Objective assessment of sleep status and its correlates in hospitalized children with cancer: Exploratory study

Pediatrics International : Official Journal of the Japan Pediatric Society
Ami SetoyamaKiyoko Kamibeppu

Abstract

Children with cancer are known to have sleep problems. Although hospitalization and psychosocial factors are considered to be the factors affecting children's sleep, few studies have confirmed these effects. The aims of this study were to describe the sleep status of hospitalized children with cancer and to explore the correlates. The sleep status of 11 hospitalized children (aged 2-12 years) with cancer was measured using actigraph and sleep diary during hospitalization and a short home stay. Possible correlates were assessed using a questionnaire. The participants had significantly longer sleep onset latency, earlier bedtime, and poorer self-evaluated sleep quality during hospitalization than the short home stay. They had shorter total sleep time, longer wake time after sleep onset, and less sleep efficiency at home, compared with healthy historical controls. Children's age, symptoms, hospitalization period, Cognitive Fatigue, Procedural Anxiety, Treatment Anxiety, Social Anxiety, and Separation Anxiety, as well as caregiver anxiety, Receptive and Focused Attitude, and Regimented Attitude were significantly correlated with sleep variables. Hospitalization decreased self-evaluated sleep quality, and difficulty falling asleep. ...Continue Reading

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Citations

Nov 7, 2017·Journal of Paediatrics and Child Health·Kenichi MaedaAtsushi Manabe
Jan 24, 2019·Children·Shana Jacobs, Catriona Mowbray
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May 14, 2021·Sleep Medicine Reviews·Jane HybschmannJette L Sørensen

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