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Journal of Pediatric Psychology Advance Access originally published online on September 11, 2008
Journal of Pediatric Psychology 2009 34(6):665-670; doi:10.1093/jpepsy/jsn095
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© The Author 2008. 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

This article appears in the following Journal of Pediatric Psychology issue: Special Issue: Psychological Aspects of Genomics and Child Health [View the issue table of contents]

Sleep in Children with Chronic Illness, and the Relation to Emotional and Behavioral Problems—A Population-Based Study

Mari Hysing, PsyD1, Børge Sivertsen, PhD2, Kjell Morten Stormark, PhD3, Irene Elgen, MD PhD4 and Astri J. Lundervold, PhD1,3

1Department of Biological and Medical Psychology, University of Bergen, 2Department of Clinical Psychology, University of Bergen, 3Centre for Child and Adolescent Mental Health, University of Bergen, and 4Department of Paediatrics, Haukeland University Hospital

All correspondence concerning this article should be addressed to Mari Hysing PsyD, Department of Biological and Medical Psychology, University of Bergen, Jonas Liesvei 91, 5009 Bergen, Norway. E-mail: mari.hysing{at}psybp.uib.no.


  Abstract

Objective To examine sleep and sleep problems in children with chronic illness, and the potential effect of emotional and behavioral problems. Methods The Bergen Child Study is a total population study. Based on data from the second wave, information about sleep was given by 5,781 children and their parents, of which 496 children (8.6%) had a chronic illness. Results There were no differences in time in bed between children with a chronic illness and their healthy peers. However, the chronic illness group reported more problems falling asleep and had more nighttime awakenings. The increased risk for sleep problems was reduced to a nonsignificant level when adjusting for emotional and behavioral problems. Conclusions The elevated rate of sleep problems and association with emotional and behavioral problems in children with chronic illness underline the importance of early detection and intervention in this group.

Key words: children; chronic illness; emotional and behavioral problems; sleep problems.

Received April 26, 2008; accepted August 19, 2008


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