J Pediatr Ophthalmol Strabismus. 2022 Mar-Apr;59(2):77-86. doi: 10.3928/01913913-20210623-01. Epub 2021 Aug 26.
To examine sleep patterns in a large and heterogeneous group of children with visual impairment.
A cross-sectional survey of parents of children with visual impairment was offered via the National Federation of the Blind and the National Organization for Albinism and Hypopigmentation.
Complete survey results were available for 72 participants, aged 1 to 16 years. Parents of 52 (72%) children reported that their child had cycles of good sleep and bad sleep, and 50 (69%) reported that their child's sleep patterns caused significant stress for them or their family. Scores on the Childhood Sleep Habits Questionnaire (CSHQ) increased (> 41) in 64 (89%) children, indicating a likely clinically significant sleep problem. When compared to normative data from children aged 4 to 10 years, children in the current sample scored higher (more sleep problems) on all eight subscales on the CSHQ. The presence of comorbid developmental delay was most strongly associated with sleep problems. Supplemental melatonin and improving daytime and nighttime schedules or routines were reported as the most helpful for sleep. Many families reported a need for further information regarding melatonin use as a supplement.
A high proportion of children with visual impairment experience clinically meaningful sleep problems, regardless of degree of light perception or visual acuity. There is a strong need for increased awareness and screening for sleep problems in this population. Potential treatment modalities, including supplemental melatonin, should be discussed with families. .
研究一大群视力障碍儿童的睡眠模式。
通过全国盲人联合会和全国白化病和色素减退症组织，对视力障碍儿童的家长进行了横断面调查。
共有 72 名年龄在 1 至 16 岁的参与者完成了完整的调查。52 名（72%）儿童的家长报告说他们的孩子有良好睡眠和不良睡眠周期，50 名（69%）报告说他们孩子的睡眠模式给他们或他们的家庭带来了很大压力。儿童睡眠习惯问卷（CSHQ）得分超过 41 分的有 64 名（89%）儿童，表明可能存在临床显著的睡眠问题。与 4 至 10 岁儿童的正常数据相比，当前样本中的儿童在 CSHQ 的所有八个分量表上的得分都更高（更多睡眠问题）。合并发育迟缓的存在与睡眠问题最相关。补充褪黑素和改善白天和夜间时间表或常规被报告为最有助于睡眠。许多家庭报告说，他们需要进一步了解褪黑素作为补充剂的使用。
无论光感或视力程度如何，很大比例的视力障碍儿童都经历着具有临床意义的睡眠问题。在这一人群中，对睡眠问题的认识和筛查有强烈的需求。应与家庭讨论包括补充褪黑素在内的潜在治疗方法。
