Sleep problems and the need for parental night‐time attention in children with physical disabilities
- 29 December 2008
- journal article
- Published by Wiley in Child: Care, Health and Development
- Vol. 35 (1), 89-95
- https://doi.org/10.1111/j.1365-2214.2008.00907.x
Abstract
The aim of the study was to investigate the frequency and predictors of sleep problems and the need for parental night-time attention in children with physical disabilities. A questionnaire on sleep problems and need for parental night-time attention was completed by 505 parents of children with physical disabilities aged 1-16 years (mean 9 years 3 months) with moderate to severe motor disabilities. General characteristics of the children were analysed by frequencies and cross-tabulations. Logistic regression analysis was used to identify factors associated with sleep problems and the need for parental night-time attention. The results showed a high prevalence of sleep problems, which in general were chronic. Currently 48% of the children had sleep problems, of which 23% estimated the problems to be serious. About one-third (37%) needed parental night-time attention every night, and 10% needed help five times or more. No significant differences were found between younger children and school-aged children regarding sleep problems and the need for parental night-time attention. Having pain [odds ratio (OR) = 3.4] was associated with sleep problems, as was having problems eating and drinking (OR = 3) and the diagnosis of cerebral palsy (OR = 2.5) (P < 0.05). Children with muscular dystrophy (OR = 68.5), cerebral palsy (OR = 26.7) and 'other diagnosis' (OR = 18.5) were more likely to need support at night than were children with spina bifida, P < 0.001. Pain (OR = 7.6) was also associated with need for support at night, P < 0.001. The prevalence of sleep problems and need for parental night-time attention is high among children with physical disabilities. This in turn affects the whole family, and paediatric caregivers must keep this in mind. Besides certain diagnoses, the results suggest that children who have pain should be prioritized.This publication has 12 references indexed in Scilit:
- Sleep disorders in children with cerebral palsyDevelopmental Medicine and Child Neurology, 2007
- Sleep disorders in children with cerebral palsyDevelopmental Medicine and Child Neurology, 2006
- Brief report: Parental descriptions of sleep problems in children with autism, Down syndrome, and Prader–Willi syndromeResearch in Developmental Disabilities, 2006
- Sleep Issues in Children with Physical Disabilities and Their FamiliesPhysical & Occupational Therapy In Pediatrics, 2006
- Sleep disturbances in children with epilepsy compared with their nearest-aged siblingsDevelopmental Medicine and Child Neurology, 2005
- A survey of sleep problems in autism, Asperger's disorder and typically developing childrenJournal of Intellectual Disability Research, 2005
- Sleep problems in children with an intellectual disability: parental perceptions of sleep problems, and views of treatment effectivenessChild: Care, Health and Development, 2004
- Acknowledging the extra care parents give their disabled childrenChild: Care, Health and Development, 2001
- Sleep Problems Seldom Addressed at Two General Pediatric ClinicsPEDIATRICS, 2001
- Sleep problems in primary school children: comparison between mainstream and special school childrenChild: Care, Health and Development, 2001