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Sleep problems in children with cerebral palsy and their relationship with maternal sleep and depression
Sarah Wayte1, Elizabeth McCaughey, Simone Holley
1Division of Clinical Experimental Sciences, Faculty of Medicine, University of Southampton, UK.
Insights
Children with cerebral palsy experience more sleep problems than their typically developing peers. Maternal sleep quality is also affected, correlating with maternal depression, highlighting the need for clinical identification and treatment of childhood sleep issues.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Developmental Pediatrics
Background:
- Sleep problems are common in children with cerebral palsy (CP).
- Maternal mental health and sleep quality may be associated with childhood sleep disturbances.
Purpose of the Study:
- To compare sleep problems in children with CP to typically developing (TD) children.
- To investigate the relationship between sleep problems in children with CP and maternal sleep quality and depression.
Main Methods:
- Fifty-seven children with CP (aged 4-12) and 102 TD children were recruited.
- Maternal sleep and mood were assessed using validated questionnaires.
- Child sleep problems were evaluated using the Children's Sleep Habits Questionnaire.
Main Results:
- Children with CP exhibited significantly more sleep anxiety, night wakings, parasomnias, and sleep-disordered breathing than TD children.
- 40% of mothers of children with CP reported poor sleep quality, with 44% experiencing depressed mood.
- Child and maternal sleep disturbances were significantly correlated, and maternal sleep quality predicted maternal depression.
Conclusions:
- Children with CP face greater sleep challenges compared to TD peers.
- Maternal sleep disturbance is linked to maternal depression in mothers of children with CP.
- Early identification and management of sleep problems in children with CP are crucial in clinical practice.
Aim:
To compare sleep problems in children with cerebral palsy to typically developing children. To study the relationship between sleep problems in children with cerebral palsy and maternal sleep quality and depression.
Methods:
Fifty-seven children with cerebral palsy aged 4-12 years were identified from a UK disability database. Maternal sleep disturbance and mood were assessed using the Pittsburgh Sleep Quality Index and the Major Depression Inventory. Child sleep problems, assessed with the Children's Sleep Habits Questionnaire, but not maternal variables, were compared to 102 typically developing children.
Results:
Forty children (70%) were recruited with a mean age of 7.8 (SD 2.4). Sleep anxiety, night wakings, parasomnias and sleep-disordered breathing sub-scales indicated significantly more difficulties than in typically developing children. 40% of mothers of children with cerebral palsy had poor sleep quality of whom 44% had depressed mood. Child and maternal sleep disturbance were significantly correlated. Maternal sleep quality predicted 50% of the variance in maternal depression.
Conclusions:
Children with cerebral palsy have more sleep problems than typically developing peers. Their mothers also have disturbed sleep that correlates with maternal depression. Childhood sleep problems can be treated and should be identified in routine clinical practice.
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