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Pediatric psoriasis negatively influences parental sleep quality
Amir Horev1,2, Kobi Grinshpun3, Ester Forer3,4
1Pediatric Dermatology Service, Soroka University Medical Center, Beer Sheva, Israel.
Insights
Parents of children with psoriasis experience poorer sleep quality, including longer sleep latency and increased medication use, compared to parents of healthy children. These findings highlight the need for parental support in managing pediatric psoriasis.
Area of Science:
- Pediatric Dermatology
- Sleep Medicine
- Quality of Life Research
Background:
- Pediatric psoriasis affects one-third of all psoriasis cases.
- It significantly impacts the quality of life for children and their families.
- Limited data exists on the effects of pediatric psoriasis on parental sleep quality.
Purpose of the Study:
- To investigate the impact of pediatric psoriasis on parental sleep quality.
- To compare sleep quality between parents of children with psoriasis and parents of healthy children.
Main Methods:
- A cross-sectional questionnaire study was conducted between September 2020 and November 2021.
- The validated Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality.
- Participants included parents of children aged 2-18 with psoriasis and matched healthy controls.
Main Results:
- Parents of children with psoriasis reported significantly longer sleep latency (p=0.031).
- Worse subjective sleep quality (p=0.043) and increased use of sleep medications (p<0.001) were observed in parents of children with psoriasis.
- No significant differences were found in sleep quality between parents of children with mild versus moderate-to-severe psoriasis, or between mothers and fathers.
Conclusions:
- Parents of children diagnosed with psoriasis exhibit poorer sleep quality compared to parents of healthy children.
- This emphasizes the importance of addressing parental well-being in the comprehensive management of pediatric psoriasis.
- Findings guide treatment strategies to support parental functioning and overall family health.
Background:
One-third of psoriasis cases occur in the pediatric population. Pediatric psoriasis has a negative long-term impact on the quality of life of children and their families. However, data regarding the impact of pediatric psoriasis on parental sleep quality are scarce.
Objectives:
This study examined the effects of pediatric psoriasis on the quality of parents' sleep compared to parents of healthy, non-psoriatic children.
Methods:
A cross-sectional questionnaire study was conducted from September 2020 to November 2021, using the validated Pittsburgh Sleep Quality Index (PSQI). The study population included parents of patients aged 2-18 years diagnosed with psoriasis and parents of healthy children of the same gender and ethnicity. We further compared sleep quality between parents of children with mild and moderate-to-severe psoriasis, and fathers to mothers.
Results:
A total of 301 parents were enrolled; 151 parents of 83 children diagnosed with psoriasis and 150 parents of 124 healthy controls. Parents of children with psoriasis had significantly longer sleep latency (p = 0.031), worse subjective sleep quality (p = 0.043), and greater use of sleep medications (p < 0.001). The comparison between parents of moderate-severe with mild psoriatic children as well as mothers with fathers showed no statistical significance.
Conclusion:
Poor sleep quality was demonstrated among parents of children diagnosed with psoriasis compared to parents of healthy children. This finding is crucial for the direction of treatment efforts regarding parental well-being and functioning.
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