Which objective sleep elements predict children's perceptions of good sleep quality? A preliminary investigation based on polysomnography and actigraphy

So, Christine J.; Palmer, Cara A.; Gonzalez, Rogelio; Bower, Joanne L.; Lau, Simon; Alfano, Candice A.

doi:10.1016/j.sleh.2020.07.001

Cited by 8 publications

(4 citation statements)

References 34 publications

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“…Measuring interpersonal functioning by self-report is particularly difficult with younger students, and although these measures are not validated, and required both introspection and retrospection from young students, their development incorporated advice from school staff and healthcare providers. In addition, it has been noted that objective measures of sleep timing do not predict child ratings of sleep quality[ 59 ] and it is the subjective reports of sleep disturbance during childhood and adolescence that seem to predict wellbeing difficulties in the long term. [ 60 , 61 ] Future survey research of this kind may act as a pathway to explore sleep and wellbeing using validated self-report scales in subsamples to identify those who may be most in need of intervention.…”

Section: Discussionmentioning

confidence: 99%

Sleep in the time of COVID-19: findings from 17000 school-aged children and adolescents in the UK during the first national lockdown

et al. 2022

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Study Objectives Sleep is essential to young people’s wellbeing, yet may be constricted by the adolescent delayed sleep phase coupled with school start times. COVID-19 restrictions caused major disruptions to everyday routines, including partial school closures. We set out to understand changes in students’ self-reported sleep quality, and associations with mental wellbeing and interpersonal functioning, during these restrictions. Methods The OxWell school survey – a cross-sectional online survey – collected data from 18,642 children and adolescents (aged 8–19 years, 60% female, school year 4–13) from 230 schools in southern England, in June–July 2020. Participants completed self-report measures of the impact of COVID-19 restrictions on sleep quality, happiness, and social relationships. Sleep timing was compared with data collected from 4222 young people in 2019. Results Females and older adolescents were more likely to report deteriorations in sleep during the national lockdown. Regression analysis revealed that changes in happiness (β = .34) and how well students were getting on with others in their household (β = .07) predicted change in sleep quality. Students’ bedtimes and wake times were later, and sleep duration was longer in 2020 compared to the 2019 survey. Secondary school students reported the greatest differences, especially later wake times. Conclusions During COVID-19 restrictions, sleep patterns consistent with adolescent delayed sleep phase were observed, with longer sleep times for secondary school students in particular. Perceived deteriorations in sleep quality were associated with reductions in happiness and interpersonal functioning, highlighting the importance of including sleep measures in adolescent wellbeing research.

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Section: Discussionmentioning

confidence: 99%

Sleep in the time of COVID-19: findings from 17000 school-aged children and adolescents in the UK during the first national lockdown

et al. 2022

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“…Sleep measured by actigraphy demonstrated that the sleep efficiency score of 85.9% (Table 3) was identical to the mean for a group of 52 healthy school-age children (So et al, 2021). Total sleep time was shorter at 460.3 min (Table 3) compared to the healthy children whose mean was 509 min (So et al, 2021).…”

Section: Discussionmentioning

confidence: 87%

“…Although the study group met the CDC threshold for physical activity, the level of activity was predominantly at the moderate level rather than vigorous. Sleep measured by actigraphy demonstrated that the sleep efficiency score of 85.9% (Table 3) was identical to the mean for a group of 52 healthy school-age children (So et al, 2021). Total sleep time was shorter at 460.3 min (Table 3) compared to the healthy children whose mean was 509 min (So et al, 2021).…”

Section: Study Measures Of Individual Variablesmentioning

confidence: 84%

Symptoms, Physical Activity, and Biomarkers in Children at the End of Leukemia Maintenance Therapy

Hooke

Salisbury

Mathiason

et al. 2023

Journal of Pediatric Hematology/Oncology Nursing

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Background: Symptoms in children with acute lymphocytic leukemia (ALL) change over the trajectory of treatment but little is known about their symptoms as treatment ends. Physical activity may help decrease symptom distress and is vital for ongoing development. The role of biomarkers in symptom science is emerging. The purpose of the study was to explore relationships between self-report of symptoms and physical activity, actigraphy measures, and cerebrospinal fluid (CSF) biomarkers. Methods: Participants were children who were ages 3 to 18 years at the time of ALL diagnosis and were now in the last 12-week cycle of ALL maintenance. Self-reports of fatigue, sleep disturbance, depressive symptoms, and physical activity were completed by participants and parents of younger children. Participants wore a wrist actigraph continuously for the 7 days before other measurements. F2-isoprostanes and interleukin-8 were evaluated in CSF samples. Results: Among the 15 participants, self-report of symptoms and physical activity indicated levels similar to healthy peers. F2-isoprostane had a strong positive correlation with fatigue levels and with depressive symptoms. Fatigue, sleep disturbance, and depressive symptoms positively correlated with each other. Actigraph measures showed children met the CDC guidelines for 60 min of daily moderate to vigorous activity; sleep time was slightly less than healthy norms. Discussion: During maintenance therapy, most children return to healthy norms in symptom burden and physical activity. F2-isoprostane in the CSF is a biomarker for fatigue and depressive symptoms. Children who had persistent symptoms experienced them as a cluster, which confirms previous symptom cluster research.

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“…On the other hand, So et al recommended the objective sleep elements and other influences of children's perceptions of sleep quality using linear and non-linear models. The measurement of sleep quality indexes might differ according to several parameters, and therefore there must be multiple measurements for the objective conclusion (So et al, 2021). Therefore, more than one night's sleep quality assessment would be appropriate.…”

Section: Discussionmentioning

confidence: 99%

Effect of virtual reality-based exercise intervention on sleep quality in children with acute lymphoblastic leukemia and healthy siblings: A randomized controlled trial

et al. 2022

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Objective Sleep is one of the important measurements of the quality of life for children especially suffering from a chronic illness such as cancer. Our aim was to determine the changes in sleep quality and to investigate the effect of virtual reality-based exercise (VRBE) approaches on sleep in patients with acute lymphoblastic leukemia (ALL) off treatment. Method The participants (ALL and healthy siblings) were evaluated for sleep quality with polysomnography and “Children's Sleep Habit Questionnaire” before and after 12 weeks. The study randomized into two groups: an exercise group who received VRBE in two days in a week, 45 min of each session for 12 weeks and an control group who were managed with supportive measures. The VRBE comprised of aerobic exercise in four different games by Nintendo Wii Fit Plus®. Results This randomized controlled trial was carried out on 38 participants. Before intervention, ALL patients (n = 24) and healthy siblings (n = 14) had similar sleep quality in terms of polysomnography and Children's Sleep Habit Questionnaire findings. After intervention, total time asleep (p = 0.023), respiratory disturbance index of hypopnea (p = 0.005), apnea/hypopnea index (p = 0.008), and number of apnea (p = 0.028) statistically significant improved. Significance of results Patients with ALL off treatment had similar values of sleep quality with healthy siblings. Novel types of exercises like VRBE have positive effects on sleep disorders in children with ALL and also healthy siblings. Future studies are needed comparing the different types of interventions.

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Which objective sleep elements predict children's perceptions of good sleep quality? A preliminary investigation based on polysomnography and actigraphy

Cited by 8 publications

References 34 publications

Sleep in the time of COVID-19: findings from 17000 school-aged children and adolescents in the UK during the first national lockdown

Sleep in the time of COVID-19: findings from 17000 school-aged children and adolescents in the UK during the first national lockdown

Symptoms, Physical Activity, and Biomarkers in Children at the End of Leukemia Maintenance Therapy

Effect of virtual reality-based exercise intervention on sleep quality in children with acute lymphoblastic leukemia and healthy siblings: A randomized controlled trial

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