小学学龄脑瘫儿童人群中的睡眠问题

IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL
Koa Whittingham , Kath Benfer , Leanne Sakzewski , Jane Wotherspoon , Andrea Burgess , Tracy Comans , Syed Afoz Keramat , Robert S. Ware , Roslyn N. Boyd
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引用次数: 0

摘要

方法86名患有脑瘫(粗大运动功能分类系统;GMFCS I=46;II=21;III=9;IV=6;V=6)的学龄儿童(平均9岁5个月,SD=1岁6个月;男性=60)参与研究。分类/评估包括儿童睡眠障碍量表 (SDSC)、粗大运动功能测量 (GMFM-66)、徒手能力分类系统 (MACS)、沟通功能分类系统 (CFCS)、优势和困难问卷 (SDQ) 以及脑性瘫痪-生活质量 (CP-QOL) 疼痛影响分量表。分析包括线性回归和逻辑回归。睡眠问题与癫痫((95 % CI) = 14.48 (7.95 to 21.01))、粗大运动功能(-0.13 (-0.26 to -0.01))、动手能力(7.26 (0.82 to 13.69))、沟通能力(10.01 (2.21 to 17.80))、儿童行为(1.134 (0.74 to 1.53))和疼痛相关 QOL(0.33 (0.12 to 0.53))明显相关。在多变量模型中,睡眠问题仍与癫痫(b (95 % CI) = 11.72 (4.88 to 18.57))、儿童行为(1.03 (0.65 to 1.41))和疼痛相关 QOL(0.21 (0.29 to 0.38))显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep problems in a population-based cohort of primary school age children with Cerebral Palsy

Aims

To examine sleep problems in a population-based sample of school-aged children (8–12yo) with Cerebral Palsy (CP)

Method

Eighty-six children (mean 9 years, 5 months, SD = 1 year, 6 months; male = 60) with CP (Gross Motor Function Classification System; GMFCS I=46; II=21; III=9; IV=6; V=6) participated. Classifications/assessments included: Sleep Disturbance Scale for Children (SDSC), Gross Motor Function Measure (GMFM-66), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS), Strengths and Difficulties Questionnaire (SDQ) and the Cerebral Palsy- Quality of Life (CP-QOL) Pain Impact subscale. Analysis included linear and logistic regression.

Results

38 (44 %) children were within the clinical range for sleep problems. Sleep problems were significantly associated with epilepsy, (95 % CI) = 14.48 (7.95 to 21.01), gross motor function, –0.13 (–0.26 to –0.01), manual ability, 7.26 (0.82 to 13.69), communication, 10.01 (2.21 to 17.80), child behaviour, 1.134 (0.74 to 1.53), and pain related QOL, 0.33 (0.12 to 0.53). For the multivariable model, sleep problems remained significantly associated with epilepsy, b (95 % CI) = 11.72 (4.88 to 18.57), child behaviour, 1.03 (0.65 to 1.41) and pain-related QOL, 0.21 (0.29 to 0.38).

Conclusions

Sleep problems are common and associated with epilepsy, child behaviour and pain related QOL.

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来源期刊
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.
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