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Sleep Med. 2018 Oct;50:1-6. doi: 10.1016/j.sleep.2018.05.008. Epub 2018 May 24.

Prevalence of sleep problems and sleep-related characteristics in preschool- and school-aged children with cerebral palsy.

Author information

1
Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Research Institute, McGill University Health Centre, Montréal, Québec, Canada.
2
Research Institute, McGill University Health Centre, Montréal, Québec, Canada.
3
Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Research Institute, McGill University Health Centre, Montréal, Québec, Canada; Department of Neurology/Neurosurgery, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.
4
Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada; Research Institute, McGill University Health Centre, Montréal, Québec, Canada. Electronic address: evelyn.constantin@mcgill.ca.

Abstract

OBJECTIVES:

To determine, in preschool- and school-aged children with cerebral palsy (CP): (i) the prevalence of sleep disorders, including disorders of initiation and maintenance of sleep, and (ii) the association between child characteristics and sleep disorders.

METHODS:

Children with CP aged 3-12 years were recruited from neurology clinics and a provincial CP registry. Caregivers completed the Sleep Disturbance Scale for Children (SDSC) and a questionnaire on sleep-related characteristics. Children's medical information was collected from the registry and hospital records.

RESULTS:

150 children with CP (mean age ± standard deviation: 6.9 ± 2.9 years) completed the study (66 preschool-and 84 school-aged children). An abnormal total score on the SDSC was found in 20.7% of children (10.6% and 28.6% of preschool-and school-aged children, respectively). Overall, 44.0% of children had one or more sleep disorder (24.2% and 59.5% in preschool-and school-aged children, respectively), as determined by subscales of the SDSC. The most common sleep problem, disorders of initiation and maintenance of sleep, was found in 26.0% of children (18.2% of preschool- and 32.1% of school-aged children, respectively). Pain was the strongest predictor of having an abnormal total score and disorders of initiation and maintenance of sleep, with odds ratios (95% confidence intervals) of 6.5 (2.2-18.9) and 3.4 (1.3-9.3), respectively, adjusted for age group and degree of motor impairment.

CONCLUSIONS:

Sleep disorders are prevalent in children with CP, with higher frequencies in school-aged as compared to preschool-aged children. Health care professionals caring for this population should routinely inquire about sleep problems and pain.

KEYWORDS:

Cerebral palsy; Child; Neurodevelopmental disorder; Pain; Prevalence

PMID:
29966807
DOI:
10.1016/j.sleep.2018.05.008
[Indexed for MEDLINE]

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