scholarly journals Association between sleep disorders and child violence assessed in Southern Brazil

2021 ◽  
Vol 31 (1) ◽  
pp. e39466
Author(s):  
Lilian Bertoletti ◽  
Fernanda Cristina Scarpa ◽  
Michelli Osanai da Costa ◽  
Eduarda Correa Freitas ◽  
Luana Goulart Marin ◽  
...  

Aims: identifying sleep disorders (SDs) in children who experienced child maltreatment.Methods: the study evaluated the sleep pattern of 123 children (from 2 to 10 years old), who received assistance with child maltreatment, based on the Children’s Sleep Habits Questionnaire (CSHQ) – applied in a medical consultation after confirmation of the veracity of the child’s report of a violation. The study applied the questionnaire to children seen by doctors in the sector for 11 months.Results: among the children evaluated, 66.7% had SDs. The sample profile was predominantly female (59.3%) and aged between 4 and 7 years old (48.8%). Physical violence was found in 40.7% of the children, in addition to sexual (35.8%), psychological (24.4%), negligence (14.6%) and other types of violence (OTV) (4.5%). SDs are significantly associated with sexual, psychological and OTV (p=0.016). Regarding the subscales, there was a significant difference between the age groups in the bedtime resistance (BR) factor score (p=0.033). The BR characteristic typifies sexual, psychological and OTV. Sleep anxiety (SA) typifies more psychological, sexual and OTV. Night awakenings (NAs) typify psychological, sexual and physical violence. According to the type of violence, significant differences were found in SA (p=0.039), NAs (p=0.026) and BR (p=0.004).Conclusions: the outcomes highlight the association between SDs and child maltreatment. Certain types of violence have a greater negative impact on children’s sleep and correlate with specific SD.

2019 ◽  
Vol 32 (3) ◽  
pp. 195
Author(s):  
Ana Filipa Parreira ◽  
António Martins ◽  
Filipa Ribeiro ◽  
Filipe Glória Silva

Introduction: The Portuguese version of the Children’s Sleep Habits Questionnaire showed adequate psychometric properties in a community sample but the American cut-off seemed inadequate. This study aimed to validate this questionnaire in clinical populations of children with sleep disorders and with attention deficit/ hyperactivity disorder.Material and Methods: The study sample included 148 Portuguese children aged 2 to 10 years old that where divided in 3 groups: 1. Clinical group with sleep disorders (behavioral insomnias, parasomnias or sleep-related breathing disorders); 2. Clinical group with attention deficit/ hyperactivity disorder; 3. Control group. The sleep habits and sleep problems were evaluated using the Children’s Sleep Habits Questionnaire. Sleep-related disorders were confirmed by polysomnography.Results: The questionnaire’s internal consistency (Cronbach α) in the clinical sample (sleep disorders and attention deficit/ hyperactivity disorder) was 0.75 and ranged from 0.55 to 0.85 for the subscales. Children with sleep disorders and attention deficit/  hyperactivity disorder had a higher sleep disturbance index (full scale score) compared to the control group. The subscales presented significant differences between the subgroups with different sleep disorders showing discriminative validity. The receiver operating characteristic analysis of the sleep disturbance index comparing the sleep disorder and control sample determined a cut-off of 48 (sensibility 0.83;specificity 0.69).Discussion: Children with sleep disorders and attention deficit/ hyperactivity disorder evidenced higher Sleep Disturbance Index (full scale score) comparing to the control group. The subscales presented significative differences between the subgroups with different sleep disorders showing discriminative validityConclusion: The Portuguese version of the Children’s Sleep Habits Questionnaire showed adequate psychometric properties for children with sleep disorders and/or attention deficit/ hyperactivity disorder. The cut-off value 48 is better adjusted for the Portuguese population.


2020 ◽  
Vol 6 (5) ◽  
pp. 216-218
Author(s):  
Elif Gokce ERSOY SIMSEK ◽  
◽  
Saniye Tulin FIDAN ◽  

Aim: Our purpose in this study is to determine the effects of methylphenidate and atomoxetine on the sleep of children with attention-deficit/hyperactivity disorder (ADHD). Methods: Eighty-one children admitted to a child psychiatric inpatient service with ADHD participated in a double-blind, crossover study in which 42 subjects received extended release methylphenidate, and 39 subjects received atomoxetine only one dose in the morning daily at least for 6 months. Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (KSADS-PL) and Child Sleep Habits Survey (CSHS) were applied to all children. Results: There was a sleep problem in 81% (n = 34) of the patients using methylphenidate and 89.7% (n=35) of the group using atomoxetine. When we evaluated according to the CSHS cut-off score, whether having a sleep problem or sleep problems, and there was no statistically significant difference between the two groups (p> 0.05). We are not able to find significant difference between two groups in terms of bedtime resistance, sleep duration, sleep anxiety, night awakenings, parasomnia, sleep-breathing problems, and daytime sleepiness subtest and total sleep scores (p> 0.05). There was a significant difference in sub-test of the falling asleep duration. It was found that the methylphenidate group had a longer falling asleep time duration(p <0.05). Discussion: Sleep-related complaints in children diagnosed with ADHD are not uncommon in clinical practice. It is known that 25-55% of children with ADHD often report various sleep problems and in addition, more sleep problems are reported by their parents. In our study, when the total scores of CSHS filled by the family were evaluated, this rate was found to be 85%. There was no difference in the frequency of sleep problems between the group using methylphenidate and the group using atomoxetine. In our study, there was significant difference between the group using methylphenidate and the group using atomoxetine in terms of delay in falling asleep. In many studies based on both objective and subjective measurements, psychostimulant drugs have been reported to be associated with difficulty falling asleep and prolonged sleep latency. Sleep disorders are common in ADHD. It is important that child and adolescents with ADHD must be evaluated the sleep habits before medical treatment to identify the etiology of sleep disorders.


2020 ◽  
Author(s):  
Sae Ono ◽  
Hiroto Ogi ◽  
Masato Ogawa ◽  
Daisuke Nakamura ◽  
Teruhiko Nakamura ◽  
...  

Abstract Background: Sleep disorder in preschool children can stunt their health and growth. However, the factors that cause sleep disorders in children are not well understood. The aim of this study was to determine the relationship between parents’ health literacy (HL) and children's sleep problems. The study was conducted at two kindergartens, two nursery schools, and a center for early childhood education in Chitose-city, Hokkaido, Japan.Method: This study used a multicenter cross-sectional design. The sample comprised 354 preschoolers (aged 3–6 years) and their parents. In families with two or more children attending the same facility, only the oldest child was asked to participate in the study. Exclusion criteria included participants whose completed questionnaires had missing values. Children’s sleep disorder was assessed using the Japanese version of the Children's Sleep Habits Questionnaire (CSHQ-J). Parents’ HL was assessed using the 14-item Health Literacy Scale (HLS-14). The parents were classified into two groups (high HL group and low HL group). Multiple regression modelling was used to determine the association between HLS-14 and CSHQ-J scores.Results: Of the 354 parents, 255 (72%) were in the high HL group and 99 (28%) in the low HL group. The mean CSHQ-J score was significantly lower in the high HL group than in the low HL group (45.3 ± 6.0 points vs. 46.8 ± 5.9 points, p = 0.043). In multiple regression analyses, CSHQ-J was independently associated with parents’ HL after adjusting for all confounding factors (R² = 0.41, β = -0.11; p = 0.0043).  Conclusions: Parents’ HL appears to affect their children's sleep disorder. This finding suggests that parents’ HL may be a target for intervention to improve children’s sleep disorders.


10.2196/22102 ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. e22102
Author(s):  
Arika Yoshizaki ◽  
Ikuko Mohri ◽  
Tomoka Yamamoto ◽  
Ai Shirota ◽  
Shiho Okada ◽  
...  

Background Healthy sleep is important not only for physical health but also for brain development in children. Several reports have revealed that Japanese adults and children have later bedtimes and shorter sleep durations compared with those in other countries, possibly because of Japanese culture and lifestyles. Therefore, an intervention tool that is suitable to the Japanese sociocultural environment is urgently needed to improve children’s sleep problems in their early years. Objective To provide appropriate sleep health literacy to caregivers and change their parenting behavior, we developed a smartphone app that allows reciprocal interaction between caregivers and pediatric sleep experts. This paper describes a preliminary study to examine the app’s basic design and functions and to establish its acceptability and usability in a small sample. Methods A total of 10 caregivers and 10 infants (aged 18-28 months; 4/10, 40% boys) living in Japan participated in the study. At the start of the trial, the e-learning content regarding sleep health literacy was delivered via a smartphone. Thereafter, caregivers manually inputted recorded data about their own and their infant’s sleep habits for 8 consecutive days per month for 2 months. After pediatric sleep experts retrieved this information from the Osaka University server, they specified the problems and provided multiple sleep habit improvement suggestions to caregivers. Caregivers then selected one of the feasible pieces of advice to practice and reported their child’s sleep-related behaviors via the app. Actigraphy was used to monitor children’s sleep behaviors objectively. The concordance between the information provided by caregivers and the actigraphy data was assessed. The acceptability and usability of the app were evaluated using self-report questionnaires completed by caregivers; qualitative feedback was obtained via semistructured interviews after the intervention. Results There was no significant difference between the information provided by the caregivers and the actigraphy data for bedtimes and wake-up times (P=.13 to P=.97). However, there was a difference between the actigraphy data and the caregivers’ reports of nighttime sleep duration and nighttime awakenings (P<.001 each), similar to prior findings. User feedback showed that 6 and 5 of the 10 caregivers rated the app easy to understand and easy to continue to use, respectively. Additionally, 6 of the 10 caregivers rated the app’s operativity as satisfactory. Although this was a short-term trial, children’s sleep habits, caregivers’ sleep health consciousness, and parenting behaviors improved to some extent. Conclusions The present findings suggest that the app can easily be used and is acceptable by Japanese caregivers. Given the user feedback, the app has the potential to improve children’s sleep habits by sending individualized advice that fits families’ backgrounds and home lives. Further studies are needed to confirm the efficacy of the app and facilitate social implementation.


2019 ◽  
Vol 28 (2) ◽  
pp. 167-73 ◽  
Author(s):  
Thong Felicia Melinda ◽  
Rini Sekartini

BACKGROUND The prevalence of obesity in primary school children in Jakarta has reached 14% in 2013. Among many disorders, obesity can cause sleep disorders. However, sleep disorders in children are often overlooked by parents, even though they can cause physical, social, and psychological impacts. Therefore, it is necessary to find the association between obesity and sleep disorders in primary school children. METHODS This cross-sectional study was performed between July–September 2015 on 107 children attending Menteng 01 Primary School, Jakarta. Children's weight and height were measured and then their parents filled out the brief infant sleep questionnaire (BISQ). The collected data were analyzed using chi-square. RESULTS In this study, 20.6% of the children were obese, which was higher than the prevalence of obesity in Jakarta. Meanwhile, sleep disorders occurred in 62.6% of children. Data about children’s sleep habits and parents’ opinion about their children’s sleep were obtained. It showed that snoring and parents’ opinion about sleep disorders were factors associated with children’s sleep disorder. Statistical analysis also showed a significant association between obesity and sleep disorders in children (p = 0.037). CONCLUSIONS The incidence of obesity in primary school children is high and is associated with sleep disorders.


2021 ◽  
Author(s):  
Paraskevi Tatsiopoulou ◽  
Vasiliki Holeva ◽  
Vasiliki Aliki Nikopoulou ◽  
Eleni Parlapani ◽  
Ioannis Diakogiannis

Abstract The COVID- 19 pandemic and the restrictions to minify contagion, affected globally the entire population. The prolonged home confinement during the COVID-19 outbreak changed dramatically the family life taking into consideration school closures, online education, continuous need for self-protection, restrictions of social interactions and work schedule alterations. Designed to examine the impact of COVID-19 lockdown on preschoolers’ sleep this study documented sleep patterns during the COVID-19 lockdown and explored the effects of screen time and diet. Parents of 146 children provided survey data on their children's night-time sleep habits, dietary habits and screen time usage. Children's sleep problems were measured with the Children Sleep Habits Questionnaire. Descriptive and qualitative analyses showed that most parents (54.1%) reported that children’s sleep patterns changed during the imposed home confinement. Children with more sleep problems were more likely to have increased screen exposure. The present study provides evidence on the negative impact of the COVID-19 pandemic on the sleep behavior of Greek preschoolers. Focused action is probably needed to safeguard and promote children’s overall physical and mental health outcomes during the pandemic and afterwards during the crisis recovery period.


2020 ◽  
Author(s):  
May Wathiq Al-Khudhairy ◽  
Sarah M Al-Sufyani ◽  
Hadeel T Al-Otaibi ◽  
Randa A Mahjoub ◽  
Asma H Al-Shehri

Abstract Background: To validate the Arabic translation of the Children’s Sleep Habit Questionnaire and determine the behavioral prevalence of sleep habits amongst school aged children in Riyadh, Saudi Arabia. Methods: This prospective cross sectional study involved a Linguistic validation involving 50 bilingual parent participants in each of the Arabic and English Surveys, with a cross sectional pilot involving 1546 parent participants regarding their children’s Sleeping Habits. The Children’s Sleep Habit Questionnaire was distributed via Survey Monkey and subjected to IBM-SPSS statistics. Parents of 1546 school aged children ranging from 3 years to 12 years of age completed the survey.Results: The Total score of all domains ranged between 11 and 70. Mean Score of 35-37 in 11 % of this population. The Children’s Sleep Habit Questionnaire scores were High in comparison to the Owen’s article; greater research is needed to determine the underlying causes of the increased likelihood of sleep disorders.Conclusion: Our findings, especially in sleep anxiety are alarming and warrant for more research to determine underlying causes of the more prevalent sleep disorders (Sleep Anxiety) and any other apparent or possible causes for sleep disturbances amongst children.


2020 ◽  
Vol 12 (2) ◽  
pp. 93-104
Author(s):  
Muhammad Nirwan ◽  
Upik Kesumawati Hadi ◽  
Susi Soviana ◽  
Surachmi Setyaningsih ◽  
Fadjar Satrija

Abstract. Filariasis is still a health problem in Bogor Regency. The discovery of filariasis sufferers hasgrowing during the year since 2004 until now with a total of 117 people. The mass prevention drugadministration program (POPM) has been implemented since 2015. This study aims to identify theepidemiological distribution of clinical filariasis sufferers and an overview of the achievement of filariasiselimination program in Bogor district. The research using descriptive design with a quantitative approach.The data in this study used secondary data from Bogor District Health Office and Bogor Central Bureau ofStatistics. Data were analyzed descriptively and identify differences and relationships between variablesused the chi-square test. The results of the study showed the epidemiological distribution of filariasis inBogor Regency with predominantly female patients (59.8%) and productive age (36-45 years). The resultsfrom chi-square test showed that there was a significant difference between the age groups and theincidence of filariasis from year to year with a P value (0.000) <0.05, while the relationship between sex andthe incidence of filariasis from year to year did not show a significant difference with the P value ( 0.07)>0.05. The spread of filariasis tends to fluctuate and continues to increase (75%). The results of therelationship test showed that there was no significant relationship between the number of cases and the levelof family welfare with a P value (0.279)> 0.05. The implementation of POPM, both treatment outcomes andtreatment success rates, has exceeded the national target.Keywords: Epidemiology, Filariasis, POPM, Bogor, Indonesia


2016 ◽  
Vol 33 (S1) ◽  
pp. s266-s267
Author(s):  
M. Abouzed ◽  
S. Kinawy

Sleep problems frequently coexist in epileptic patient. The effect of them on each the other has been extensively evaluated. Little review exists on the reciprocal interaction of sleep problems and epilepsy in the children.Aim of studyTo evaluate prevalence, pattern and risk factors of sleep problems in epileptic children.MethodEighty-two epileptic children and 40 healthy controlled children were evaluated using children's sleep habits questionnaire – Arabic form and night polysomnography (2 consecutive nights).ResultPrevalence of sleep problem in epileptic children was 45% and 17% of normal control children with significant difference in sleep latency, total sleep time and number of awaking per night with significant prevalence with partial epilepsy, poly therapy and poor controlled epilepsy.ConclusionSleep problems are common in epileptic children with close relation to partial epilepsy, number of anti epileptic and poor controlled epilepsy. This is important to deal with it in order to better control of sleep problems in such patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2021 ◽  
Vol 11 (8) ◽  
pp. 1051
Author(s):  
Mariangela Cerasuolo ◽  
Serena Malloggi ◽  
Francesca Conte ◽  
Benedetta Albinni ◽  
Oreste De Rosa ◽  
...  

Although the issue has been repeatedly explored, data on the impact of the COVID-19 pandemic on children’s sleep quality are inconsistent. To clarify these discrepancies, here we investigate possible age-related differences. During the lockdown, 112 parents of toddlers (0–3 years, N = 61) and pre-schoolers (4–5 years, n = 51) completed an online survey including the Children’s Sleep Habits Questionnaire (CSHQ). Sleep-related items required an additional retrospective judgment, referring to the pre-pandemic period. During the lockdown, sleep schedules were delayed in both age groups whereas sleep quality (CSHQ total scores) improved in pre-schoolers but not in toddlers. Between-groups comparisons revealed that, prior to the lockdown, pre-schoolers showed worse sleep quality than toddlers, whereas this difference disappeared during home confinement. Also, pre-schoolers’ sleep timing was advanced before the lockdown and delayed during the lockdown relative to toddlers’. Our data highlight a significant modulation of age on the impact of the pandemic crisis on sleep, with pre-schoolers experiencing greater effects than toddlers. This profile suggests that factors affecting sleep features have different weights at different ages: sleep patterns would be mainly determined by developmental factors (i.e., biological drive) in younger children, whereas environmental factors (e.g., major lifestyle changes) would have a stronger effect on older ones.


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