Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates.

Autor: Romeo DM; Paediatric Neurology Unit, Catholic University, Rome, Italy., Brogna C; Paediatric Neurology Unit, Catholic University, Rome, Italy., Quintiliani M; Paediatric Neurology Unit, Catholic University, Rome, Italy., Baranello G; Developmental Neurology Unit, C. Besta Neurological Institute Foundation, Milan, Italy., Pagliano E; Developmental Neurology Unit, C. Besta Neurological Institute Foundation, Milan, Italy., Casalino T; Developmental Neurology Unit, C. Besta Neurological Institute Foundation, Milan, Italy., Sacco A; Paediatric Neurology Unit, Catholic University, Rome, Italy., Ricci D; Paediatric Neurology Unit, Catholic University, Rome, Italy., Mallardi M; Paediatric Neurology Unit, Catholic University, Rome, Italy., Musto E; Paediatric Neurology Unit, Catholic University, Rome, Italy., Sivo S; Paediatric Neurology Unit, Catholic University, Rome, Italy., Cota F; Neonatal Unit, Catholic University, Rome, Italy., Battaglia D; Paediatric Neurology Unit, Catholic University, Rome, Italy., Bruni O; Centre for Pediatric Sleep Disorders, Department of Social and Developmental Psychology - Sapienza University, Rome, Italy., Mercuri E; Paediatric Neurology Unit, Catholic University, Rome, Italy. Electronic address: mercuri@rm.unicatt.it.
Jazyk: angličtina
Zdroj: Sleep medicine [Sleep Med] 2014 Feb; Vol. 15 (2), pp. 213-8. Date of Electronic Publication: 2013 Dec 13.
DOI: 10.1016/j.sleep.2013.08.793
Abstrakt: Objectives: We aimed to estimate the frequency of sleep disorders in children with cerebral palsy (CP) using the Sleep Disturbance Scale for Children (SDSC) and to evaluate the relations between sleep disorders and motor, cognitive, and behavioral problems.
Methods: One hundred and sixty-five children with CP ages 6-16 years (mean age, 11years) were assessed using the SDSC, the Gross Motor Function Classification System (GMFCS), the Wechsler Intelligence Scale for Children and the Child Behavior Check List (CBCL) to assess sleep, motor, cognitive, and behavioral problems, respectively.
Results: An abnormal total sleep score was found in 19% of children with CP; more than 40% of children had an abnormal score on at least one SDSC factor. The SDSC total score was significantly associated (P<.01) with mental retardation, epilepsy, CBCL scores, and level 5 on the GMFCS.
Conclusions: Our results confirm that sleep disorders are common in children with cerebral palsy. The relationship between motor and cognitive behavior and epilepsy should be further explored to better understand how these factors influence one another to identify effective treatments and to improve the well-being of the child.
(Copyright © 2014 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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