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Sleep Outcomes for Parents of Children With Neurodevelopmental Disabilities: A Systematic Review
Samantha K Micsinszki1, Marilyn Ballantyne1,2, Kristin Cleverley1
11 University of Toronto, Ontario, Canada.
Insights
Parents caring for children with Neurodevelopmental Disabilities (NDDs) frequently experience poor sleep quality. This review highlights a significant need for more high-quality research on parental sleep in NDD populations.
Area of Science:
- Neuroscience
- Sleep Medicine
- Developmental Pediatrics
Background:
- Parents of children with Neurodevelopmental Disabilities (NDDs) face unique challenges that can impact their well-being.
- Sleep disturbances are a common concern for caregivers, yet comprehensive reviews on parental sleep outcomes in this population are lacking.
Purpose of the Study:
- To systematically review existing literature on sleep quantity, quality, sleepiness, and fatigue in caregivers of children with NDDs.
- To identify gaps in the current research regarding parental sleep in the context of NDDs.
Main Methods:
- A systematic literature search was conducted between June and August 2016.
- Included studies examined sleep outcomes in caregivers of children with NDDs.
- Eligibility criteria were applied to 7,534 retrieved citations, with 33 studies meeting the criteria.
Main Results:
- Most included studies (n=27) were cross-sectional and of poor or fair quality.
- Parents of children with NDDs consistently reported significantly poorer subjective sleep quality compared to controls.
- There is a notable lack of high-quality, comparative studies using objective sleep measures.
Conclusions:
- The current body of research on parental sleep in NDD populations is limited by study quality and design.
- Further high-quality research is essential to understand parental sleep experiences and inform intervention strategies.
- Addressing parental sleep deficits is crucial for supporting families of children with NDDs.
Abstract:
Parents of children with Neurodevelopmental Disabilities (NDDs) are at risk of sleep loss. No comprehensive systematic reviews examining parental sleep outcomes in caregivers of children with NDDs exist. A systematic search was conducted between June and August 2016 examining sleep quantity, quality, sleepiness, and fatigue outcomes of caregivers of children with NDDs. Of 7,534 citations retrieved, 33 met eligibility criteria. Most studies ( n = 27) were cross-sectional, included a range of NDDs and were of "poor" ( n = 14) or "fair" ( n = 17) quality. Few good quality studies compared objectively measured sleep in parents of children with NDDs with parents with typically developing children. Parents of children with NDDs consistently reported significantly poorer subjective sleep quality. There is a paucity of good quality comparative studies, using well-validated measures, examining parental sleep outcomes. Future research should aim to fill this gap, providing greater insight to parents' experiences, and identifying targets for intervention design and evaluation.
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