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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.

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|January 7, 2016
PubMed

Insights

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.
Abstract

Keywords:
ParasomniaQuestionnaireSleep disordered breathingSleep disturbance scale for childrenSleep enuresis

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