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Published on: August 8, 2019
Sleep problems in primary school children: comparison between mainstream and special school children
1Centre for Research in Health Behaviour, Department of Psychology, University of Kent at Canterbury, Canterbury, Kent, UK. L.Quine@ukc.ac.uk
Insights
Children in special schools show higher rates of dyssomnias and obstructive sleep apnoea features than those in mainstream schools. Parasomnias were less frequently elevated in special school populations, indicating distinct sleep issue patterns.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Psychology
- Public Health
Background:
- Sleep disturbances are common in childhood, impacting development and well-being.
- Understanding the prevalence and correlates of specific sleep disorders in children is crucial for targeted interventions.
- Differences in sleep problems between children in mainstream and special education settings are not well-characterized.
Purpose of the Study:
- To investigate the prevalence of dyssomnias, obstructive sleep apnoea (OSA) features, and parasomnias in primary school children.
- To examine the social correlates of these sleep problems, comparing children in mainstream versus special schools.
- To identify factors associated with common sleep issues like settling problems, bed-sharing, and night waking.
Main Methods:
- A cross-sectional study involving primary school children aged 4-12 years.
- Parental questionnaires were distributed through head teachers of randomly selected mainstream and special schools.
- Data collected on sleep behaviors, including dyssomnias, OSA features, and parasomnias, and analyzed using correlational methods.
Main Results:
- Children in special schools exhibited significantly higher rates of four out of five investigated dyssomnias and all assessed OSA features compared to mainstream school children.
- Conversely, only two of seven parasomnias were more prevalent in the special school group.
- Age, gender, child, family, and environmental factors were correlated with frequent settling problems, bed-sharing, and night waking.
Conclusions:
- Children in special schools face a higher burden of certain sleep disorders, particularly dyssomnias and OSA-related issues.
- The distinct patterns of sleep problems suggest different underlying causes or contributing factors in special needs populations.
- Findings highlight the need for tailored sleep assessments and interventions for children in special education settings.
Abstract:
This paper reports on a study of the prevalence and social correlates of dyssomnias, features associated with obstructive sleep apnoea, and parasomnias in primary school children aged 4-12. Head teachers of schools selected randomly from lists of local primary and special schools were contacted by telephone and asked to distribute a questionnaire package to the parents of all pupils aged 4-12 years. In all, 890 parents of children from mainstream schools and 300 from special schools were approached. The response rates were 64.7% and 60%, respectively. The results showed that significantly higher proportions of children in special schools than in mainstream schools presented four of the five dyssomnias investigated and all of the features associated with obstructive sleep apnoea. In contrast, only two of the seven parasomnias were presented by higher proportions of the children in special schools. Age and gender differences for the two groups of children are presented. Finally, multiple correlations were computed between a range of child, family, and environmental characteristics and the three problems most frequently reported: frequency of settling problems; sleeping in the parents' bed; and night waking. The findings are discussed with reference to other studies of children's sleep problems, and the implications for treatment are considered.
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