title: Parent and self-report of sleep-problems and daytime tiredness among adolescents with inflammatory bowel disease and their population-based controls.
abstract: OBJECTIVE
  to evaluate the frequency of sleep problems and daytime tiredness among adolescents with inflammatory bowel disease (IBD) in comparison with their healthy peers.
  
  
  METHODS
  Parent and self-reports of sleep problems and daytime tiredness.
  
  
  METHODS
  questionnaire-based postal survey.
  
  
  METHODS
  N/A.
  
  
  METHODS
  one hundred sixty Finnish adolescents with IBD; 236 adolescents matched for age, sex, and place of residence; and the parents of both groups.
  
  
  RESULTS
  Sleep Self-Report and sleep questions of the Child Behavior Check-List, and Youth Self-Report. The parents of adolescents with IBD reported in their index child more trouble sleeping (P < 0.01), more nightmares (P < 0.01), sleeping more than most children during the day/night (P < 0.001), and overtiredness (P < 0.001) than did the parents of control subjects. In contrast, adolescents with IBD themselves did not report more problems than their peers. However, in the group of patients with self-reported severe IBD symptoms, both the parents and the adolescents reported trouble sleeping and overtiredness more often (P values < 0.01) than in the group with mild symptoms or control subjects. Adolescents with severe IBD reported more often that their symptoms affected the quality of their sleep (P < 0.001) than did adolescents with mild disease.
  
  
  CONCLUSIONS
  adolescents with severe IBD symptoms have disturbed sleep and are overtired more often than are adolescents with mild IBD symptoms or control subjects. Thus, in adolescents with severe IBD symptoms, evaluating sleep is important in characterizing the disease burden. Both parent and adolescent reports are needed for comprehensive assessment of sleep in the young.
authors.affiliation: Institute of Clinical Medicine, Clinic for Children and Adolescents, University of Helsinki, Finland.
authors.forename: Teija
authors.initials: T
authors.lastname: Pirinen
authors.forename: Kaija-Leena
authors.initials: KL
authors.lastname: Kolho
authors.forename: Petteri
authors.initials: P
authors.lastname: Simola
authors.forename: Merja
authors.initials: M
authors.lastname: Ashorn
authors.forename: Eeva T
authors.initials: ET
authors.lastname: Aronen
mesh_terms: D000293:Adolescent; D015984:Causality; D002648:Child; D015897:Comorbidity; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000453:epidemiology*; D008297:Male; D010290:Parents; D057566:Self Report; D012720:Severity of Illness Index; D012893:Sleep Wake Disorders / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014851:Wakefulness