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Sleep disturbances associated with sleep enuresis: A questionnaire study
Leticia Azevedo Soster1, Rosana Alves2, Simone N Fagundes3
1Department of Neurology, University of Sao Paulo Medical School, Sao Paulo, Brazil; Department of Pediatrics, University of Sao Paulo Medical School, Sao Paulo, Brazil.
Summary
Children with sleep enuresis (SE) experience more sleep disturbances, particularly sleep-disordered breathing and arousal disorders. Enuretic children also show fewer problems initiating sleep, suggesting deeper sleep.
Area of Science:
- Pediatrics
- Sleep Medicine
- Child Psychology
Background:
- Sleep enuresis (SE) is a common childhood sleep issue.
- SE is linked to bladder issues, increased urine production, and deep sleep.
- Associated sleep disorders include parasomnias and sleep apnea.
Purpose of the Study:
- To investigate sleep disturbances in children with SE.
- Utilized the Sleep Disturbance Scale for Children (SDSC) for comparison.
- Compared enuretic children to age- and sex-matched controls.
Main Methods:
- Administered the SDSC questionnaire to 76 enuretic and 112 control children.
- SDSC assesses six subscales: DIMS, SBD, DA, SWTD, DOES, and SHY.
- Excluded children with renal or neurological conditions.
Main Results:
- Enuretic children had higher scores in SBD, DA, and SWTD, and overall.
- Enuretics showed lower scores in the DIMS subscale.
- No significant differences were observed in DOES or SHY subscales.
Conclusions:
- Children with SE exhibit high comorbidity with sleep-disordered breathing and parasomnias.
- A novel finding is the reduced incidence of Disorders in Initiating and Maintaining Sleep (DIMS).
- This aligns with parental reports of deeper sleep and higher arousal thresholds in enuretic children.
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