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Type: Journal article
Title: Eczema, sleep, and behavior in children
Author: Camfferman, D.
Kennedy, J.
Gold, M.
Martin, A.
Winwood, P.
Lushington, K.
Citation: The Journal of Clinical Sleep Medicine, 2010; 6(6):581-588
Publisher: The American Academy of Sleep Medicine
Issue Date: 2010
ISSN: 1550-9389
Abstract: <h4>Introduction</h4>There is a general consensus that sleep disruption in children causes daytime behavioral deficits. It is unclear if sleep disruption in children with eczema has similar effects particularly after controlling for known comorbid disorders such as asthma and rhinitis.<h4>Methods</h4>Parents of children (6-16 y) with eczema (n = 77) and healthy controls (n = 30) completed a validated omnibus questionnaire which included the Sleep Disturbance Scale for Children, Conners Parent Rating Scale-Revised (S), Child Health Questionnaire, Children's Dermatology Life Quality Index, and additional items assessing eczema, asthma, rhinitis, and demographics.<h4>Results</h4>Compared to controls, children with eczema had a greater number of sleep problems with a greater percentage in the clinical range, lower quality of life, and higher levels of ADHD and oppositional behavior. They also had elevated rhinitis and asthma severity scores. Importantly, structural equation modelling revealed that the effect of eczema on the behavioral variables of Hyperactivity, ADHD Index, and Oppositional Behaviors were mediated through sleep with no direct effect of eczema on these behaviors. The comorbid atopic disorders of rhinitis and asthma also had independent effects on behavior mediated through their effects on sleep.<h4>Conclusions</h4>The present findings suggest that the daytime behaviors seen in children with eczema are mediated independently by the effects of eczema, asthma, and rhinitis on sleep quality. These findings highlight the importance of sleep in eczematous children and its role in regulating daytime behavior.
Keywords: Humans; Asthma; Rhinitis; Eczema; Incidence; Risk Assessment; Case-Control Studies; Attention Deficit Disorder with Hyperactivity; Child Behavior Disorders; Age Distribution; Sex Distribution; Reference Values; Quality of Life; Adolescent; Child; Female; Male; Surveys and Questionnaires; Sleep Wake Disorders
Rights: Copyright status unknown
RMID: 0020102200
DOI: 10.5664/jcsm.27992
Appears in Collections:Paediatrics publications

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