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    Determinants of sleep problems in children with intellectual disability

    86691.pdf (1.612Mb)
    Access Status
    Open access
    Authors
    Gilbertson, M.
    Richardson, C.
    Eastwood, Peter
    Wilson, A.
    Jacoby, P.
    Leonard, H.
    Downs, Jennepher
    Date
    2021
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Gilbertson, M. and Richardson, C. and Eastwood, P. and Wilson, A. and Jacoby, P. and Leonard, H. and Downs, J. 2021. Determinants of sleep problems in children with intellectual disability. Journal of Sleep Research. 30 (5): Article No. e13361.
    Source Title
    Journal of Sleep Research
    DOI
    10.1111/jsr.13361
    ISSN
    0962-1105
    Faculty
    Faculty of Health Sciences
    School
    School of Physiotherapy and Exercise Science
    Curtin School of Allied Health
    Funding and Sponsorship
    http://purl.org/au-research/grants/nhmrc/1103745
    Remarks

    This is the peer reviewed version of the following article: Gilbertson, M, Richardson, C, Eastwood, P, et al. Determinants of sleep problems in children with intellectual disability. J Sleep Res. 2021; 30:e13361, which has been published in final form at https://doi.org/10.1111/jsr.13361. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.

    URI
    http://hdl.handle.net/20.500.11937/86849
    Collection
    • Curtin Research Publications
    Abstract

    Children with intellectual disabilities are more likely to experience sleep disorders of insomnia, excessive daytime sleepiness and sleep breathing disorders than typically developing children. The present study examined risk factors for these sleep disorders in 447 children (aged 5–18 years), diagnosed with an intellectual disability and comorbid autism spectrum disorder, cerebral palsy, Down syndrome or Rett syndrome. Primary caregivers reported on their child’s sleep using the Sleep Disturbance Scale for Children (SDSC), as well as medical comorbidities and functional abilities. Multivariate linear and logistic regressions were used to examine the effects of these factors on SDSC t scores and a binary indicator, respectively for the relevant subscales. Receiving operating characteristic curves were generated for each logistic regression model to determine their ability to discriminate between poor and good sleep. Comorbidities rather than functional abilities were associated with poorer sleep. In particular, recurrent pain, frequent seizures, frequent coughing, constipation and prescription of sleep medications were associated with abnormal sleep across the entire sample, but predictors differed between diagnostic groups. The present study suggests that comorbidities are more strongly associated with quality of sleep than functional impairments. The present study provides new information on potential associations between frequent coughing, prescription sleep medications and sleep quality that should be further investigated.

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