Department of Psychology, California State University, Dominguez Hills, Carson, CA, USA.
Department of Psychology, University of Calgary, Calgary, Alberta, Canada.
Psychol Health Med. 2023 Jul-Dec;28(8):2137-2146. doi: 10.1080/13548506.2023.2216470. Epub 2023 May 30.
Bedtime digital media use (BDM) is linked to poor sleep and fatigue in many populations. Pediatric cancer patients have been observed to engage in BDM in clinical settings, but it is unknown whether BDM rates are higher in this population or how this impacts their sleep and fatigue during treatment and into survivorship. The goal of this study was to evaluate patterns of BDM and its relationship with sleep and fatigue in a sample of pediatric cancer survivors and to compare these patterns with children from their own family (i.e. siblings) and children from unaffected families (i.e. healthy matched controls and siblings of controls). Ninety-nine children (4 groups: 24 acute lymphoblastic leukemia survivors, 13 survivor siblings, 33 controls, 29 control siblings) ages 8-18 were recruited from a long-term survivor clinic at a large children's hospital and via community advertisements. Survivors were 2-7 years post-treatment ( = 4.80 years). Children's BDM was parent-reported. Children completed 7 consecutive days of sleep actigraphy and the PedsQL Multidimensional Fatigue Scale. Most survivors (66.67%) engaged in BDM; smartphones were the most common medium. BDM patterns were equivalent across survivors, their siblings, controls, and control siblings. Statistical trends suggested that BDM was associated with fewer minutes of sleep and greater fatigue for all children; these relationships were equivalent across groups. BDM was common among survivors, but usage was not different from their own siblings or compared to healthy control children and sibling pairs. This study underscores the importance of assessing bedtime digital media use in childhood cancer survivors, although other factors impacting sleep should be explored. Clinicians should emphasize established recommendations for healthy media use and sleep habits in pediatric oncology settings.
睡前数字媒体使用（BDM）与许多人群的睡眠质量差和疲劳有关。在临床环境中观察到儿科癌症患者使用 BDM，但尚不清楚该人群的 BDM 率是否更高，以及这如何影响他们在治疗期间和生存期间的睡眠和疲劳。本研究的目的是评估儿科癌症幸存者样本中 BDM 的模式及其与睡眠和疲劳的关系，并将这些模式与来自他们自己家庭的儿童（即兄弟姐妹）和来自未受影响家庭的儿童（即健康匹配对照和对照的兄弟姐妹）进行比较。从一家大型儿童医院的长期幸存者诊所和社区广告中招募了 99 名 8-18 岁的儿童（4 组：24 名急性淋巴细胞白血病幸存者、13 名幸存者兄弟姐妹、33 名对照组、29 名对照组兄弟姐妹）。幸存者的治疗后时间为 2-7 年（ = 4.80 年）。儿童的 BDM 由父母报告。儿童完成了 7 天连续的睡眠活动记录仪和 PedsQL 多维疲劳量表。大多数幸存者（66.67%）使用 BDM；智能手机是最常见的媒介。幸存者、他们的兄弟姐妹、对照组和对照组兄弟姐妹的 BDM 模式是相同的。统计趋势表明，对于所有儿童，BDM 与睡眠时间减少和疲劳程度增加有关；这些关系在各组之间是相同的。BDM 在幸存者中很常见，但使用率与他们自己的兄弟姐妹或与健康对照组儿童和兄弟姐妹对没有差异。本研究强调了在儿童癌症幸存者中评估睡前数字媒体使用的重要性，尽管应探索其他影响睡眠的因素。临床医生应在儿科肿瘤学环境中强调健康媒体使用和睡眠习惯的既定建议。
