title: Sleep quality in children with juvenile rheumatoid arthritis.
abstract: Children with juvenile rheumatoid arthritis (JRA) report poor sleep quality, daytime sleepiness, fatigue, anxiety, and altered mood. Sleep disturbances in school-aged children are an issue of serious concern. Children are at an age when sleep is of primary importance to physical and intellectual growth, and sleep disturbances that begin in childhood may persist into adulthood. In this article we will review what is currently known about sleep in children with JRA, the influence of medications on sleep quality, the potential impact of poor sleep quality on daily life issues, and complementary/alternative modalities that may be effective in reducing sleep disturbances.
authors.affiliation: Department of Family and Child Nursing, School of Nursing, University of Washington, Seattle 98195-7262, USA. slabyak@u.washington.edu
authors.forename: Susan E
authors.initials: SE
authors.lastname: Labyak
authors.forename: Cheryl
authors.initials: C
authors.lastname: Bourguignon
authors.forename: Sharron
authors.initials: S
authors.lastname: Docherty
mesh_terms: D001171:Arthritis, Juvenile / Q000150:complications* / Q000451:nursing* / Q000503:physiopathology; D002648:Child; D000529:Complementary Therapies; D018939:Holistic Nursing; D006801:Humans; D010146:Pain / Q000150:complications / Q000451:nursing; D017286:Polysomnography; D012893:Sleep Wake Disorders / Q000209:etiology / Q000451:nursing*; D014851:Wakefulness