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How Pediatric Sleep Disordered Breathing Impacts Parental Fatigue
Lauren A DiNardo1, Alyssa D Reese1, Maya Raghavan1
1Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA.
Insights
Parents of children with sleep disordered breathing (SDB) experience significantly higher fatigue levels. This highlights the importance of recognizing parental fatigue in pediatric SDB care.
Area of Science:
- Pediatric Sleep Medicine
- Family Health
- Quality of Life Research
Background:
- Sleep disordered breathing (SDB) negatively impacts children's quality of life and that of their families.
- Parental well-being is a critical factor in managing pediatric health conditions.
Purpose of the Study:
- To investigate and quantify fatigue levels in parents of young children diagnosed with sleep symptoms.
- To assess the correlation between a child's sleep symptom severity (OSA-18 scale) and parental fatigue.
Main Methods:
- A survey-based study was conducted across three pediatric otolaryngology clinics.
- Parents of children aged 1-10 completed the OSA-18 scale for their child and fatigue assessments (Fatigue Severity Scale, Chalder Fatigue Scale).
Main Results:
- Parents with children scoring ≥60 on the OSA-18 scale reported significantly higher fatigue scores on both the Chalder Fatigue Scale (16.5 vs. 11.9) and Fatigue Severity Scale (34.7 vs. 28.9).
- A significant portion of households (82.1%) had two caregivers, indicating a potential for shared burden.
Conclusions:
- Parental fatigue is demonstrably higher when children have significant sleep disordered breathing symptoms.
- Healthcare providers should consider parental fatigue as a key outcome in managing pediatric SDB, impacting the entire family unit.
Objective:
Previous research has indicated that sleep disordered breathing (SDB) can lead to a decreased quality of life in children and their families as compared to children who do not have SDB. The purpose of this study was to examine fatigue levels in parents who had young children who were impacted by sleep symptoms as determined by the OSA-18 scale.
Study Design:
Survey.
Setting:
Three pediatric otolaryngology clinics associated with a tertiary care children's hospital in Buffalo, NY.
Methods:
Fatigue levels for parents of children with OSA-18 ≥ 60 were assessed using the Fatigue Severity Scale and the Chalder Fatigue Scale. Consecutive parents with at least one child between the ages of 1 and 10 were recruited. Parents scored their youngest child on the OSA-18 scale.
Results:
Of the 261 respondents included, 37 parents had a child with an OSA-18 score ≥60. The majority, 211 (82.1%), of participants reported 2 caregivers in the household while 30 (11.7%) had 1 caregiver in the household. Parents of children with OSA-18 ≥60 had a significantly higher mean fatigue score, 16.5 ± 5.8, compared to their counterparts, 11.9 ± 5.2, on the Chalder Fatigue Scale (P < .001). Similar results were reported for the total score on the Fatigue Severity Scale, 34.7 ± 10.8 compared to 28.9 ± 12.0 (P = .004).
Conclusion:
Parents of children with OSA-18 score ≥60 are significantly more fatigued than parents of children with lower scores. Recognition of this is important for the health care community as it impacts not just the child with OSA but also their family.
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