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Allergic disease, sleep problems, and psychological distress in children recruited from the general community

Jade Sherrey1, Sarah Biggs2, Jillian Dorrian1

  • 1University of South Australia, Justice and Society Unit, Adelaide, Australia.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|May 22, 2022
PubMed

Insights

Allergic rhinitis and asthma in children are linked to various sleep problems, which can mediate psychological distress. Eczema shows a weaker association with sleep issues and distress.

Area of Science:

  • Pediatric Allergy and Sleep Medicine
  • Child Psychology and Sleep Disorders

Background:

  • The relationship between specific allergic diseases and sleep problems remains unclear.
  • The mediating role of sleep issues in the link between allergic disease and psychological distress requires further investigation.
  • Community-based studies with nonreferred samples are needed.

Purpose of the Study:

  • To assess the association between individual allergic diseases and sleep disturbances in children.
  • To determine if sleep problems mediate the relationship between allergic disease and psychological distress.

Main Methods:

  • A community-based study involving 1449 Australian children aged 6-10 years.
  • Parents completed validated questionnaires on sleep problems, psychological distress, and allergic disease frequency.
  • Statistical analyses included controlling for coexisting allergic diseases and path analysis.

Main Results:

  • Allergic rhinitis showed the strongest association with multiple sleep problems (e.g., sleep disordered breathing, restless sleep).
  • Asthma was linked to sleep routine problems, sleep disordered breathing, and restless sleep.
  • Sleep problems significantly mediated the association between allergic rhinitis/asthma and psychological distress.

Conclusions:

  • In a general community sample, allergic rhinitis and asthma are associated with significant sleep problems.
  • Sleep problems act as a mediator between allergic diseases (allergic rhinitis, asthma) and psychological distress in children.
  • Routine assessment of sleep health is crucial for children diagnosed with allergic conditions.
Abstract

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