusions The present study identified both treatable and modifiable, as well as unmodifiable, factors associated with depression and/or anxiety problems in children with ID.

show abstract

Sleep disturbances in preschool age children with cerebral palsy: a questionnaire study

Cited by 47 publications

References 21 publications

Effects of botulinum toxin serotype A on sleep problems in children with cerebral palsy and on mothers’ sleep quality and depression

Effects of botulinum toxin serotype A on sleep problems in children with cerebral palsy and on mothers’ sleep quality and depression

Associations of sleep problems with externalizing behaviors and preacademic performance: The moderating role of family socioeconomic status

Factors associated with depression and anxiety in children with intellectual disabilities

Contact Info

Product

Resources

About