Sleep in Mother and Child Dyads During Treatment for Pediatric Acute Lymphoblastic Leukemia

Matthews, Ellyn E.; Neu, Madalynn; Cook, Paul F.; King, Nancy A.

doi:10.1188/14.onf.41-06p

Cited by 30 publications

(53 citation statements)

References 53 publications

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“…During maintenance treatment, a relatively stable phase in which most children resume their daily activities, sleep problems are common and often include a behavioral component . Sleep duration is often adequate, but nighttime awakenings are frequent and sleep onset latency (defined as the minutes between bedtime and the first minute of sleep) is longer . This indicates that the total minutes of sleep is sufficient but sleep is fragmented.…”

Section: Introductionmentioning

confidence: 99%

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

Steur

Grootenhuis

Someren

et al. 2020

Pediatric Blood & Cancer

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Objective To assess sleep problems (prevalence and predictors) in pediatric patients with acute lymphoblastic leukemia (ALL) after the most intensive phase of therapy (induction). Methods Patients (≥2 years) treated according to the Dutch ALL‐11 protocol were included. Sleep was measured using parent‐reports and self‐reports (Children's Sleep Habits Questionnaire; CSHQ) and actigraphy. Parental sleep (Medical Outcome Study Sleep Scale) and distress and parenting problems (Distress Thermometer for Parents) were assessed with questionnaires. Z‐scores were calculated for total CSHQ scores using age‐appropriate scores of healthy Dutch children. The prevalence of sleep problems (defined as a Z‐score > 1) in patients with ALL was compared to healthy children (chi‐square tests). Actigraphic sleep estimates were collected in healthy Dutch children (n = 86, 2‐18 years) for comparison with patients (linear regression). Determinants of parent‐reported child sleep (total CSHQ Z‐score) were identified with regression models. Results Responses were collected for 124 patients (response rate 67%), comprising 123 parent‐reports, 34 self‐reports, and 69 actigraphy assessments. Parents reported sleep problems in 38.0% of the patients compared to 15.2% in healthy children (P < .001). Patients reported fewer sleep problems themselves: 12.1% compared to 15.8% in healthy children (P = .33). Total time in bed (B (95% CI): 22.89 (9.55‐36.22)) and total sleep time (B (95% CI):16.30 (1.40‐31.19)), as derived from actigraphy, were significantly longer in patients. More parent‐reported child sleep problems were predicted by parenting problems, more parental sleep problems, bedroom sharing, and child's sleep medication use (explained variance: 27.4%). Conclusions Systematic monitoring of child and parental sleep and implementation of effective interventions may be a gateway to improve quality of survival in pediatric ALL.

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Section: Introductionmentioning

confidence: 99%

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

Steur

Grootenhuis

Someren

et al. 2020

Pediatric Blood & Cancer

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“…As the quality of a child's sleep predicts the quality of the mother's sleep (Meltzer and Mindell, ), it is expected that mothers of CSHCNs would have increased sleep disturbances compared to mothers of TD children. This relation has been reported among mothers of children with autism (Giallo et al ., ; Hodge et al ., ; Meltzer, ), developmental disabilities (Chu and Richdale, ), cerebral palsy (Wayte et al ., ) and cancer (Matthews et al ., ; Wright, ), to name a few. Understanding how sleep disturbance relates to daytime outcomes among parents is particularly important, and is a focus of this study.…”

Section: Introductionmentioning

confidence: 99%

Sleep, health and memory: comparing parents of typically developing children and parents of children with special health‐care needs

McBean

Schlosnagle

2015

Journal of Sleep Research

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SUMMARYParents of children with special healthcare needs (CSHCNs) report poorer sleep than parents of typically developing (TD) children, which has been associated with poorer mental health. The relations between sleep disturbances and general health and memory among this population are unknown. The current study aimed to replicate the findings that parents of CSHCNs report poorer sleep quality than parents of TD children, and further examine how sleep is related to general health and memory. Participants (75 parents of TD children; 97 parents of CSHCNs) completed an online questionnaire consisting of: demographics, the Pittsburgh Sleep Quality Index (PSQI), the Prospective Retrospective Memory Questionnaire (PRMQ) and the Healthy Days Measure. Parents of CSHCNs reported worse global sleep than parents of TD children. Parents of CSHCNs took longer to fall asleep at night, had shorter sleep duration and worse subjective sleep quality than parents of TD children. Parents of CSHCNs also had worse prospective memory and were more likely to report poor general health than parents of TD children. Poorer sleep quality was associated with worse memory and health among both parents of TD children and parents of CSHCNs. Results from this study highlight the importance of addressing the sleep of parents of CSHCNs and support the need for more research in this area. By recognizing factors associated with parent's health and functioning, service providers may be better able to implement support programs for parents of CSHCNs.

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“…The main reason for bed sharing was the need of constant care with the son, due to his/her immobility. CM of children with acute lymphoblastic leukemia demonstrated insomnia, a symptom that is correlated with the stress and affliction [41]. In the same study, although not statistically significant, CM had several awakenings and sleep fragmentation, evaluated by sleep diary and actigraphy.…”

Section: The Sleep Of Caregiving Mothersmentioning

confidence: 68%

Caregivers’ sleep of Duchenne Muscular Dystrophy’s patients: a short review

Kt¹,

Editorial²,

Tufik³

et al. 2017

Transl Brain Rhythmicity

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The task of a caregiver might exert several effects upon his/her physical and psychological health. It should be highlight the role of the caregiving mother (CM) of patients with Duchenne Muscular Dystrophy (DMD). DMD is a genetic-character disease with a prevalence of 1 to every 3,500 boys live births and with high mortality rate. The disease´s progression significantly compromises the quality of life and mainly the patient´s independence, making it indispensible the presence of a caregiver. The overload of physical and emotionoal work, including nocturnal periods, may interfere with the CM´s sleep. CM with a son with DMD demonstrated lower sleep efficiency, higher sleep latency, and reported poor sleep quality. These modifications might negatively interfere with health and quality of life of these CMs. Therefore, the evaluation of sleep pattern and quality in this subjects is most important and essential, being for their own global health, as well as for the patient´s well-being. We point out the need for a major interest from the scientific community and health professionals in better understand the impact of chronic diseases on health and quality of life of caregivers and patients..

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Sleep in Mother and Child Dyads During Treatment for Pediatric Acute Lymphoblastic Leukemia

Abstract: Oncology nurses are in a unique position to identify sleep problems in mothers and children with ALL, which may lead to recommendations for improved sleep and referrals for treatment.

Cited by 30 publications

References 53 publications

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

High prevalence of parent‐reported sleep problems in pediatric patients with acute lymphoblastic leukemia after induction therapy

Sleep, health and memory: comparing parents of typically developing children and parents of children with special health‐care needs

Caregivers’ sleep of Duchenne Muscular Dystrophy’s patients: a short review

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