Sleep Problems Under-Reported by Parents in Iranian Children
Sleep problems are common in childhood, but there are limited studies regarding that in Iranian children and awareness of the sleep problems and their complication in Iranian parents. We arranged this study in which parents of children attending for a sick visit or routine growth control to assess whether sleep problems are under-reported at general pediatric visits. In a cross - a sectional study from April 2010 to April 2011 in 301 children aged 2-14 years old attending to pediatric clinics were enrolled. To investigate the general orientation of parents about their child sleep problem we asked them a global question at first regarding sleep of their child. After that, the Persian version of BEARS questionnaire was completed by them. Only 30 (9.9%) parents reported sleep problems in their children in response to primary global question but by collecting the data from BEARS questionnaire it was revealed 45.18% (136/301) of children had one or more of sleep disorders at all. As mentioned 136 (45.18%) children had slept problems of which the most frequent complaint (15.28%) was related to bedtime problems. The second complaint (11.96%) was awakening during the night children. A significant association between sleep problems and child gender was not found. Co-sleeping with parents was found in 55.48% of all children in this study. Despite the high prevalence and adverse effects of sleep disorders, the present study suggests that parents underreport sleep problems at consultation. We suggest children should be assessed for sleep disorders in monitoring and health screening visits.
Wiggs LD. Paediatric sleep disorders: the need for Multidisciplinary sleep clinics. Int J Pediatr Otorhinolaryngol 2003;67(Suppl 1):185-90.
Gaylor EE, Burnham MM, Goodlin-Jones BL, et al. A longitudinal follow-up study of young children’s sleep patterns using a developmental classification system. Behav Sleep Med 2005;3(1):44-61.
Owens JA. The practice of pediatric sleep medicine: Results of a community survey. Pediatrics 2001;108(3):E51.
Blunden S, Lushington K, Lorenzen B, et al. Are sleep problems under-recognized in general practice? Arch Dis Child 2004;89(8):708-12.
Meissner HH, Riemer A, Santiago SM, et al. Failure of physician documentation of sleep complaints in hospitalized patients. West J Med 1998;169(3):146-9.
Teculescu DB, Caillier L, Perrin P, et al. Snoring in French preschool children. Pediathric Pulmonol 1992;13(4):239-44.
Stein MA, Mendelsohn J, Obermeyer WH, et al. Sleep and behavioral problems in school-aged children. Pediatrics 2001:107(4):E60.
Smedje H, Broman JE, Hetta J. Parents reports of disturbed sleep in 5-7 year-old Swedish children. Act Pediatr 1999;88(8);858-65.
Barrier PA, Li JT, Jensen NM. Two wards to improve physician-patient communication: what else? Mayo Clin Proc 2003;78(2):211-4.
Chervin RD, Archbold KH, Panahi P, et al. sleep problems seldom addressed at two general pediatric clinics. Pediatr 2001;107(6):1375-80.
Mohammadi M, Ghalebaghi B, Ghaleh Bandi MF, et al. Sleep Patterns and Sleep Problems among Preschool and School-aged Group Children in a Primary Care Setting. Iran J Ped 2007;17(3):213-21.
Lozoff B, Wolf AW, Davis NS. Cosleeping in urban families with young children in the United States. Pediatrics 1984;74(2):171-82.
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