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Sleep problems in children with mental handicap.

L Quine1

  • 1Institute of Social and Applied Psychology, University of Kent, Canterbury, England.

Journal of Mental Deficiency Research
|August 1, 1991
PubMed
Summary

Sleep problems are common and persistent in children with severe mental handicap. Poor communication skills and maternal stress significantly impact these sleep issues, highlighting needs for targeted interventions.

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Area of Science:

  • Developmental Psychology
  • Pediatric Sleep Medicine
  • Disability Studies

Background:

  • Sleep problems are prevalent in children with severe mental handicap.
  • Existing research lacks longitudinal data on the persistence and contributing factors of these sleep issues.

Purpose of the Study:

  • To conduct a longitudinal investigation of sleep problems in children with severe mental handicap.
  • To identify child and family characteristics associated with sleep disturbances.
  • To explore causal pathways influencing sleep problems.

Main Methods:

  • Longitudinal study design involving 200 children with severe mental handicap.
  • Data collection on sleep patterns, child characteristics, and family variables.
  • Construction of a Sleep Index and application of path analysis.

Main Results:

  • High prevalence of settling (51%) and waking (67%) problems; 32% of parents reported insufficient sleep.
  • Sleep problems demonstrated persistence over 3 years.
  • Child factors (communication, academic, self-help skills, incontinence, behavior, epilepsy) and maternal factors (stress, irritability, family impact) were associated with sleep issues.

Conclusions:

  • Sleep problems are a significant, persistent challenge for children with severe mental handicap.
  • Communication skills are a pivotal factor in sleep disturbances.
  • Findings underscore the need for interventions addressing child-specific deficits and maternal well-being.

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