title: Sleep disorders in children with cerebral palsy: An integrative review.
abstract: Sleep disorders are more prevalent in children with cerebral palsy. The review aimed to identify and synthesize information about the nature of sleep disorders and their related factors in children with cerebral palsy. We performed an electronic search by using the search terms sleep/child*, and sleep/cerebral palsy in the following databases: Latin American literature on health sciences, SCOPUS, medical publications, cumulative index to nursing and allied health literature, psycinfo, worldcat, web of science, and the Cochrane library. The selection criteria were studies: available in Portuguese, English or Spanish and published between 2004 and 2014, with results addressing sleep disorders in children (ages 0-18 y) with a diagnosis of cerebral palsy. 36,361 abstracts were identified. Of those, 37 papers were selected, and 25 excluded. Twelve papers were incorporated in the study sample: eight quantitative studies, three reviews, and one case study. Eleven types of sleep disorders were identified, such as difficult morning awakening, insomnia, nightmares, difficulties in initiating and maintaining nighttime sleep (night waking), and sleep anxiety. Twenty-one factors were linked to sleep disorders, which we classified as intrinsic factors associated with common comorbidities accompanying cerebral palsy, and extrinsic aspects, specifically environmental and socio-familial variables, and clinical-surgical and pharmacological interventions.
authors.affiliation: Nursing Department, Federal University of Ceará (UFC), Alexandre Baraúna, 1115 Rodolfo Teófilo, CE, Brazil. Electronic address: aninhanurse123@gmail.com.
authors.forename: Ana Luíza P A
authors.initials: AL
authors.lastname: Lélis
authors.affiliation: Nursing Department, Federal University of Ceará (UFC), Alexandre Baraúna, 1115 Rodolfo Teófilo, CE, Brazil.
authors.forename: Maria Vera L M
authors.initials: MV
authors.lastname: Cardoso
authors.affiliation: School of Nursing, University of British Columbia (UBC), T201-2211Wesbrook Mall, Vancouver, BC, Canada.
authors.forename: Wendy A
authors.initials: WA
authors.lastname: Hall
mesh_terms: D002547:Cerebral Palsy / Q000150:complications* / Q000503:physiopathology; D002648:Child; D006801:Humans; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000503:physiopathology; D012893:Sleep Wake Disorders / Q000150:complications* / Q000503:physiopathology
keywords: Cerebral palsy; Child; Sleep disorders