Ellyn E Matthews1, Madalynn Neu1, Paul F Cook1, Nancy King2. 1. College of Nursing, University of Colorado Anschutz Medical Campus in Aurora. 2. Department of Pediatrics, University of Colorado Anschutz Medical Campus in Aurora.
Abstract
PURPOSE/ OBJECTIVES: To compare the sleep of children with acute lymphoblastic leukemia (ALL) during maintenance treatment with controls and to measure the effect on maternal sleep. DESIGN: Comparative, descriptive. SETTING: Pediatric oncology clinic and communities in Colorado. SAMPLE: 26 dyads of mothers and children with ALL and matched controls. METHODS: Mothers completed insomnia severity, mood, and stress questionnaires and wore a wrist actigraph, and mothers and children completed a seven-day sleep diary. MAIN RESEARCH VARIABLES: Mother and child sleep parameters (e.g., total sleep time, sleep latency, sleep efficiency, awakenings); maternal insomnia severity, mood, and stress; child sleep habits. FINDINGS: Mothers of children with ALL reported greater insomnia compared to controls, which was correlated with anxiety, depressive symptoms, and stress. Maternal groups did not differ on diary- and actigraph-measured sleep outcomes; both groups experienced sleep fragmentation. Children with ALL took longer to fall asleep and had more variable sleep patterns. CONCLUSIONS: Actigraph and sleep diary data indicated adequate maternal sleep duration and sleep latency. Self-reported insomnia severity in mothers of children with ALL suggested sleep fragmentation that may be undetected by these measures. IMPLICATIONS FOR NURSING: Oncology nurses are in a unique position to identify sleep problems in mothers and children with ALL, which may lead to recommendations for improved sleep and referrals for treatment.
PURPOSE/ OBJECTIVES: To compare the sleep of children with acute lymphoblastic leukemia (ALL) during maintenance treatment with controls and to measure the effect on maternal sleep. DESIGN: Comparative, descriptive. SETTING: Pediatric oncology clinic and communities in Colorado. SAMPLE: 26 dyads of mothers and children with ALL and matched controls. METHODS: Mothers completed insomnia severity, mood, and stress questionnaires and wore a wrist actigraph, and mothers and children completed a seven-day sleep diary. MAIN RESEARCH VARIABLES: Mother and child sleep parameters (e.g., total sleep time, sleep latency, sleep efficiency, awakenings); maternal insomnia severity, mood, and stress; childsleep habits. FINDINGS: Mothers of children with ALL reported greater insomnia compared to controls, which was correlated with anxiety, depressive symptoms, and stress. Maternal groups did not differ on diary- and actigraph-measured sleep outcomes; both groups experienced sleep fragmentation. Children with ALL took longer to fall asleep and had more variable sleep patterns. CONCLUSIONS: Actigraph and sleep diary data indicated adequate maternal sleep duration and sleep latency. Self-reported insomnia severity in mothers of children with ALL suggested sleep fragmentation that may be undetected by these measures. IMPLICATIONS FOR NURSING: Oncology nurses are in a unique position to identify sleep problems in mothers and children with ALL, which may lead to recommendations for improved sleep and referrals for treatment.
Authors: Lauren C Daniel; Colleen M Walsh; Lisa J Meltzer; Lamia P Barakat; Jacqueline D Kloss Journal: Support Care Cancer Date: 2017-10-18 Impact factor: 3.603
Authors: Niki Rensen; Lindsay M H Steur; Sasja A Schepers; Johannes H M Merks; Annette C Moll; Martha A Grootenhuis; Gertjan J L Kaspers; Raphaële R L van Litsenburg Journal: Eur J Psychotraumatol Date: 2019-07-22