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Sleep Problems in Pediatric Disorders of Gut-Brain Interaction: A Systematic Review

Abigail S Robbertz1, Caitlin Shneider1, Lindsey L Cohen1

  • 1Department of Psychology, Georgia State University, USA.

Journal of Pediatric Psychology
|July 29, 2023
PubMed

Insights

Pediatric patients with disorders of gut-brain interaction (DGBIs) experience significant sleep problems, which are linked to worse pain, mood, and daily functioning. Early screening and treatment are crucial for better outcomes.

Area of Science:

  • Gastroenterology
  • Pediatric Health
  • Sleep Medicine

Background:

  • Disorders of gut-brain interaction (DGBIs) are prevalent in children, yet the extent and nature of sleep problems within this population remain unclear.
  • Sleep disturbances may significantly influence symptom severity and prognosis in pediatric DGBIs.
  • This review addresses the need for a comprehensive understanding of sleep issues in pediatric DGBIs.

Approach:

  • A systematic review was conducted by searching major databases (PubMed, PsycInfo, CINAHL, Medline) for studies published up to June 2022.
  • Inclusion criteria focused on participants aged 19 years or younger diagnosed with a DGBI, quantitative sleep assessments, and English-language publications.
  • Study quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies.

Key Points:

  • The review included 24 articles encompassing 110,864 participants from 9 countries, with most studies rated as moderate to weak quality.
  • Pediatric DGBI patients reported a higher prevalence of sleep problems compared to healthy controls.
  • Irritable bowel syndrome (IBS) was associated with more sleep problems than other DGBI diagnoses, and sleep disturbances correlated with poorer mood, increased pain, and diminished functional outcomes.

Conclusions:

  • Pediatric patients diagnosed with DGBIs frequently experience sleep problems that negatively affect their overall health outcomes.
  • Implementing routine screening for sleep disturbances in pediatric DGBI patients is recommended.
  • Targeted interventions addressing sleep issues are essential for optimizing the care and management of children with DGBIs.
Abstract

Keywords:
DGBIchronic and recurrent paingastroenterologysleepsystematic review

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