Sanguino Hangsel, Brunton Laura, Condliffe Elizabeth G, Kopala-Sibley Daniel C, Noel Melanie E, Mish Sandra J, McMorris Carly A
Werklund School of Education, University of Calgary, Calgary, Alberta, Canada.
Alberta Children's Hospital Research Institute (ACHRI), Calgary, Alberta, Canada.
J Child Neurol. 2025 Feb;40(2):123-131. doi: 10.1177/08830738241285074. Epub 2024 Oct 13.
Children with cerebral palsy are considered to be a population at risk for the occurrence of sleep difficulties. However, existing literature has been limited by subjective measures of sleep and has failed to examine contributing factors. Forty-five youth with cerebral palsy participated. Both youth and caregivers completed sleep-related questionnaires, while youth completed daily actigraphy for objective sleep assessments Sleep patterns, including sleep duration, wake after sleep onset, and sleep efficiency, are generally aligned with existing sleep recommendations. However, the number of awakenings was significantly higher in youth with cerebral palsy compared to these recommendations. Most youth experienced poor sleep quality, and approximately a quarter experienced insomnia. Being a boy and having a preexisting mental health diagnosis was associated with poor sleep quality and greater insomnia symptoms. Most youth with cerebral palsy experience a range of sleep difficulties. This study provides new information on sleep patterns in youth with cerebral palsy, highlighting the importance of addressing sleep issues in this population to improve their well-being and ultimately limit the negative impacts on overall health and quality of life.
脑瘫儿童被认为是有睡眠困难发生风险的人群。然而，现有文献受睡眠主观测量方法的限制，且未能研究促成因素。45名患有脑瘫的青少年参与了研究。青少年和照料者都完成了与睡眠相关的问卷调查，同时青少年通过每日活动记录仪进行客观睡眠评估。睡眠模式，包括睡眠时间、睡眠开始后的觉醒时间和睡眠效率，总体上符合现有的睡眠建议。然而，与这些建议相比，脑瘫青少年的觉醒次数明显更高。大多数青少年睡眠质量较差，约四分之一的青少年患有失眠症。男性以及先前存在心理健康诊断与睡眠质量差和更严重的失眠症状相关。大多数患有脑瘫的青少年经历一系列睡眠困难。这项研究提供了关于脑瘫青少年睡眠模式的新信息，强调了解决该人群睡眠问题对于改善他们的幸福感并最终限制对整体健康和生活质量的负面影响的重要性。
