Sleep Behavior of Children Born Preterm and Its Relationship with Parental Sleep Quality

Yıl 2024, Cilt: 18 Sayı: 5, 306 - 312, 24.09.2024

Fatih Mehmet Akif Özdemir , Halil Celik

https://doi.org/10.12956/tchd.1453803

Öz

Objective: We aimed to evaluate the sleep characteristics of children born preterm and the relationship between these characteristics and parental sleep quality.
Material and Methods: In this cross-sectional study, the parents of children born preterm were administered the Child Sleep Habits Questionnaire (CSHQ) and Pittsburgh Sleep Quality Index (PSQI).
Results: The study included 89 children born preterm with a current mean age of 38.7±55 months. According to the CSHQ, 95.5% of children had a sleep disorder. According to the PSQI, 48.9% of the mothers, 35.3% of the fathers had poor sleep quality. Maternal and paternal total PSQI scores were significantly correlated (r=0.373, p=0.030). In regression analysis of factors that may affect total CSHQ score, sleep disorder was found to be associated with low maternal education, hemiplegia, no smoking in the home (p=0.001, p<0.001and p<0.001 respectively). When factors that may affect total PSQI score were examined by regression analysis, the odds of poor sleep quality were 5.5 times higher in mothers with a high education level, 4 times higher in mothers with a history of multiple pregnancy (p=0.006 and p=0.027).
Conclusion: Our study revealed a high rate of sleep disorder in children with a history of preterm birth and high rates of poor sleep quality among their parents.

Anahtar Kelimeler

Behaviors, Child, Parental, Premature, Sleep

Etik Beyan

Ethical approval: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The ethics committee approval (date: 30.12.2022, meeting number: 12, decision number: 2022/029) was received for the study. We collected no data that could be used to identify patients. We collected no data that could be used to identify patients. Informed consent was obtained from the parents/guardians of the children participating in the study and, when appropriate, assent as obtained from the children themselves. This work described is consistent with the Journal guidelines for ethical publication We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines.

Destekleyen Kurum

YOK

Prematüre Çocukların Uyku Davranışları ve Ebeveyn Uyku Kalitesi ile İlişkisi

Öz

Amaç: Prematüre doğan çocukların uyku özelliklerini ve bu özellikler ile ebeveyn uyku kalitesi arasındaki ilişkiyi değerlendirmeyi amaçladık.
Gereç ve Yöntemler: Bu kesitsel çalışmada prematüre doğan çocukların ebeveynlerine Çocuk Uyku Alışkanlıkları Anketi (ÇUAA) ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) uygulandı.
Bulgular: Çalışmaya mevcut yaş ortalaması 38.7±55 ay olan preterm doğan 89 çocuk dahil edildi. ÇUAA’ya göre çocukların %95.5’inde uyku bozukluğu vardı. PUKİ’ye göre annelerin %48.9’u, babaların ise %35.3’ünün uyku kalitesi kötüydü. Anne ile babanın toplam PUKİ puanları arasında anlamlı korelasyon vardı (r=0.373, p=0.030). Toplam ÇUAA puanını etkileyebilecek faktörlerin regresyon analizinde uyku bozukluğunun anne eğitiminin düşük olması, hemipleji, evde sigara içilmemesi ile ilişkili olduğu belirlendi (sırasıyla p=0.001, p<0.001, p<0.001). Toplam PUKİ puanını etkileyebilecek faktörler regresyon analizi ile incelendiğinde, uyku kalitesinin kötü olma ihtimali eğitim düzeyi yüksek olan annelerde 5.5 kat, çoğul gebelik öyküsü olan annelerde 4 kat daha yüksekti (p=0.006 ve p=0.027).
Sonuç: Çalışmamız, preterm doğum öyküsü olan çocuklarda yüksek oranda uyku bozukluğu olduğunu ve ebeveynlerinde yüksek oranda uyku kalitesinin kötü olduğunu ortaya koydu.

Anahtar Kelimeler

Davranış, Çocuk, Ebeveyn, Prematüre, Uyku

Kaynakça

• Sadeh A, Mindell JA, Luedtke K, Wiegand B. Sleep and sleep ecology in the first 3 years: a web-based study. J Sleep Res 2009;18:60-73.
• CDC. Premature birth. Centers for Disease Control and Prevention; 2019. https://www.cdc.gov/reproductivehealth/features/premature-birth/index.html.
• Leal MD, Esteves-Pereira AP, Nakamura-Pereira M, Torres JA, Theme-Filha M, Domingues RM, et al. Prevalence and risk factors related to preterm birth in Brazil. Reprod Health. 2016 Oct 17;13:127.
• Lupini F, Leichman ES, Lee C, Mindell JA. Sleep patterns, problems, and ecology in young children born preterm and full-term and their mothers. Sleep Med 2021;81:443-50.
• Lyu J, Groeger JA, Barnett AL, Li H, Wang L, Zhang J, et al. Associations between gestational age and childhood sleep: a national retrospective cohort study. BMC Med 2022; 8;20:253.
• Durankus F, Aladag Ciftdemir N, Vatansever Ozbek U, Duran R, Acunas B. Comparison of sleep problems between term and preterm born preschool children. Sleep Med 2020;75:484-90.
• Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep 2000; 23:1043–51.
• Perdahlı Fis N, Arman A, Ay P, Topuzoğlu A, Güler AS, Gökçe İmren S, et al. The validity and the reliability of Turkish Version of Children’s Sleep Habits Questionnaire. Anatolian J Psychiatry 2010; 11:151–60.
• Kelmanson IA, Adulas EI. Environmental characteristics and sleep in two-month-old infants. Klin Padiatr 2004; 216:259-63.
• Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989; 28:193-213.
• Agargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg 1996; 7:107-15.
• Tikanmäki M, Kaseva N, Tammelin T, Sipola-Leppänen M, Matinolli HM, Eriksson JG, et al. Leisure Time Physical Activity in Young Adults Born Preterm. J Pediatr 2017 Oct;189:135-42.e2.
• Raju TN. Epidemiology of late preterm (near-term) births. Clin Perinatol 2006;33:751-63.
• Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the National Institute of Child Health and Human Development. Pediatrics 2006;118:1207-14.
• World Health Organization. Fact Sheets: Preterm Birth. Avaliable at http://www.who.int/mediacentre/factsheets/fs363/en/
• Sung SI, Chang YS, Kim J, Choi JH, Ahn SY, Park WS. Natural evolution of ductus arteriosus with noninterventional conservative management in extremely preterm infants born at 23-28 weeks of gestation. PLoS One 2019;14:e0212256.
• Bas AY, Demirel N, Koc E, Ulubas Isik D, Hirfanoglu İM, Tunc T et al. Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units. Br J Ophthalmol 2018;102:1711-6.
• Li W, Peng A, Deng S, Lai W, Qiu X, Zhang L, et al. Do premature and postterm birth increase the risk of epilepsy? An updated meta-analysis. Epilepsy Behav 2019;97:83-91.
• Wirrell EC, Grossardt BR, Wong-Kisiel LC, Nickels KC. Incidence and classification of new-onset epilepsy and epilepsy syndromes in children in Olmsted County, Minnesota from 1980 to 2004: a population-based study. Epilepsy Res 2011;95:110-8.
• Moster D, Lie RT, Markestad T. Long-term medical and social consequences of preterm birth. N Engl J Med 2008;359:262-73.
• Back SA. White matter injury in the preterm infant: pathology and mechanisms. Acta Neuropathol 2017;134:331-49.
• Lindqvist PG, Pettersson K, Morén A, Kublickas M, Nordström L. Routine ultrasound examination at 41 weeks of gestation and risk of post-term severe adverse fetal outcome: a retrospective evaluation of two units, within the same hospital, with different guidelines. BJOG 2014;121:1108-15
• Jauhari P, Singhi P, Sankhyan N, Malhi P, Vyas S, Khandelwal N. A Comparison of Spastic Diplegia in Term and Preterm-Born Children. J Child Neurol 2018;33:333-9.
• Sellier E, Uldall P, Calado E, Sigurdardottir S, Torrioli MG, Platt MJ, et al. Epilepsy and cerebral palsy: characteristics and trends in children born in 1976-1998. Eur J Paediatr Neurol 2012;16:48-55.
• Garfield CF, Karbownik K, Murthy K, Falciglia G, Guryan J, Figlio DN, et al. Educational Performance of Children Born Prematurely. JAMA Pediatr 2017;171:764-70.
• Monson BB, Anderson PJ, Matthews LG, Neil JJ, Kapur K, Cheong JL, et al. Examination of the Pattern of Growth of Cerebral Tissue Volumes From Hospital Discharge to Early Childhood in Very Preterm Infants. JAMA Pediatr 2016;170:772-9.
• Kuok CM, Liu JR, Liang JS, Chang SH, Yang MT. Sleep problems in preschool children at the child development center with different developmental status: A questionnaire survey. Front Pediatr 2022;10:949161.
• Meltzer LJ, Mindell JA. Systematic review and meta-analysis of behavioral interventions for pediatric insomnia. J Pediatr Psychol 2014;39:932e48.
• McMillen IC, Mulvogue HM, Kok JS, Deayton JM, Nowak R, Adamson TM. Circadian rhythms in sleep and wakefulness and in salivary melatonin and cortisol concentrations in mothers of term and preterm infants. Sleep 1993;16:624-31.