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Journal of Pediatric Psychology Advance Access originally published online on December 15, 2007
Journal of Pediatric Psychology 2008 33(3):279-291; doi:10.1093/jpepsy/jsm118
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Sleep Disruptions in Parents of Children and Adolescents with Chronic Illnesses: Prevalence, Causes, and Consequences

Lisa J. Meltzer, PhD and Melisa Moore, PhD

The Children's Hospital of Philadelphia and The University of Pennsylvania

All correspondence concerning this article should be addressed to Lisa J. Meltzer, PhD, The Children's Hospital of Philadelphia, 3535 Market Street, 14th Floor, Philadelphia, PA 19104, USA. E-mail: meltzerl{at}email.chop.edu


  Abstract

Objective Provide a comprehensive review of the existing literature on the prevalence, causes, and consequences of sleep disruptions in parents of youth with chronic illnesses. Methods A comprehensive literature search of PsychInfo, MEDLINE, and CINAHL for articles related to sleep in parents of youth with chronic illnesses yielded 59 potential articles, with 19 meeting inclusion criteria. Results Parents of children with eczema were the most commonly studied group. The prevalence of sleep disruptions was 15–86%. Potential causes of parent sleep disruptions included nighttime caregiving, monitoring of the child's illness, and stress related to the child's illness. Consequences included poor sleep quality, depression, and anxiety. Conclusions Parents of youth with chronic illnesses experience sleep disruptions, providing a potential mechanism to explain elevated rates of negative daytime functioning found in previous studies. To provide interventions and support for these parents, additional research is needed to address the limitations of the existing literature.

Key words: caregivers; children; chronic illness; parents; sleep.

Received April 30, 2007; revision received October 23, 2007; accepted November 5, 2007


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