Sleep disturbances in Malaysian children with cerebral palsy
Aim The aim of the study was to compare the frequency and type of sleep disturbances in a group of Malaysian children aged 4 to 18 years with cerebral palsy (CP) with their nearest-age, able-bodied siblings and to identify factors associated with sleep disturbances. Method The study was a case–co...
| Main Authors: | , , , |
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| Format: | Article |
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Wiley-Blackwell Publishing
2014
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| Online Access: | http://psasir.upm.edu.my/id/eprint/35393/ |
| _version_ | 1848848042457825280 |
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| author | Atmawidjaja, Raymond Warouw Wong, Sau Wei Yang, Wai Wai Ong, Lai Choo |
| author_facet | Atmawidjaja, Raymond Warouw Wong, Sau Wei Yang, Wai Wai Ong, Lai Choo |
| author_sort | Atmawidjaja, Raymond Warouw |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Aim
The aim of the study was to compare the frequency and type of sleep disturbances in a group of Malaysian children aged 4 to 18 years with cerebral palsy (CP) with their nearest-age, able-bodied siblings and to identify factors associated with sleep disturbances.
Method
The study was a case–control study of 109 children with CP (61 males, 48 females; mean age 9y, SD 3y 11mo, range 4–18y) and their healthy siblings (56 males, 53 females; mean age 10y, SD 3y 9mo, range 4–18y). The Sleep Disturbances Scale for Children (SDSC) questionnaire was completed by the main caregiver. In children with CP, multiple regression analysis was be used to determine factors related to higher Total SDSC sleep scores.
Results
Ninety-seven children (89%) had spastic CP, 10 (9%) had dyskinetic CP, and two (2%) had mixed CP. Based on the Gross Motor Function Classification System (GMFSC), 34 patients (31%) were at GMFSC level I or II, 10 patients (9%) at level III, and 65 patients (60%) at level IV or V. Children with CP scored significantly higher than their siblings on Total SDSC and four SDSC subscale scores – difficulty in initiating and maintaining sleep, sleep breathing disorders, sleep–wake transition disorders, and sleep hyperhidrosis. Caregiver sleep duration of less than 7 hours (p=0.02) and caregiver sleep latency of more than 30 minutes (p=0.03) were significantly associated with higher Total SDSC scores. Co-sleeping was not a significant factor.
Interpretation
Sleep disturbances are more common in children with CP than in their siblings. Attention should be given to caregiver sleep when evaluating sleep disturbances in children with CP as this factor was shown to be associated with higher Total SDSC scores. |
| first_indexed | 2025-11-15T09:28:12Z |
| format | Article |
| id | upm-35393 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-15T09:28:12Z |
| publishDate | 2014 |
| publisher | Wiley-Blackwell Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-353932016-01-06T03:38:36Z http://psasir.upm.edu.my/id/eprint/35393/ Sleep disturbances in Malaysian children with cerebral palsy Atmawidjaja, Raymond Warouw Wong, Sau Wei Yang, Wai Wai Ong, Lai Choo Aim The aim of the study was to compare the frequency and type of sleep disturbances in a group of Malaysian children aged 4 to 18 years with cerebral palsy (CP) with their nearest-age, able-bodied siblings and to identify factors associated with sleep disturbances. Method The study was a case–control study of 109 children with CP (61 males, 48 females; mean age 9y, SD 3y 11mo, range 4–18y) and their healthy siblings (56 males, 53 females; mean age 10y, SD 3y 9mo, range 4–18y). The Sleep Disturbances Scale for Children (SDSC) questionnaire was completed by the main caregiver. In children with CP, multiple regression analysis was be used to determine factors related to higher Total SDSC sleep scores. Results Ninety-seven children (89%) had spastic CP, 10 (9%) had dyskinetic CP, and two (2%) had mixed CP. Based on the Gross Motor Function Classification System (GMFSC), 34 patients (31%) were at GMFSC level I or II, 10 patients (9%) at level III, and 65 patients (60%) at level IV or V. Children with CP scored significantly higher than their siblings on Total SDSC and four SDSC subscale scores – difficulty in initiating and maintaining sleep, sleep breathing disorders, sleep–wake transition disorders, and sleep hyperhidrosis. Caregiver sleep duration of less than 7 hours (p=0.02) and caregiver sleep latency of more than 30 minutes (p=0.03) were significantly associated with higher Total SDSC scores. Co-sleeping was not a significant factor. Interpretation Sleep disturbances are more common in children with CP than in their siblings. Attention should be given to caregiver sleep when evaluating sleep disturbances in children with CP as this factor was shown to be associated with higher Total SDSC scores. Wiley-Blackwell Publishing 2014-07 Article PeerReviewed Atmawidjaja, Raymond Warouw and Wong, Sau Wei and Yang, Wai Wai and Ong, Lai Choo (2014) Sleep disturbances in Malaysian children with cerebral palsy. Developmental Medicine & Child Neurology, 56 (7). pp. 681-685. ISSN 0012-1622; ESSN: 1469-8749 http://onlinelibrary.wiley.com/doi/10.1111/dmcn.12399/abstract 10.1111/dmcn.12399 |
| spellingShingle | Atmawidjaja, Raymond Warouw Wong, Sau Wei Yang, Wai Wai Ong, Lai Choo Sleep disturbances in Malaysian children with cerebral palsy |
| title | Sleep disturbances in Malaysian children with cerebral palsy |
| title_full | Sleep disturbances in Malaysian children with cerebral palsy |
| title_fullStr | Sleep disturbances in Malaysian children with cerebral palsy |
| title_full_unstemmed | Sleep disturbances in Malaysian children with cerebral palsy |
| title_short | Sleep disturbances in Malaysian children with cerebral palsy |
| title_sort | sleep disturbances in malaysian children with cerebral palsy |
| url | http://psasir.upm.edu.my/id/eprint/35393/ http://psasir.upm.edu.my/id/eprint/35393/ http://psasir.upm.edu.my/id/eprint/35393/ |