title: Sleep quality among internally displaced Georgian adolescents and population-based controls.
abstract: Sleep problems in children and adolescents are a significant public health concern and may be linked to a variety of psychoemotional difficulties. This study aimed to evaluate sleep quality and associated factors in conflict-affected Georgian adolescents after 9 months of forced displacement. Thirty-three internally displaced adolescents (mean age 11.4 years) and 33 adolescents (mean age 10.8 years) from the general population completed the Epworth Sleepiness Scale and the Children's Depression Inventory (CDI). Parents completed the Children's Sleep-Wake Scale and provided information on their socioeconomic status (SES) and the adolescents' sleep behavior, academic performance, and peer social relationships. The groups differed significantly in sleep quality, peer relationships, SES, and CDI scores. In the internally displaced group, the only significant predictor of sleep quality was SES, which increased the predictive capacity of the model (demographic and psychosocial variables) by 20% in the hierarchical analyses. The most significant predictor in the non-internally displaced group was CDI. This research indicates that displacement may affect sleep quality and psychosocial functioning. The importance of family SES as a contributing factor to displaced adolescents' poor sleep quality is highlighted. An integrated approach designed to improve the psychosocial environment of internally displaced adolescents is needed for their protection.
authors: Research Center, T.Oniani Laboratory of Sleep-Wakefulness Cycle Studies, Ilia State University, Tbilisi, Georgia.
authors: Irine
authors: I
authors: Sakhelashvili
authors: Research Center, T.Oniani Laboratory of Sleep-Wakefulness Cycle Studies, Ilia State University, Tbilisi, Georgia.
authors: Marine
authors: M
authors: Eliozishvili
authors: Research Center, T.Oniani Laboratory of Sleep-Wakefulness Cycle Studies, Ilia State University, Tbilisi, Georgia.
authors: Nani
authors: N
authors: Lortkipanidze
authors: Research Center, T.Oniani Laboratory of Sleep-Wakefulness Cycle Studies, Ilia State University, Tbilisi, Georgia.
authors: Nikoloz
authors: N
authors: Oniani
authors: Sleep Laboratory, Department of Mental Health and Psychiatry, University Hospital of Geneva, Chene-Bourg, Switzerland.
authors: Katerina
authors: K
authors: Cervena
authors: Research Center, T.Oniani Laboratory of Sleep-Wakefulness Cycle Studies, Ilia State University, Tbilisi, Georgia nato.darchia@iliauni.edu.ge.
authors: Nato
authors: N
authors: Darchia
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002648:Child; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology; D012036:Refugees / Q000523:psychology*; D000070263:Sleep Hygiene / Q000502:physiology*; D012923:Social Class; D011795:Surveys and Questionnaires
keywords: Adolescent; child behavior; child protection; sleep