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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...

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Main Authors: Atmawidjaja, Raymond Warouw, Wong, Sau Wei, Yang, Wai Wai, Ong, Lai Choo
Format: Article
Published: Wiley-Blackwell Publishing 2014
Online Access:http://psasir.upm.edu.my/id/eprint/35393/
http://onlinelibrary.wiley.com/doi/10.1111/dmcn.12399/abstract
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spelling my.upm.eprints.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
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
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.
format Article
author Atmawidjaja, Raymond Warouw
Wong, Sau Wei
Yang, Wai Wai
Ong, Lai Choo
spellingShingle Atmawidjaja, Raymond Warouw
Wong, Sau Wei
Yang, Wai Wai
Ong, Lai Choo
Sleep disturbances in Malaysian children with cerebral palsy
author_facet Atmawidjaja, Raymond Warouw
Wong, Sau Wei
Yang, Wai Wai
Ong, Lai Choo
author_sort Atmawidjaja, Raymond Warouw
title Sleep disturbances in Malaysian children with cerebral palsy
title_short 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_sort sleep disturbances in malaysian children with cerebral palsy
publisher Wiley-Blackwell Publishing
publishDate 2014
url http://psasir.upm.edu.my/id/eprint/35393/
http://onlinelibrary.wiley.com/doi/10.1111/dmcn.12399/abstract
_version_ 1643831440504258560
score 13.211869

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