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Sleep disorder and behavior problems in children with type 1 diabetes mellitus

Evin Ilter Bahadur1, Şervan Özalkak2, Asena Ayça Özdemir3

  • 1Department of Pediatrics, Division of Developmental Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Journal of Pediatric Endocrinology & Metabolism : JPEM
|October 27, 2021
PubMed

Insights

Children with type 1 Diabetes Mellitus experience more sleep and behavior issues. Addressing sleep problems in T1DM patients can improve maternal well-being and child behavior.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Child Psychology

Background:

  • Type 1 Diabetes Mellitus (T1DM) is a chronic condition affecting children globally.
  • Sleep disturbances and behavioral problems are common in pediatric populations.
  • The interplay between T1DM, sleep, behavior, and maternal mental health requires further investigation.

Purpose of the Study:

  • To compare sleep and behavior problems in children with T1DM versus healthy controls.
  • To investigate the relationship between sleep issues, behavior problems, maternal sleep quality, and maternal depressive symptoms in children with T1DM.

Main Methods:

  • A comparative study involving children with T1DM (4-12 years) and age/sex-matched healthy controls.
  • Parental questionnaires assessed child sleep (CSHQ), behavior (CBCL/4-18), maternal sleep quality (PSQI), and maternal depression (BDI).
  • Clinical T1DM data were collected from medical records.

Main Results:

  • 65.3% of all children experienced sleep problems; T1DM children had poorer sleep and more daytime sleepiness.
  • Sleep issues in T1DM children correlated with maternal sleep quality and depression, but not diabetes management or glycemic control.
  • Children with T1DM exhibited more internalizing behaviors, significantly linked to sleep problems and maternal depression.

Conclusions:

  • Routine evaluation of sleep patterns and quality is recommended for children with T1DM to mitigate behavioral risks.
  • Improving sleep in T1DM patients may enhance maternal quality of life.
  • Further longitudinal research is needed to understand the impact of evolving diabetes treatments on sleep.
Abstract

Keywords:
behavior problemschildren with type 1 diabetes mellitusmaternal mental healthmaternal sleep qualitysleep problems

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