Siblings’ experiences of sleep disruption in families with a child with Down syndrome

IF 3.4 2区 医学 Q2 CLINICAL NEUROLOGY Sleep Health Pub Date : 2024-04-01 DOI:10.1016/j.sleh.2023.10.002
Emma Cooke PhD , Caitlin Smith BPsycSc(Hons) , Maria Carmen Miguel BSN , Sally Staton PhD , Karen Thorpe PhD , Jasneek Chawla PhD
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Abstract

Objective

Adverse effects of sleep disruption are identified in parents who live with a child with Down Syndrome (DS), yet there is no research on siblings’ experiences. This study addresses this knowledge gap.

Design

A qualitative research study using semi-structured interviews to understand the experiences of siblings of a child with DS and sleep difficulties from the perspectives of parents and siblings.

Participants

Eleven siblings aged 5-15 years old, and 11 parents, from 8 families with a child with DS in Australia.

Methods

Semi-structured sibling interviews explored what it was like to have a sibling with DS and sleep difficulties; the participant’s own sleep; how their sleep affected how they felt during the day; how sleep impacted their family; and advice that they would give to other siblings. Parent interviews included similar topics; here we report on excerpts in which parents reference siblings. Interviews were audio recorded, transcribed verbatim, and analyzed using a reflexive thematic analysis.

Results

Siblings and parents acknowledge sleep disruption for siblings; yet sleep disruption is normalized, viewed with acceptance and inevitability. Siblings report adverse effects from sleep disruption, view sleep in a relational way, and cope with sleep disruption. Parents can underestimate siblings’ sleep disruption and are uncertain whether siblings’ symptoms result from sleep disruption or other causes.

Conclusions

Siblings of a child with DS experience sleep disruption and may be at risk of developing long-term health problems without focused support.

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有唐氏综合征患儿的家庭中兄弟姐妹的睡眠中断经历
目标在与唐氏综合症(DS)患儿共同生活的父母中发现了睡眠中断的不良影响,但却没有关于兄弟姐妹经历的研究。本研究弥补了这一知识空白。设计一项定性研究,采用半结构式访谈,从父母和兄弟姐妹的角度了解唐氏综合症患儿兄弟姐妹的经历和睡眠困难。方法半结构式兄弟姐妹访谈探讨了有一个患有 DS 和睡眠困难的兄弟姐妹是什么感觉;参与者自己的睡眠情况;他们的睡眠如何影响他们白天的感觉;睡眠如何影响他们的家庭;以及他们会给其他兄弟姐妹的建议。家长访谈也包括类似的主题;我们在此报告的是家长提及兄弟姐妹的摘录。我们对访谈进行了录音和逐字记录,并采用反思性主题分析法对访谈内容进行了分析。结果兄弟姐妹和父母都承认兄弟姐妹的睡眠受到干扰;然而,睡眠干扰被正常化了,被认为是可以接受和不可避免的。兄弟姐妹报告了睡眠中断造成的不良影响,从关系的角度看待睡眠,并应对睡眠中断。父母可能会低估兄弟姐妹的睡眠障碍,也不确定兄弟姐妹的症状是由睡眠障碍还是其他原因引起的。结论 DS 患儿的兄弟姐妹会出现睡眠障碍,如果得不到重点支持,可能会面临长期健康问题的风险。
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来源期刊
Sleep Health
Sleep Health CLINICAL NEUROLOGY-
CiteScore
6.30
自引率
9.80%
发文量
114
审稿时长
54 days
期刊介绍: Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.
期刊最新文献
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