Understanding the dynamic association between sleep quality and mood in children and adolescents with cerebral palsy

IF 2.6 2区医学 Q1 EDUCATION, SPECIAL

Research in Developmental Disabilities Pub Date : 2026-03-01 Epub Date: 2026-02-21 DOI:10.1016/j.ridd.2026.105257

Hangsel D. Sanguino , Chris A. Clark , Laura K. Brunton , Elizabeth G. Condliffe , Daniel C. Kopala-Sibley , Melanie E. Noel , Sandra J. Mish , Carly A. McMorris

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引用次数: 0

Abstract

Background

Cerebral palsy (CP) is one of the most prevalent long-term childhood conditions. Children and adolescents with CP are at elevated risk for mental health difficulties, which contribute to reduced quality of life and daily functioning. Sleep difficulties are a well-established risk factor for mental health. Poor sleep quality has been linked to worse mood in youth with and without neurodevelopmental disabilities. However, most studies in youth with CP have focused on average sleep metrics over time, rather than examining intraindividual variability (IIV) using daily assessments, which may reduce retrospective reporting biases. This study examined the dynamic and bidirectional association between sleep quality, sleep duration, and mood in youth with CP.

Methods

Thirty-two youth with CP (aged 11–17 years; 45.5 % girls) were recruited from health and community agencies. Youth completed daily diaries over seven consecutive days. Each day, youth rated their sleep quality, sleep duration, and levels of daily mood (operationalized as positive and negative affect using the Positive and Negative Affect Scale [PANAS]). Multilevel models examined bidirectional associations between sleep quality, sleep duration, and mood, controlling for gender, age, and GMFCS level.

Results

At the between-person level, higher previous-day sleep quality was significantly associated with greater next-day positive mood and lower negative mood, and higher negative mood was associated with poorer sleep quality the following night. At the within-person level, increases in sleep quality were associated with higher next-day positive mood only. Sleep duration was not significantly associated with next-day mood at either level.

Conclusion

Findings highlight both between-person and within-person associations between sleep quality and mood in youth with CP, with bidirectional associations observed at the between-person level and unidirectional associations at the within-person level.

查看原文本刊更多论文

了解儿童和青少年脑瘫患者睡眠质量与情绪之间的动态关联。

背景：脑瘫（CP）是儿童最常见的长期疾病之一。患有CP的儿童和青少年患精神健康问题的风险较高，这导致生活质量和日常功能下降。睡眠困难是一个公认的精神健康风险因素。睡眠质量差与有或没有神经发育障碍的年轻人的糟糕情绪有关。然而，大多数对患有CP的青少年的研究都集中在一段时间内的平均睡眠指标上，而不是使用日常评估来检查个体内变异性（iv），这可能会减少回顾性报告的偏差。本研究探讨了青少年CP患者睡眠质量、睡眠时间和情绪之间的动态和双向关系。方法：从卫生和社区机构招募了32名青少年CP患者（11-17岁，45.5% 为女孩）。年轻人在连续7天内完成了每天的日记。每天，年轻人对他们的睡眠质量、睡眠持续时间和日常情绪水平进行评分（使用积极和消极影响量表[PANAS]进行积极和消极影响的操作）。多层模型检验了睡眠质量、睡眠持续时间和情绪之间的双向关联，控制了性别、年龄和GMFCS水平。结果：在人间水平上，前一天睡眠质量高与第二天积极情绪高、消极情绪低显著相关，消极情绪高与第二天睡眠质量差显著相关。在个人层面上，睡眠质量的提高只与第二天更高的积极情绪有关。睡眠时间与第二天的情绪没有显著关系。结论：研究结果强调了青年CP患者的睡眠质量和情绪之间的人际和人际关联，在人际水平上观察到双向关联，在人际水平上观察到单向关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.