Lee Jiwon, Schwichtenberg A J, Bliwise Donald, Ali Syeda Zahra, Hayat Matthew J, Clark Patricia C, Spratling Regena
School of Nursing, Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, 140 Decatur Stress Urban Life Building Room 911, Atlanta, GA 30303 USA.
Department of Human Development & Family Studies, College of Health and Human Sciences, Purdue University, West Lafayette, IN USA.
J Dev Phys Disabil. 2023 Apr 11:1-23. doi: 10.1007/s10882-023-09896-7.
Mothers of school-aged children ages 3 to 17 years with developmental disabilities (DDs) commonly report sleep problems in their children associated with impaired maternal sleep. However, existing research relies heavily on mothers' self-reported sleep. This study aimed to determine the feasibility of objectively measuring child and mother sleep-wake patterns using actigraphy and videosomnography. This was an observational pilot study. Mothers wore actigraphy watches and video-recorded their child's sleep for 7 nights. Mothers also completed a 7-day sleep diary and questionnaires on sleep quality, depressive symptoms, stress, and child sleep problems. Ten mothers (32-49 years) and ten children with DDs (8-12 years) completed this study. Half of the children were boys with autism spectrum disorders. We successfully recruited 77% of eligible mothers for the study during the pandemic. Eight mothers successfully wore the actigraphy, and nine successfully video-recorded their child's sleep. Mothers rated their participation positively and considered the data collection protocol acceptable. While mothers' sleep patterns from actigraphy were mostly within recommendations, self-reported sleep quality was poor. Child's sleep estimates from videosomnography showed children slept substantially less than recommended sleep hours. Mothers also reported a high frequency of child sleep problems. Consistent with this pattern, mothers also endorsed elevated stress and depression. The use of actigraphy and videosomnography is feasible. Objective sleep measurement for mothers' and children's sleep is needed with self-report to measure multidimensional aspects of sleep and discrepancies between objective and self-report sleep measures. Future studies can use multi-methods sleep measures and work toward interventions that can improve family sleep and reduce mothers' stress and depression.
3至17岁发育障碍（DD）学龄儿童的母亲普遍报告称，孩子存在睡眠问题，这也会导致母亲睡眠受损。然而，现有研究严重依赖母亲自我报告的睡眠情况。本研究旨在确定使用活动记录仪和视频多导睡眠图客观测量儿童和母亲睡眠-觉醒模式的可行性。这是一项观察性试点研究。母亲们佩戴活动记录仪手表，并对孩子的睡眠进行7晚的视频记录。母亲们还完成了一份为期7天的睡眠日记以及关于睡眠质量、抑郁症状、压力和儿童睡眠问题的问卷调查。10位母亲（32至49岁）和10名患有发育障碍的儿童（8至12岁）完成了本研究。一半的儿童是患有自闭症谱系障碍的男孩。在疫情期间，我们成功招募了77%符合条件的母亲参与研究。8位母亲成功佩戴了活动记录仪，9位成功对孩子的睡眠进行了视频记录。母亲们对参与度给予了积极评价，并认为数据收集方案是可以接受的。虽然活动记录仪显示母亲的睡眠模式大多在推荐范围内，但自我报告的睡眠质量较差。视频多导睡眠图对儿童睡眠的评估显示，儿童的睡眠时间大大少于推荐睡眠时间。母亲们还报告说孩子睡眠问题的发生率很高。与这种模式一致，母亲们也认可压力和抑郁情绪有所增加。使用活动记录仪和视频多导睡眠图是可行的。需要通过自我报告来客观测量母亲和儿童的睡眠，以衡量睡眠的多维度方面以及客观和自我报告睡眠测量之间的差异。未来的研究可以使用多方法睡眠测量，并致力于采取干预措施，以改善家庭睡眠，减轻母亲的压力和抑郁情绪。
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