Abdullah, Asmaa' Hazirah and Nathan, Anna Marie and Jayanath, Subhashini and Kwan, Zhenli and Azanan, Mohamad Shafiq and Hng, Shih Ying and Eg, Kah Peng and de Bruyne, Jessie A. and Leong, Kin Fon and Wee, Ai Leen and Ponnuthurai, Nirmala and Begum, Sabeera (2023) Poor sleep quality in children with atopic dermatitis and its effects on behavior: A multicenter cross-sectional study from a low-middle-income country. Pediatrics International, 65 (1). ISSN 1328-8067, DOI https://doi.org/10.1111/ped.15473.
Full text not available from this repository.Abstract
Background: Sleep disturbance in children with atopic dermatitis (AD) frequently goes unnoticed and can be associated with behavioral challenges. The aims of this study were to determine (a) the prevalence and factors associated with sleep disturbance and behavioral problems and (b) the correlation between sleep disturbance and behavioral problems in children with AD. Methods: This cross-sectional study involved children aged 4-12 years old with moderate to severe AD. Age and sex-matched healthy children were recruited as the comparison group. The Children's Sleep Habits Questionnaire (CSHQ) and the Strengths and Difficulties Questionnaire (SDQ) were used to assess sleep disturbance and behavioral problems, respectively. Higher scores in both questionnaires signify more disturbance. Results: Seventy patients and 141 controls were recruited. Median (interquartile range) age of patients was 5 (4,8) years. Patients had later sleep time (p < 0.001), longer night awakening (p < 0.001), and shorter sleep duration (p < 0.001) compared to controls. CSHQ total scores and all its domains, except for sleep-disordered breathing were significantly higher in patients compared to controls. Patients also had significantly higher SDQ total difficulties scores in all domains, except for peer problems. Severity of AD was significantly associated with high CSHQ and SDQ scores. There was a moderate positive correlation between the total CSHQ score and total SDQ score in patients (r = 0.532). Conclusions: Children with moderate-to-severe AD had significantly more sleep disturbance and more behavioral problems than their healthy peers. Sleep disturbance had a positive correlation with behavioral problems. Severity of AD was associated with sleep disturbance and behavioral problems.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Atopic dermatitis; Behavior; Child; Malaysia; Sleep quality |
| Subjects: | R Medicine > RJ Pediatrics R Medicine > RL Dermatology |
| Divisions: | Faculty of Medicine > Medicine Department Faculty of Medicine > Paediatrics Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 30 Nov 2023 05:03 |
| Last Modified: | 01 Dec 2023 08:56 |
| URI: | http://eprints.um.edu.my/id/eprint/38908 |
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