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Evaluation of Sleep Difficulties in Egyptian Children with Down Syndrome: A Case-Control Study
Mohammed Mamdouh Sayed-Ahmed1, Mohamed Badie Taher1, Rehab Abdel Hafeez Zaytoun2
1Clinical Genetics Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt.
Insights
This study developed and validated an Arabic questionnaire to assess sleep difficulties in children with Down syndrome. The validated tool effectively identifies significant sleep problems in this population.
Area of Science:
- Pediatrics
- Sleep Medicine
- Genetics
Background:
- Sleep disturbances are prevalent in children with Down syndrome, impacting cognitive and behavioral development.
- Common issues include obstructive sleep apnea, delayed sleep onset, and frequent awakenings.
Purpose of the Study:
- To evaluate sleep-related difficulties in young children with Down syndrome.
- To translate and validate an Arabic questionnaire for assessing these sleep issues.
Main Methods:
- A sleep difficulties questionnaire was translated and validated into Arabic.
- Caregivers of 45 Down syndrome children and 48 typically developing children completed the questionnaire.
- The questionnaire assessed snoring, breathing, sleep position, awakenings, and daytime behavior.
Main Results:
- The questionnaire demonstrated good reliability and validity.
- Significant differences in sleep-related difficulties were found between Down syndrome children and controls.
- The questionnaire showed high sensitivity (100%) and good specificity (70.8%) for detecting sleep problems.
Conclusions:
- The validated Arabic questionnaire possesses good psychometric properties.
- It is an effective tool for detecting significant sleep problems in children with Down syndrome.
- This tool can aid in better management of sleep issues in this population.
Abstract:
Sleep is a major concern in Down syndrome children. Obstructive sleep apnea, delayed sleep onset, night-time and early awakenings have been reported contributing to the cognitive and behavioral outcomes. The aim is to evaluate sleep related difficulties in Down syndrome young children. A questionnaire of sleep related difficulties was translated and validated into Arabic language then was filled in by caregivers of 45 Down syndrome and 48 normal children. The questionnaire consisted of sections related to snoring, breathing difficulties, mouth breathing, upper respiratory tract infections, sleep position, restless sleep and frequent awakening, and daytime behavior. The results show highly significant differences between the total and subtotal questionnaire scores with higher scores in the control group. The questionnaire has a good reliability. Test-retest reliability of the questionnaire revealed a significant positive correlation in the total questionnaire and all the subitems except for the 7th subitem of the daytime behavior which showed no significant correlation. The questionnaire showed 100% sensitivity and 70.8% Specificity with at cut-off value of 8.5. The sleep related difficulties questionnaire has good psychometric properties and could detect significant sleep problems in Down syndrome children.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12070-023-04090-9.
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