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Sleep Behaviors and Parent Functioning in Young Children With Type 1 Diabetes
Maureen Monaghan1, Linda J Herbert1, Fran R Cogen1
1Children's National Medical Center, George Washington University School of Medicine, Washington, DC.
Summary
Young children with type 1 diabetes show normal sleep, but bedtime resistance is linked to parent stress. Intensive insulin therapy may affect child and parent sleep and well-being.
Area of Science:
- Pediatric Endocrinology
- Sleep Medicine
- Psychology
Background:
- Type 1 diabetes (T1D) management in young children requires careful attention to daily routines.
- Sleep disturbances can affect children's health and family functioning.
- Parental emotional well-being is crucial for effective T1D care.
Purpose of the Study:
- To evaluate sleep characteristics in young children (2-5 years) with T1D.
- To examine the associations between child sleep, parent emotional functioning, and diabetes management.
- To identify potential implications for clinical practice.
Main Methods:
- Pilot study within a randomized-controlled trial.
- Involved twenty-four parents of young children diagnosed with T1D.
- Assessed child sleep patterns, parent stress, anxiety, and depression.
Main Results:
- Child sleep characteristics were generally within normal limits.
- Increased child bedtime resistance and behavioral insomnia correlated with higher parent stress, anxiety, and depression.
- Intensive insulin regimens were associated with these findings.
Conclusions:
- Type 1 diabetes management in young children can influence both child and parent sleep.
- Parental emotional functioning may be impacted by T1D care demands and child sleep behaviors.
- Interventions addressing child sleep and parental stress are warranted.
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