title: Sleep quality and depression-anxiety in mothers of children with two chronic respiratory diseases: asthma and cystic fibrosis.
abstract: BACKGROUND
  Sleep quality and psychological well being of parents are expected to be influenced by the child's health and disease status. The aim of this study was to compare sleep quality and depression-anxiety parameters in mothers of children with cystic fibrosis (CF) asthma and healthy controls.
  
  
  METHODS
  The study included mothers of 62 children with asthma, 21 children with CF and 35 healthy children. All mothers filled in the Pittsburgh Sleep Quality Index (PSQI) questionnaire and hospital anxiety depression scale (HADS).
  
  
  RESULTS
  Comparison of the three groups with Kruskall Wallis analysis demonstrated that subjective sleep, sleep efficiency and total PSQI scores were significantly different between the groups (p=0.02, p=0.01 and p=0.04 respectively). Comparisons of the groups in pairs with Mann Whitney U test with Bonferroni correction revealed that subjective sleep quality scores in mothers of children with asthma were significantly higher than the ones in the control group (1.0+/-0.9 vs 0.6+/-0.7, p=0.015). The other PSQI scores as well as the anxiety and depression scores were higher in CF and asthma groups when compared to the control group but did not reach statistical significance. Anxiety and depression scores were significantly correlated with PSQI total score in CF (rho=0.54 and 0.49 respectively) and asthma groups (rho=0.45 and 0.60 respectively) but not in the control group.
  
  
  CONCLUSIONS
  In conclusion, presence of a chronic respiratory disease in a child may be associated with disturbed sleep quality and increased depression and anxiety in mothers.
authors.affiliation: Celal Bayar University, Medical Faculty, Dept. of Pediatric Allergy and Pulmonology, Manisa, Turkey. oyilmaz_76@hotmail.com
authors.forename: Ozge
authors.initials: O
authors.lastname: Yilmaz
authors.forename: Ayhan
authors.initials: A
authors.lastname: Sogut
authors.forename: Saniye
authors.initials: S
authors.lastname: Gulle
authors.forename: Demet
authors.initials: D
authors.lastname: Can
authors.forename: Pelin
authors.initials: P
authors.lastname: Ertan
authors.forename: Hasan
authors.initials: H
authors.lastname: Yuksel
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology*; D001249:Asthma / Q000523:psychology* / Q000628:therapy; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D015331:Cohort Studies; D003550:Cystic Fibrosis / Q000523:psychology* / Q000628:therapy; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D009035:Mothers / Q000523:psychology*; D012307:Risk Factors; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology*; D012959:Socioeconomic Factors