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Published on: October 2, 2019
Association between sleep and behavioural problems among children with enuresis
Maha K Abou-Khadra1, Omnia R Amin, Dalia Ahmed
1Department of Paediatrics, Faculty of Medicine, Cairo University, Cairo, Egypt. maha_korany71@yahoo.com
Insights
Sleep problems are common in children with enuresis, particularly daytime sleepiness, which is linked to behavioral issues. Addressing sleep disturbances may improve daytime behavior in these children.
Area of Science:
- Pediatric Sleep Medicine
- Child Behavioral Health
- Enuresis Research
Background:
- Sleep problems are frequently observed in children diagnosed with enuresis.
- The co-occurrence of sleep disturbances and behavioral issues in enuretic children warrants further investigation.
Purpose of the Study:
- To characterize sleep problems in a cohort of children with enuresis.
- To examine the relationship between sleep disturbances and behavioral problems in this population.
Main Methods:
- A cross-sectional study involving 100 children with enuresis recruited from a specialized clinic.
- Assessment of sleep patterns using the Children's Sleep Habits Questionnaire.
- Evaluation of behavioral issues via the Child Behaviour Checklist.
Main Results:
- Daytime sleepiness, bedtime resistance, and sleep anxiety were the most prevalent sleep complaints.
- Children with higher behavioral problem scores (T-scores ≥ 60) exhibited increased daytime sleepiness.
- Multivariate logistic regression confirmed a significant association between daytime sleepiness and behavioral disturbances.
Conclusions:
- Sleep problems are prevalent in children with enuresis.
- Daytime sleepiness, a common sleep disturbance, may mediate the link between enuresis and behavioral problems.
- Interventions targeting sleep disturbances could potentially improve daytime behavior in enuretic children.
Aim:
This study was conducted to describe sleep problems in a sample of children with enuresis and to investigate the association between sleep and behavioural problems.
Methods:
In this cross-sectional study, 100 children with enuresis were recruited from paediatric enuresis clinic. The children's sleep problems and behaviours were assessed by the Children's Sleep Habits Questionnaire and Child Behaviour checklist.
Results:
The most frequently reported sleep problems were in daytime sleepiness, bedtime resistance and sleep anxiety subscales. Children with T-scores ≥ 60 in internalising, externalising and total behavioural problems had higher scores on daytime sleepiness subscale and total score than children with T-scores < 60. Multivariate logistic regression analysis revealed that daytime sleepiness subscale was significantly related to behavioural disturbances.
Conclusions:
Sleep problems are common among this sample of children with enuresis, and the presence of sleep disturbance such as daytime sleepiness could explain the association between enuresis and disturbed daytime behaviour.
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