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Published on: October 11, 2018
Siblings' experiences of sleep disruption in families with a child with Down syndrome
Emma Cooke1, Caitlin Smith2, Maria Carmen Miguel3
1Child Health Research Centre, The University of Queensland, South Brisbane, Australia; Queensland Brain Institute, The University of Queensland, Saint Lucia, Australia.
Insights
Siblings of children with Down syndrome (DS) experience sleep disruption, which can negatively impact their well-being. Parents may underestimate the extent of this sleep disruption and its effects on their children.
Area of Science:
- Pediatric Health
- Family Studies
- Sleep Science
Background:
- Sleep disruption is a known issue for parents of children with Down syndrome (DS).
- The experiences of siblings of children with DS regarding sleep disruption remain under-researched.
- This study aims to fill this knowledge gap by exploring siblings' perspectives.
Purpose of the Study:
- To understand the lived experiences of siblings of children with DS who have sleep difficulties.
- To explore how sleep disruption affects siblings' daily lives and family dynamics.
- To gather insights from both siblings and parents on this topic.
Main Methods:
- A qualitative research design was employed.
- Semi-structured interviews were conducted with 11 siblings (aged 5-15) and 11 parents from 8 Australian families.
- Interviews were audio-recorded, transcribed, and analyzed using reflexive thematic analysis.
Main Results:
- Both siblings and parents acknowledge sleep disruption among siblings of children with DS.
- Siblings report adverse effects from sleep disruption, viewing sleep in a relational context and developing coping mechanisms.
- Parents may underestimate the severity of siblings' sleep issues and are uncertain about the causes of their symptoms.
Conclusions:
- Siblings of children with DS frequently experience sleep disruption.
- These siblings may be at risk for long-term health problems if not provided with targeted support.
- Further research and support systems are needed to address the sleep challenges faced by siblings of children with DS.
Objective:
Adverse effects of sleep disruption are identified in parents who live with a child with Down Syndrome (DS), yet there is no research on siblings' experiences. This study addresses this knowledge gap.
Design:
A qualitative research study using semi-structured interviews to understand the experiences of siblings of a child with DS and sleep difficulties from the perspectives of parents and siblings.
Participants:
Eleven siblings aged 5-15 years old, and 11 parents, from 8 families with a child with DS in Australia.
Methods:
Semi-structured sibling interviews explored what it was like to have a sibling with DS and sleep difficulties; the participant's own sleep; how their sleep affected how they felt during the day; how sleep impacted their family; and advice that they would give to other siblings. Parent interviews included similar topics; here we report on excerpts in which parents reference siblings. Interviews were audio recorded, transcribed verbatim, and analyzed using a reflexive thematic analysis.
Results:
Siblings and parents acknowledge sleep disruption for siblings; yet sleep disruption is normalized, viewed with acceptance and inevitability. Siblings report adverse effects from sleep disruption, view sleep in a relational way, and cope with sleep disruption. Parents can underestimate siblings' sleep disruption and are uncertain whether siblings' symptoms result from sleep disruption or other causes.
Conclusions:
Siblings of a child with DS experience sleep disruption and may be at risk of developing long-term health problems without focused support.
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