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Published on: January 25, 2016
Parent-child co-sleeping in children with co-morbid conditions and sleep-disordered breathing
Lynda Sidhoum1, Alessandro Amaddeo1,2, Jorge Olmo Arroyo1
1Pediatric noninvasive ventilation and sleep unit, AP-HP, Hôpital Necker Enfants-Malades, Paris, France.
Insights
Parent-child co-sleeping is common in children with medical conditions and sleep-disordered breathing. While often reactive, it impacts parental sleep quality both positively and negatively, requiring individualized discussion.
Area of Science:
- Pediatric Sleep Medicine
- Child Health
- Family Studies
Background:
- Co-sleeping is frequently observed in children with complex medical needs.
- Sleep-disordered breathing often co-occurs with other medical conditions in children.
Purpose of the Study:
- To determine the prevalence and factors influencing parent-child co-sleeping in children with co-morbidities and sleep-disordered breathing.
- To assess the impact of co-sleeping on parental sleep quality.
Main Methods:
- A questionnaire was administered to parents of children undergoing sleep studies.
- Data collected focused on co-sleeping habits and parental sleep experiences.
Main Results:
- Parent-child co-sleeping was reported by 46% of parents, often driven by child's needs or medical reasons.
- Co-sleeping had mixed effects on parental sleep, with 68% reporting improvement and 40% reporting decreased quality.
- Co-sleeping was more prevalent in younger children (<2 years).
Conclusions:
- Parent-child co-sleeping is a common practice among children with co-morbidities and sleep-disordered breathing.
- The decision to co-sleep should be individualized, considering its varied effects on family sleep.
- Open communication about co-sleeping is essential for optimizing family sleep quality.
Purpose:
Co-sleeping is common in children with co-morbid conditions. The aim of the study was to analyze the prevalence and determinants of parent-child co-sleeping in children with co-morbid conditions and sleep-disordered breathing and the impact on parental sleep.
Methods:
Parents of consecutive children undergoing a sleep study filled in a questionnaire on co-sleeping.
Results:
The parents of 166 children (80 boys, median age 5.7 years (0.5-21) participated in this study. The most common co-morbid conditions of the children were Down syndrome (17%), achondroplasia (11%), and Chiari malformation (8%). The prevalence of parent-child co-sleeping was 46%. Reasons for co-sleeping were mainly reactive and included child's demand (39%), crying (19%), nightmares (13%), medical reason (34%), parental reassuring or comforting (27%), and/or over-crowding (21%). Sixty-eight percent of parents reported that co-sleeping improved their sleep quality because of reassurance/comforting (67%), reduced nocturnal awakening (23%), and child supervision (44%). Forty percent of parents reported that co-sleeping decreased their sleep quality because of nocturnal awakenings or early wake up, or difficulties initiating sleep (by 77% and 52% of parents, respectively), whereas both positive and negative associations were reported by 29% of the parents. Co-sleeping was more common with children < 2 years of age as compared to older children (p < 0.001).
Conclusions:
Parent-child co-sleeping is common in children with co-morbid conditions and sleep-disordered breathing. Co-sleeping was mainly reactive and had both positive and negative associations with parental sleep quality. Co-sleeping should be discussed on an individual basis with the parents in order to improve the sleep quality of the family.
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