Determinants of sleep problems in children with intellectual disability

Children with intellectual disabilities are more likely to experience sleep disorders of insomnia, excessive daytime sleepiness and sleep breathing disorders than typically developing children. The present study examined risk factors for these sleep disorders in 447 children (aged 5–18 years), diagn...

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Main Authors: Gilbertson, M., Richardson, C., Eastwood, Peter, Wilson, A., Jacoby, P., Leonard, H., Downs, Jennepher
Format: Journal Article
Language:English
Published: WILEY 2021
Subjects:
Online Access:http://purl.org/au-research/grants/nhmrc/1103745
http://hdl.handle.net/20.500.11937/86849
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author Gilbertson, M.
Richardson, C.
Eastwood, Peter
Wilson, A.
Jacoby, P.
Leonard, H.
Downs, Jennepher
author_facet Gilbertson, M.
Richardson, C.
Eastwood, Peter
Wilson, A.
Jacoby, P.
Leonard, H.
Downs, Jennepher
author_sort Gilbertson, M.
building Curtin Institutional Repository
collection Online Access
description Children with intellectual disabilities are more likely to experience sleep disorders of insomnia, excessive daytime sleepiness and sleep breathing disorders than typically developing children. The present study examined risk factors for these sleep disorders in 447 children (aged 5–18 years), diagnosed with an intellectual disability and comorbid autism spectrum disorder, cerebral palsy, Down syndrome or Rett syndrome. Primary caregivers reported on their child’s sleep using the Sleep Disturbance Scale for Children (SDSC), as well as medical comorbidities and functional abilities. Multivariate linear and logistic regressions were used to examine the effects of these factors on SDSC t scores and a binary indicator, respectively for the relevant subscales. Receiving operating characteristic curves were generated for each logistic regression model to determine their ability to discriminate between poor and good sleep. Comorbidities rather than functional abilities were associated with poorer sleep. In particular, recurrent pain, frequent seizures, frequent coughing, constipation and prescription of sleep medications were associated with abnormal sleep across the entire sample, but predictors differed between diagnostic groups. The present study suggests that comorbidities are more strongly associated with quality of sleep than functional impairments. The present study provides new information on potential associations between frequent coughing, prescription sleep medications and sleep quality that should be further investigated.
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spelling curtin-20.500.11937-868492022-06-03T08:39:35Z Determinants of sleep problems in children with intellectual disability Gilbertson, M. Richardson, C. Eastwood, Peter Wilson, A. Jacoby, P. Leonard, H. Downs, Jennepher Science & Technology Life Sciences & Biomedicine Clinical Neurology Neurosciences Neurosciences & Neurology comorbidity insomnia quality of life sleep breathing disorders sleepiness CEREBRAL-PALSY RETT-SYNDROME DISTURBANCES PHENOTYPE QUALITY TRENDS Children with intellectual disabilities are more likely to experience sleep disorders of insomnia, excessive daytime sleepiness and sleep breathing disorders than typically developing children. The present study examined risk factors for these sleep disorders in 447 children (aged 5–18 years), diagnosed with an intellectual disability and comorbid autism spectrum disorder, cerebral palsy, Down syndrome or Rett syndrome. Primary caregivers reported on their child’s sleep using the Sleep Disturbance Scale for Children (SDSC), as well as medical comorbidities and functional abilities. Multivariate linear and logistic regressions were used to examine the effects of these factors on SDSC t scores and a binary indicator, respectively for the relevant subscales. Receiving operating characteristic curves were generated for each logistic regression model to determine their ability to discriminate between poor and good sleep. Comorbidities rather than functional abilities were associated with poorer sleep. In particular, recurrent pain, frequent seizures, frequent coughing, constipation and prescription of sleep medications were associated with abnormal sleep across the entire sample, but predictors differed between diagnostic groups. The present study suggests that comorbidities are more strongly associated with quality of sleep than functional impairments. The present study provides new information on potential associations between frequent coughing, prescription sleep medications and sleep quality that should be further investigated. 2021 Journal Article http://hdl.handle.net/20.500.11937/86849 10.1111/jsr.13361 English http://purl.org/au-research/grants/nhmrc/1103745 WILEY fulltext
spellingShingle Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences
Neurosciences & Neurology
comorbidity
insomnia
quality of life
sleep breathing disorders
sleepiness
CEREBRAL-PALSY
RETT-SYNDROME
DISTURBANCES
PHENOTYPE
QUALITY
TRENDS
Gilbertson, M.
Richardson, C.
Eastwood, Peter
Wilson, A.
Jacoby, P.
Leonard, H.
Downs, Jennepher
Determinants of sleep problems in children with intellectual disability
title Determinants of sleep problems in children with intellectual disability
title_full Determinants of sleep problems in children with intellectual disability
title_fullStr Determinants of sleep problems in children with intellectual disability
title_full_unstemmed Determinants of sleep problems in children with intellectual disability
title_short Determinants of sleep problems in children with intellectual disability
title_sort determinants of sleep problems in children with intellectual disability
topic Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences
Neurosciences & Neurology
comorbidity
insomnia
quality of life
sleep breathing disorders
sleepiness
CEREBRAL-PALSY
RETT-SYNDROME
DISTURBANCES
PHENOTYPE
QUALITY
TRENDS
url http://purl.org/au-research/grants/nhmrc/1103745
http://hdl.handle.net/20.500.11937/86849