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Sleep in children with chronic illness, and the relation to emotional and behavioral problems--a population-based
Mari Hysing1, Børge Sivertsen, Kjell Morten Stormark
1Department of Biological and Medical Psychology, University of Bergen, Bergen, Norway. mari.hysing@psybp.uib.no
Insights
Children with chronic illness experience more sleep problems like difficulty falling asleep and nighttime awakenings. These issues are linked to emotional and behavioral challenges, highlighting the need for early intervention.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Child Psychology
Background:
- Sleep disturbances are common in children.
- Chronic illness in children may impact sleep quality.
- Emotional and behavioral problems can co-occur with chronic conditions.
Purpose of the Study:
- To investigate sleep patterns and problems in children with chronic illnesses.
- To assess the influence of emotional and behavioral issues on sleep in this population.
Main Methods:
- Utilized data from the Bergen Child Study, a total population survey.
- Analyzed sleep information from 5,781 children and their parents.
- Compared sleep characteristics between 496 children with chronic illness and healthy peers.
Main Results:
- No significant differences in total sleep time were found.
- Children with chronic illness reported increased difficulty falling asleep and more nighttime awakenings.
- Emotional and behavioral problems mediated the association between chronic illness and sleep disturbances.
Conclusions:
- Children with chronic illness exhibit a higher prevalence of sleep problems.
- Sleep issues in these children are closely associated with emotional and behavioral challenges.
- Early detection and intervention for sleep and behavioral problems are crucial for children with chronic conditions.
Objective:
To examine sleep and sleep problems in children with chronic illness, and the potential effect of emotional and behavioral problems.
Methods:
The Bergen Child Study is a total population study. Based on data from the second wave, information about sleep was given by 5,781 children and their parents, of which 496 children (8.6%) had a chronic illness.
Results:
There were no differences in time in bed between children with a chronic illness and their healthy peers. However, the chronic illness group reported more problems falling asleep and had more nighttime awakenings. The increased risk for sleep problems was reduced to a nonsignificant level when adjusting for emotional and behavioral problems.
Conclusions:
The elevated rate of sleep problems and association with emotional and behavioral problems in children with chronic illness underline the importance of early detection and intervention in this group.
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