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Sleep problems and associated factors in children with juvenile idiopathic arthritis: a systematic review

Jennifer N Stinson1, Jill A Hayden2, Sara Ahola Kohut3

  • 1Departments of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada ; Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada ; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.

Pediatric Rheumatology Online Journal
|June 19, 2014
PubMed

Insights

Children with Juvenile Idiopathic Arthritis (JIA) experience more sleep disturbances, often linked to pain. More research is needed to understand and address sleep issues in pediatric JIA patients.

Area of Science:

  • Pediatric Rheumatology
  • Sleep Medicine
  • Systematic Review

Background:

  • Sleep problems are prevalent in children with Juvenile Idiopathic Arthritis (JIA).
  • The frequency, severity, and contributing factors of sleep disturbances in JIA are not well understood.
  • Mechanisms linking JIA to sleep problems require further investigation.

Purpose of the Study:

  • To systematically review and synthesize existing research on sleep problems in children with JIA.
  • To identify associations between JIA and sleep disturbances.

Main Methods:

  • Systematic review guided by PRISMA statement.
  • Comprehensive literature search across multiple databases (MEDLINE, EMBASE, PsychINFO, CINAHL, Cochrane).
  • Independent data extraction and quality assessment (QUIPS tool) by two reviewers.

Main Results:

  • Ten studies were included, primarily cross-sectional and case-controlled.
  • Four studies indicated significantly higher sleep disturbances in children with JIA compared to controls.
  • Pain was frequently associated with sleep disturbances in JIA patients.

Conclusions:

  • An association exists between poor sleep and increased JIA symptoms, particularly pain.
  • Findings should be interpreted cautiously due to inconsistent results, limited evidence, and low study quality.
  • Further research is crucial to determine causality and identify predictors of poor sleep in pediatric JIA.
Abstract

Keywords:
Juvenile idiopathic arthritisPrognostic factorSleep problemsSystematic review

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