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Published on: October 2, 2019
Sleep Problems in Children With Agenesis of the Corpus Callosum
David G Ingram1, Shervin S Churchill2
1Division of Pulmonary and Sleep Medicine, Children's Mercy Hospital, Kansas City, Missouri.
Insights
Sleep problems are prevalent in children with agenesis of the corpus callosum (ACC), significantly impacting their quality of life. This study highlights the need for interventions addressing sleep disturbances in this population.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Developmental Neuroscience
Background:
- Agenesis of the corpus callosum (ACC) is a congenital condition with limited research on associated sleep disturbances.
- Understanding sleep patterns in children with ACC is crucial for comprehensive care.
Purpose of the Study:
- To evaluate sleep problems in children diagnosed with agenesis of the corpus callosum.
- To examine the relationship between sleep issues and the quality of life in these children.
Main Methods:
- A cross-sectional, anonymous online survey was administered to parents of children with ACC (aged 5–18 years).
- The Children's Sleep Habits Questionnaire (CSHQ) and Pediatric Quality of Life Inventory (PedsQL) were utilized.
- Statistical analyses assessed correlations between CSHQ and PedsQL scores.
Main Results:
- 78% of children with ACC exhibited clinically significant sleep problems based on CSHQ scores.
- Children with ACC showed significantly higher CSHQ scores compared to typically developing children across all domains.
- A moderate negative correlation was found between overall sleep problems and quality of life (r = -0.485, P < 0.001).
Conclusions:
- Sleep problems are highly prevalent in children with agenesis of the corpus callosum.
- Worse sleep quality in children with ACC is significantly associated with a lower quality of life across emotional, social, physical, and school domains.
Background:
Very little is known about sleep habits in children with agenesis of the corpus callosum (ACC). The purpose of this investigation was to evaluate sleep problems in children with ACC and examine the association with quality of life.
Methods:
We performed a cross-sectional, anonymous, internet-based survey offered to parents of children with ACC, aged five to 18 years. The Children's Sleep Habits Questionnaire (CSHQ) and pediatric quality of life (PedsQL) were used to assess sleep habits and quality of life, respectively. Associations between the total and all subdomains of CSHQ and PedsQL were tested.
Results:
The final sample included 66 parents of children with ACC. Overall, 78% of the children had clinically significant sleep problems, using a cutoff score of 41 on the CSHQ. Compared with a prior national sample of typically developing children, children with ACC scored significantly higher overall and in all subdomains of the CSHQ. The overall CSHQ and PedsQL were moderately correlated (r = -0.485, P < 0.001), indicating that children with more sleep problems had worse quality of life. In addition, the total CSHQ correlated with all subdomains of the pediatric quality of life, including emotional (r = -0.515, P < 0.01), social (r = -0.394, P < 0.01), physical (r = -0.263, P < 0.01), and school (r = -0.362, P < 0.01). These associations remained statistically significant in multivariable regression models controlling for age and gender.
Conclusions:
Sleep problems are common and associated with lower quality of life in children with ACC.
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