Sleep disturbances in preschool age children with cerebral palsy: a questionnaire study
Abstract
Objectives The study aimed to analyze (i) the prevalence of sleep disorders in pre-school children with cerebral palsy (CP) using the Sleep Disturbance Scale for Children (SDSC), (ii) the possible association with motor, cognitive and behavioral problems, and (iii) the possible differences with typically developing children matched for age and gender.Methods One-hundred children with CP (age range: 3-5 years, mean: 3.8 years) were assessed using the SDSC, the Gross Motor Function Classification System (GMFCS), the Wechsler Preschool and Primary Scale of Intelligence, and the Child Behaviour Check List (CBCL) to assess sleep, motor, cognitive, and behavioral problems, respectively. Further 100 healthy children matched for age and sex were assessed using the SDSC.Results An abnormal total sleep score was found in 13% of children with CP while 35% had an abnormal score on at least one SDSC factor. SDSC total score was significantly associated with pathological internalizing scores on CBCL and active epilepsy on multivariate analysis. CP group reported higher significant median scores on SDSC total, parasomnias, and difficulty in initiating and maintaining sleep factors.Conclusions In pre-school children sleep disorders are more common in children with CP than in healthy control group and are often associated with epilepsy and behavioral problems.
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Children with cerebral palsy have more sleep disturbances than typically developing children, and these disturbances are associated with behavioral issues and quality of life.
“Children with CP also have more issues with sleep disturbances than typically developing children, which is associated with behavioral issues and quality of life.8,9”
From Mental Health Disorders and Physical Risk Factors in Children with Cerebral Palsy: A Cross-Sectional Study (2019) · cites this paper as [9]
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Whitney, D. G., Warschausky, S. A., & Peterson, M. D. (2019) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.14083 · Cited by 106 · see citing works
- Authors
- Romeo, D. M., Brogna, C., Musto, E., Baranello, G., Pagliano, E., Casalino, T., Ricci, D., Mallardi, M., Sivo, S., Cota, F., Battaglia, D., Bruni, O., & Mercuri, E.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Fondazione IRCCS Istituto Neurologico Carlo Besta (IT)
- Sapienza University of Rome (IT)
- Corresponding author
- Mercuri, Eugenio
- ORCID
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2014-09
- Volume
- 15
- Issue
- 9
- Pages
- 1089-1093
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W2171630774
- Cited by
- 63
- References
- 25
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 5 · 2019: 3 · 2018: 10 · 2017: 5 · 2016: 4 · 2015: 4
- FWCI
- 6.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- sleep disorders, cerebral palsy, preschool children, Sleep Disturbance Scale for Children, parasomnias, epilepsy, internalizing problems, gross motor function, cognitive function, prevalence of sleep disorders
- MeSH terms
- Cerebral Palsy, Child Behavior Disorders, Child, Preschool, Epilepsy, Female, Humans, Male, Surveys and Questionnaires, Sleep Wake Disorders, Comorbidity
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