Sleep disturbances and affecting factors in young children with food allergy and their mothers
Main Article Content
Keywords
Sleep disorders, Food allergy, Children, Mothers
Abstract
Objective: To examine sleep patterns and sleep disturbance of children with food allergy (FA) and their mothers.
Methods: The food allergy group included 71 children with mean age, 2.97 ± 1.52 years, and 58 control children were recruited the study. Mothers of children completed the Childhood Sleep Habits Questionnaire (CSHQ) and The Pittsburgh Sleep Quality Index (PSQI) in order to evaluate sleep disturbance in both children and themselves. Depressive symptomatology of mothers of children with or without food allergy was assessed with Beck-Depression Inventory II (BDI-II).
Results: The mean total scores of CSHQ was 49.33 ± 7.93 (range = 31-68) in the FA and 42.39 ± 6.43 (range = 30-62) in controls. The total CSHQ scores were significantly higher in children with FA than in controls (p = 0.002). The total PSQI score was significantly higher in mothers of children with FA than in mothers of children without FA (7.09 ± 3.11 vs 5.15 ± 2.59, p < 0.001) indicating that the mothers of children with FA had worse sleep quality. The mothers of children with FA had more depressive symptoms than mothers of children without FA. The mean total scores of BDI-II were 10.10 ± 6.95 in mothers of children with FA and 7.78 ± 6.64 in mothers of children without FA (p = 0.005).
Conclusion: The presence of a food allergy in a child may be associated with a deterioration in sleep quality in children and mothers as well as increased depressive symptoms in mothers.
References
2. Arik Yilmaz E, Cavkaytar O, Buyuktiryaki B, Soyer O, Sahiner UM, Sekerel BE, et al. Factors affecting food allergy-related quality of life from parents’ perception in Turkish children. Allergy Asthma Immunol Res. 2018;10:379-86.
3. Muraro A, Dubois AE, DunnGalvin A, Hourihane JO, de Jong NW, Meyer R, et al. EAACI Food Allergy and Anaphylaxis Guidelines. Food allergy health-related quality of life measures. Allergy. 2014;69:845-53.
4. Wills L, Garcia J. Parasomnias: epidemiology and management. CNS Drugs. 2002;16:803-10.
5. Urrutia-Pereira M, Solé D, Chong Neto HJ, Acosta V, Cepeda AM, Álvarez-Castelló M, et al. Sleep-related disorders in Latin American children with atopic dermatitis: a case control study. Allergol Immunopathol (Madr). 2017;45:145-51.
6. Wang X, Gao X, Yang Q, Wang X, Li S, Jiang F. Sleep disorders and allergic diseases in Chinese toddlers. Sleep Med. 2017;37:174-9.
7. Domínguez-Ortega G, Borrelli O, Meyer R, Dziubak R, De Koker C. Godwin H.Extraintestinal manifestations in children with gastrointestinal food allergy. J Pediatr Gastroenterol Nutr. 2014;59:210-4.
8. Wasilewska J, Kaczmarski M, Protas PT, Kowalczuk-Kryston´ M, Mazan B. Sleep disorders in childhood and adolescence, with special reference to allergic diseases. Pol Merkur Lekarski. 2009;26:188-93.
9. Marklund B, Ahlstedt S, Nordström G. Food hypersensitivity and quality of life. Curr Opin Allergy Clin Immunol. 2007;7:279-87.
10. King RM, Knibb RC, Hourihane JO. Impact of peanut allergy on quality of life, stress and anxiety in the family. Allergy. 2009;64:461-8.
11. Owens JA, Spirito A, McGuinn M. The children’s sleep habits questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children. Sleep. 2000;23:1043-52.
12. Goodlin-Jones BL, Sitnick SL, Tang K, et al. The children’s sleep habits questionnaire in toddlers and preschool children. J Dev
Behav Pediatr. 2008;29:82-8.
13. Fis N, Arman A, Ay P, et al. The validity and the reliability of Turkish version of Children’s sleep habits questionnaire. Anatolian J Psychiatry. 2010;11:151-60.
14. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213.
15. Agargun MY, Kara H, Anlar O. Validity and reliability of the Pittsburg sleep quality index in Turkish sample. Turk J Psychiatry. 1996;7:100-15.
16. Beck AT. Depression Inventory. Philadelphia, PA: Center for Cognitive Therapy; 1978.
17. Kapci EG, Uslu R, Turkcapar H, Karaoglan A. Beck depression inventory II: evaluation of the psychometric properties and cutoff points in a Turkish adult population. Depression Anxiety. 2008;25:104-10.
18. Meltzer LJ, Plaufcan MR, Thomas JH, Mindell JA. Sleep problems and sleep disorders in pediatric primary care: treatment recommendations, persistence, and health care utilization. J Clin Sleep Med. 2014;10(April (4)).
19. Diette GB, Markson L, Skinner EA, Nguyen TT, Algatt-Bergstrom P, Wu AW. Nocturnal asthma in children affects school attendance, school performance, and parents’ work attendance. Arch Pediatr Adolesc Med. 2000;154:923-8.
20. Meltzer LJ, Mindell JA. Impact of a child’s chronic illness on maternal sleep and daytime functioning. Arch Intern Med. 2006;166:1749-55.
21. Tran BW, Papoiu AD, Russoniello CV, Wang H, Patel TS, Chan YH, et al. Effect of itch, scratching and mental stress on autonomic nervous system function in atopic dermatitis. Acta Derm Venereol. 2010;90:354-61.
22. Tascilar E, Yokusoglu M, Dundaroz R, Baysan O, Ozturk S, Yozgat Y, et al. Cardiac autonomic imbalance in children with allergic rhinitis. Tohoku J Exp Med. 2009;219:187-91.
23. Meltzer LJ, Mindell JA. Relationship between child sleep disturbances and maternal sleep, mood, and parenting stress: a pilot study. J Fam Psychol. 2007;21:67-73.
24. Meltzer LJ, Pugliese CE. Sleep in young children with asthma and their parents. J Child Health Care. 2017;21:301-11.
25. Yilmaz O, Sogut A, Gulle S, Can D, Ertan P, Yuksel H. Sleep quality and depression-anxiety in mothers of children with two chronic respiratory diseases: asthma and cystic fibrosis. J Cyst Fibros. 2008;7:495-500.
26. Meltzer LJ, Booster GD. Sleep disturbance in caregivers of children with respiratory and atopic disease. J Pediatr Psychol.
2016;41:643-50.
27. Peniamina RL, Mirosa M, Bremer P, Conner TS. The stress of food allergy issues in daily life. Psychol Health. 2016;31:750-67.
28. Lau G-Y, Patel N, Umasunthar T, Gore C, Warner JO, Hanna H, et al. Anxiety and stress in mothers of food-allergic children.
Pediatr Allergy Immunol. 2014;25:236-42.