Sleep disturbances and behavior problems in children with and without arthritis.
The study compared sleep disturbances and behavior problems in school-age children with and without juvenile idiopathic arthritis (JIA). Children 6-to-11 years of age, with (n=70) and without (n=46) JIA, and their parent participated. Parents completed questionnaires on sleep habits and behavior problems. Compared to control children, JIA children had significantly higher total sleep disturbances and higher scores on six of eight subscales. Sleep disturbances predicted externalizing behavior problems, controlling for age, medications, study group, and pain. Sleep disturbances such as, sleep disordered breathing are often overlooked or unrecognized in JIA and may contribute to behavioral problems.
Department of Family and Child Nursing, School of Nursing, University of Washington, Seattle, WA. Electronic address: teward@uw.edu.
Teresa M
TM
Ward
Department of Family and Child Nursing, School of Nursing, University of Washington, Seattle, WA.
Jennifer
J
Sonney
Seattle Children's Hospital, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.
Sarah
S
Ringold
Master of Nursing Student, University of Washington, Seattle, WA.
Shellie
S
Stockfish
Seattle Children's Hospital, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.
Carol A
CA
Wallace
Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, WA.
Carol A
CA
Landis
D000293:Adolescent; D017677:Age Distribution; D001171:Arthritis, Juvenile / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D016022:Case-Control Studies; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D002675:Child, Preschool; D015897:Comorbidity; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D011379:Prognosis; D012016:Reference Values; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D017678:Sex Distribution; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D014861:Washington
Externalizing behavioral problems; Internalizing behavior problems; Juvenile idiopathic arthritis; Sleep disturbances