The association between Children's sleep quality and juvenile idiopathic arthritis

Linxia Li1, Yazhen Di2, Zhanli Liu1

  • 1Department of Neurology, Hangzhou Children's Hospital, Hangzhou City, Zhejiang Province, China.

Frontiers in Pediatrics
|January 21, 2026
PubMed

Insights

Children with juvenile idiopathic arthritis (JIA) experience significantly more sleep disturbances than healthy children. These issues are linked to disease activity, functional limitations, and treatments for JIA.

Area of Science:

  • Pediatric Rheumatology
  • Sleep Medicine
  • Clinical Investigation

Background:

  • Juvenile idiopathic arthritis (JIA) is a chronic condition affecting children, with potential impacts on overall well-being.
  • Sleep disturbances are common in pediatric chronic illnesses but understudied in JIA.
  • Understanding sleep issues in JIA is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the prevalence and characteristics of sleep disturbances in children diagnosed with JIA.
  • To explore the relationship between sleep quality and disease activity, pain, fatigue, and quality of life in JIA patients.

Main Methods:

  • A case-control study comparing 48 JIA patients with 90 healthy controls.
  • Utilized validated questionnaires including the Children's Sleep Habits Questionnaire (CSHQ) and Sleep Disturbance Scale for Children (SDSC).
  • Assessed disease activity (JADAS-27), quality of life (CHQ-PF28), pain (VAS), and fatigue (PedsQL-MFS).

Main Results:

  • JIA patients exhibited significantly higher rates of sleep disturbance compared to controls (P < 0.01).
  • Abnormalities in CSHQ and SDSC scores were prevalent, correlating with disease activity, functional status, and medication use.
  • Specific issues included shortened sleep duration, daytime sleepiness, night hyperhidrosis, and arousal disorders.

Conclusions:

  • Children with JIA demonstrate a significantly higher incidence of sleep disorders.
  • Sleep disturbances in JIA are associated with disease activity, functional impairment, and potentially medication side effects.
  • Addressing sleep problems should be an integral part of managing JIA in pediatric patients.
Abstract

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