Determinants of sleep problems in children with intellectual disability

Melissa Gilbertson; Cele Richardson; Peter Eastwood; Andrew Wilson; Peter Jacoby; Helen Leonard; Jenny Downs

doi:10.1111/jsr.13361

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Determinants of sleep problems in children with intellectual disability

Journal article

Peer reviewed

Determinants of sleep problems in children with intellectual disability

Melissa Gilbertson, Cele Richardson, Peter Eastwood, Andrew Wilson, Peter Jacoby, Helen Leonard and Jenny Downs

Journal of sleep research, Vol.30(5), e13361

2021

DOI: https://doi.org/10.1111/jsr.13361

PMID: 34032327

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Abstract

comorbidity

nsomnia

quality of life

sleep breathing disorders

sleepiness

Children with intellectual disabilities are more likely to experience sleep disorders of insomnia, excessive daytime sleepiness and sleep breathing disorders than typically developing children. The present study examined risk factors for these sleep disorders in 447 children (aged 5–18 years), diagnosed with an intellectual disability and comorbid autism spectrum disorder, cerebral palsy, Down syndrome or Rett syndrome. Primary caregivers reported on their child’s sleep using the Sleep Disturbance Scale for Children (SDSC), as well as medical comorbidities and functional abilities. Multivariate linear and logistic regressions were used to examine the effects of these factors on SDSC t scores and a binary indicator, respectively for the relevant subscales. Receiving operating characteristic curves were generated for each logistic regression model to determine their ability to discriminate between poor and good sleep. Comorbidities rather than functional abilities were associated with poorer sleep. In particular, recurrent pain, frequent seizures, frequent coughing, constipation and prescription of sleep medications were associated with abnormal sleep across the entire sample, but predictors differed between diagnostic groups. The present study suggests that comorbidities are more strongly associated with quality of sleep than functional impairments. The present study provides new information on potential associations between frequent coughing, prescription sleep medications and sleep quality that should be further investigated.

Details

Title: Determinants of sleep problems in children with intellectual disability
Authors/Creators: Melissa Gilbertson - The University of Western Australia
Cele Richardson - The University of Western Australia
Peter Eastwood - Flinders University
Andrew Wilson - The Kids Research Institute Australia
Peter Jacoby - The Kids Research Institute Australia
Helen Leonard - The University of Western Australia
Jenny Downs - The Kids Research Institute Australia
Publication Details: Journal of sleep research, Vol.30(5), e13361
Publisher: Wiley
Number of pages: 17
Grant note: 1103745 / National Health and Medical Research Council; National Health and Medical Research Council (NHMRC) of Australia
Identifiers: 991005591576007891
Murdoch Affiliation: Vice Chancellery
Language: English
Resource Type: Journal article

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22 Times Cited - Web of Science

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.137 Sleep Science & Circadian Systems; 1.137.349 Insomnia
Web Of Science research areas: Clinical Neurology; Neurosciences
ESI research areas: Neuroscience & Behavior