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.

Insights

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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