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Sleep Disorders and Quality of Life in Children with Cerebral Palsy
Pramod Samota1, Aaradhana Singh2, Anju Aggarwal1
1Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, 110095, India.
Insights
Children with cerebral palsy (CP) experience significantly higher rates of sleep disorders, which negatively impact their quality of life (QOL). Early screening for sleep issues in CP is crucial for improving overall well-being.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Quality of Life Research
Background:
- Cerebral palsy (CP) is a complex neurological condition affecting motor function.
- Sleep disturbances are frequently reported in children with CP, but their prevalence and impact on quality of life (QOL) require further investigation.
Purpose of the Study:
- To determine the prevalence of sleep disorders and assess the quality of life (QOL) in children with cerebral palsy (CP).
- To investigate the association between sleep disorders and QOL in children with CP.
Main Methods:
- A cross-sectional study involving 117 children with CP (ages 4-12) and 117 age- and gender-matched healthy controls.
- Utilized the Pediatric Sleep Questionnaire (PSQ), Sleep-Related Breathing Disorder (SRBD) scale, Sleep Disturbance Scale for Children (SDSC), and the Cerebral Palsy Quality of Life questionnaire for children (CPQOL-CHILD).
Main Results:
- Children with CP showed significantly higher rates of sleep disorders compared to controls, as indicated by SRBD (6% vs 0%) and SDSC scales (7.7% and 43.6% vs 0% and 17%).
- Factors such as epilepsy, motor and intellectual disabilities, and CP type correlated with sleep disorders.
- Both SRBD and SDSC scores were negatively correlated with QOL in children with CP (r = -0.489 and r = -0.445, respectively).
Conclusions:
- Sleep disorders are prevalent in children with cerebral palsy and significantly impair their quality of life.
- Routine screening for sleep disorders and timely, appropriate interventions are recommended for children with CP to enhance their QOL.
Objectives:
To determine sleep disorders and quality of life (QOL) in children with cerebral palsy (CP) and to find the association between them.
Methods:
This cross-sectional study included children (4-12 y) with CP (n = 117) and age- and gender-matched healthy controls (n = 117). Pediatric Sleep Questionnaire (PSQ) was used to record sleep-related symptoms. Sleep-related breathing disorder (SRBD) scale and sleep disturbance scale for children (SDSC) were used to evaluate sleep disorders. Cerebral palsy quality-of-life questionnaire for children (CPQOL-CHILD) was used to assess QOL.
Results:
Sleep disorders by SRBD scale (score ≥ 0.33) were significantly more in CP (n = 7, 6%) than controls [(n = 0, 0%) (p value 0.014, OR 15.95)]. Using T score > 70 by SDSC scale, sleep disorders were seen in 7.7% (n = 9) CP children and 0% (n = 0) in controls (p value 0.04, OR 20.6). Using T score ≥ 51, 43.6% CP children and 17% controls had sleep disorders (p value 0.001, CI 2.1, 6.9). About 43.6% CP children had abnormal T score on at least one SDSC factor. Presence of epilepsy, motor disabilities, intellectual disabilities, and type of CP significantly correlated with sleep disorders. The overall SRBD scores and SDSC T scores of CP children were negatively correlated with QOL (r = -0.489, p < 0.001 and r = -0.445, p < 0.001, respectively).
Conclusion:
Sleep disorders are more common in CP which adversely affect QOL. Routine screening and appropriate treatment are suggested.
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