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Sleep disturbances and behavior problems in children with and without arthritis

Teresa M Ward1, Jennifer Sonney1, Sarah Ringold2

  • 1Department of Family and Child Nursing, School of Nursing, University of Washington, Seattle, WA.

Journal of Pediatric Nursing
|April 8, 2014
PubMed

Insights

Children with juvenile idiopathic arthritis (JIA) experience more sleep disturbances, which are linked to behavior problems. Addressing sleep issues may help improve behavior in children with JIA.

Area of Science:

  • Pediatric Rheumatology
  • Sleep Medicine
  • Child Psychology

Background:

  • Juvenile idiopathic arthritis (JIA) is a chronic condition affecting children.
  • Sleep disturbances are common but often underrecognized in pediatric populations.
  • Behavioral problems can impact a child's quality of life and development.

Purpose of the Study:

  • To compare sleep disturbances and behavior problems in school-aged children with and without JIA.
  • To investigate the relationship between sleep disturbances and behavior problems in children with JIA.

Main Methods:

  • A comparative study involving school-aged children (6-11 years) with (n=70) and without (n=46) JIA.
  • Parent-completed questionnaires assessed sleep habits and behavior problems.
  • Statistical analyses controlled for covariates like age, medications, and pain.

Main Results:

  • Children with JIA exhibited significantly higher total sleep disturbances compared to controls.
  • JIA patients scored higher on six of eight sleep disturbance subscales.
  • Sleep disturbances were significant predictors of externalizing behavior problems.

Conclusions:

  • Sleep disturbances are prevalent in children with JIA and associated with behavioral issues.
  • Sleep disordered breathing and other sleep problems may be overlooked in JIA management.
  • Interventions targeting sleep disturbances could potentially mitigate behavioral problems in JIA.

Keywords:
Externalizing behavioral problemsInternalizing behavior problemsJuvenile idiopathic arthritisSleep disturbances

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