Simultaneous Recording of Objective Sleep in Mothers and School-aged Children with Developmental Disabilities: A Pilot Study of Actigraphy and Videosomnography.

IF 1.5 4区医学 Q2 EDUCATION, SPECIAL Journal of Developmental and Physical Disabilities Pub Date : 2023-04-11 DOI:10.1007/s10882-023-09896-7

Jiwon Lee, A J Schwichtenberg, Donald Bliwise, Syeda Zahra Ali, Matthew J Hayat, Patricia C Clark, Regena Spratling

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引用次数: 2

Abstract

Mothers of school-aged children ages 3 to 17 years with developmental disabilities (DDs) commonly report sleep problems in their children associated with impaired maternal sleep. However, existing research relies heavily on mothers' self-reported sleep. This study aimed to determine the feasibility of objectively measuring child and mother sleep-wake patterns using actigraphy and videosomnography. This was an observational pilot study. Mothers wore actigraphy watches and video-recorded their child's sleep for 7 nights. Mothers also completed a 7-day sleep diary and questionnaires on sleep quality, depressive symptoms, stress, and child sleep problems. Ten mothers (32-49 years) and ten children with DDs (8-12 years) completed this study. Half of the children were boys with autism spectrum disorders. We successfully recruited 77% of eligible mothers for the study during the pandemic. Eight mothers successfully wore the actigraphy, and nine successfully video-recorded their child's sleep. Mothers rated their participation positively and considered the data collection protocol acceptable. While mothers' sleep patterns from actigraphy were mostly within recommendations, self-reported sleep quality was poor. Child's sleep estimates from videosomnography showed children slept substantially less than recommended sleep hours. Mothers also reported a high frequency of child sleep problems. Consistent with this pattern, mothers also endorsed elevated stress and depression. The use of actigraphy and videosomnography is feasible. Objective sleep measurement for mothers' and children's sleep is needed with self-report to measure multidimensional aspects of sleep and discrepancies between objective and self-report sleep measures. Future studies can use multi-methods sleep measures and work toward interventions that can improve family sleep and reduce mothers' stress and depression.

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发育障碍母亲和学龄儿童客观睡眠的同时记录：动作描记术和视频睡眠描记术的初步研究。

患有发育障碍（DD）的3至17岁学龄儿童的母亲通常报告称，他们的孩子存在与母亲睡眠受损有关的睡眠问题。然而，现有的研究在很大程度上依赖于母亲自我报告的睡眠。本研究旨在确定使用活动描记术和视频睡眠描记术客观测量儿童和母亲睡眠-觉醒模式的可行性。这是一项观察性试点研究。母亲们戴着活动记录仪手表，用视频记录孩子7个晚上的睡眠。母亲们还完成了一份为期7天的睡眠日记和关于睡眠质量、抑郁症状、压力和儿童睡眠问题的问卷调查。10名母亲（32-49岁）和10名患有DD的儿童（8-12岁）完成了这项研究。一半的孩子是患有自闭症谱系障碍的男孩。在新冠疫情期间，我们成功招募了77%符合条件的母亲参与这项研究。八位母亲成功佩戴了活动记录仪，九位母亲成功录制了孩子的睡眠。母亲们对她们的参与给予积极评价，并认为数据收集协议是可以接受的。虽然活动描记术中母亲的睡眠模式大多在建议范围内，但自我报告的睡眠质量较差。视频睡眠图对儿童睡眠的估计显示，儿童的睡眠时间大大少于建议的睡眠时间。母亲们还报告说，孩子睡眠问题的频率很高。与这种模式一致的是，母亲们也支持压力和抑郁的增加。使用活动描记术和视频睡眠描记术是可行的。母亲和儿童睡眠的客观睡眠测量需要自我报告来测量睡眠的多维方面，以及客观睡眠测量和自我报告睡眠测量之间的差异。未来的研究可以使用多种方法的睡眠测量，并致力于改善家庭睡眠、减轻母亲压力和抑郁的干预措施。

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来源期刊

Journal of Developmental and Physical Disabilities Multiple-

CiteScore

3.40

自引率

5.60%

发文量

期刊介绍： The Journal of Developmental and Physical Disabilities is an interdisciplinary forum for the publication of original research and clinical reports from a variety of fields serving persons with developmental and physical disabilities. Submissions from researchers, clinicians, and related professionals in the fields of psychology, rehabilitation, special education, kinesiology, counseling, social work, psychiatry, nursing, and rehabilitation medicine are considered. Investigations utilizing group comparisons as well as single-case experimental designs are of primary interest. In addition, case studies that are of particular clinical relevance or that describe innovative evaluation and intervention techniques are welcome. All research and clinical reports should contain sufficient procedural detail so that readers can clearly understand what was done, how it was done, and why the strategy was selected. Rigorously conducted replication studies utilizing group and single-case designs are welcome irrespective of results obtained. In addition, systematic reviews, meta-analyses, and theoretical discussions that contribute substantially to understanding the problems and strengths of persons with developmental and physical disabilities are considered for publication. Authors are encouraged to preregister empirical studies, replications, systematic reviews, and meta-analyses in a relevant public database and to include such information with their submission to the journal. Authors are also encouraged, where possible and applicable, to deposit data that support the findings of their research in a public repository (see detailed “Research Data Policy” module in the journal’s Instructions for Authors). In response to the need for increased clinical and research endeavors with persons with developmental and physical disabilities, the journal is cross-categorical and unbiased methodologically.