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Comparing contributors of parental sleep health in families with and without a child with Duchenne muscular dystrophy

机译：比较贡献者的父母的睡眠健康与杜乡有和没有孩子的家庭肌肉萎缩症

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Background: The sleep health of caregivers of children with Duchenne muscular dystrophy (DMD) is often overlooked in clinical practice and research. This study characterizes the sleep health of caregivers of children with DMD (4-17 years) compared to parents of age-matched, unaffected children. We explore potential contributors to parental sleep efficiency and hypothesize that child awakenings will have a considerable influence on parental sleep efficiency. Methods: In this observational study, parents and their children were asked to wear the ActiGraph GT9X Link at night for 1 month. From these data, actigraphy variables (eg, percent sleep efficiency, nocturnal awakenings) were calculated and averaged for parents and children. We also used the Pittsburgh Sleep Quality Index (PSQI) to measure subjective sleep quality. Main findings: Parents in the DMD group (n = 25, M = 84.5%) had significantly worse sleep efficiency compared to controls (n = 15, M = 87.8%, p = .048). This difference was sustained after controlling for parent age, child age, and average child awakenings (F(4, 23) = 2.68, p= .057, R2 = .32). Additionally, more parents in the DMD group scored as "poor sleepers" on the PSQI (above 5, 50%) compared to controls (23%), suggesting a strong, yet not statistically significant association between subjective poor sleep and group (x2(1) = 2.47, p = .116, OR = 3.33). Conclusion: Parents of children with DMD exhibit both objective and subjective differences suggesting their sleep is impaired. Interestingly, these sleep concerns are not significantly explained by child awakenings as hypothesized. Future research is needed to fully understand the prevalence and cause of poor sleep in a larger group of DMD caregivers as well as direct care for caregivers of children with disabilities. (c) 2021 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
机译：背景:照顾者的睡眠健康儿童的杜氏肌肉营养不良症(DMD)在临床实践中常常被忽视研究。儿童的健康照顾者的DMD (4-17年)相比,父母的年龄,影响孩子。贡献者的效率和睡觉假设孩子醒来会有对父母的睡眠相当大的影响效率。父母和孩子被要求戴上晚上长短GT9X链接1月。这些数据,活动检测仪变量(如百分比睡眠效率,夜间醒来的次数)计算平均为父母和孩子。我们也使用匹兹堡睡眠质量指数(PSQI)测量主观睡眠质量。结果:父母在DMD组(n = 25 M =84.5%)明显更糟糕的睡眠效率相对于控件(n = 15 M = 87.8%, p =.048)。控制了父母年龄的增长,儿童的年龄,和平均孩子醒来(F (23) = 2.68, p =.057, R2 =收)。DMD组得分为“可怜的睡眠”PSQI(超过5 50%)与控制(23%)相比,建议一个强大的,但没有统计主观的穷人之间的显著联系睡眠和集团(x2 (1) = 2.47, p = .116,或=3.33)。表现出主观和客观方面的差异表明他们的睡眠障碍。有趣的是,这些睡眠并不担忧显著解释为孩子醒来假设。了解睡眠不好的患病率和原因在一大群DMD看护者直接照顾孩子的照顾者残疾。由爱思唯尔出版公司。

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