Developmental Course and Determinants of Sleep Disturbances in Adolescents With Spina Bifida

To examine (1) trajectories of sleep disturbances in adolescents with spina bifida (SB) compared with a typically developing (TD) group over a 10-year period and (2) individual, family, and socioeconomic determinants of changes in sleep disturbances. Participants were 68 families of youth with SB an...

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Bibliographic Details
Published in:Journal of pediatric psychology 2016-07, Vol.41 (6), p.631-642
Main Authors: Murray, Caitlin B, Kirsch, Alexandra C, Palermo, Tonya M, Holmbeck, Grayson N, Kolbuck, Victoria, Psihogios, Alexandra, Pigott, Terri
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Development
Case-Control Studies
Child
Child Development
Family Conflict
Female
Humans
Longitudinal Studies
Male
Regular
Risk Factors
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - etiology
Sleep Wake Disorders - psychology
Socioeconomic Factors
Spinal Dysraphism - complications
Spinal Dysraphism - psychology
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Summary:To examine (1) trajectories of sleep disturbances in adolescents with spina bifida (SB) compared with a typically developing (TD) group over a 10-year period and (2) individual, family, and socioeconomic determinants of changes in sleep disturbances. Participants were 68 families of youth with SB and 68 families of TD youth. Parent-report of adolescent sleep was collected every 2 years at 6 time points (T1: ages 8-9; T6: ages 18-19). Multiple informants and measures were used to examine internalizing, externalizing, and inattention symptoms, dyadic/family conflict, socioeconomic status (SES), and family income. Sleep disturbances increased over the 10-year period. Youth with SB had greater sleep disturbances during early adolescence. Greater preadolescent externalizing symptoms, greater parent-child and marital conflict, and lower SES predicted increased sleep disturbances. Sleep disturbances are common and persistent in adolescents with SB. Sleep assessment and management are important clinical and research priorities in this population.
ISSN:0146-8693
1465-735X
DOI:10.1093/jpepsy/jsw021