Parent–child co-sleeping in children with co-morbid conditions and sleep-disordered breathing
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Co-sleeping is common in children with co-morbid conditions. The aim of the study was to analyze the prevalence and determinants of parent–child co-sleeping in children with co-morbid conditions and sleep-disordered breathing and the impact on parental sleep.
Parents of consecutive children undergoing a sleep study filled in a questionnaire on co-sleeping.
The parents of 166 children (80 boys, median age 5.7 years (0.5–21) participated in this study. The most common co-morbid conditions of the children were Down syndrome (17%), achondroplasia (11%), and Chiari malformation (8%). The prevalence of parent–child co-sleeping was 46%. Reasons for co-sleeping were mainly reactive and included child’s demand (39%), crying (19%), nightmares (13%), medical reason (34%), parental reassuring or comforting (27%), and/or over-crowding (21%). Sixty-eight percent of parents reported that co-sleeping improved their sleep quality because of reassurance/comforting (67%), reduced nocturnal awakening (23%), and child supervision (44%). Forty percent of parents reported that co-sleeping decreased their sleep quality because of nocturnal awakenings or early wake up, or difficulties initiating sleep (by 77% and 52% of parents, respectively), whereas both positive and negative associations were reported by 29% of the parents. Co-sleeping was more common with children < 2 years of age as compared to older children (p < 0.001).
Parent–child co-sleeping is common in children with co-morbid conditions and sleep-disordered breathing. Co-sleeping was mainly reactive and had both positive and negative associations with parental sleep quality. Co-sleeping should be discussed on an individual basis with the parents in order to improve the sleep quality of the family.
KeywordsCo-sleeping Child Sleep-disordered breathing Sleep quality
The research of Brigitte Fauroux is supported by the Association Française contre les Myopathies (AFM), Assistance Publique-Hôpitaux de Paris, Inserm, Université Paris Descartes, ADEP Assistance, ASV Santé, S2A, and Elivie.
Compliance with ethical standards
All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards and the study was approved by the Ethical Committee (Comité de Protection des Personnes Ile France II (CPP II) on May the 18th, 2017 (number ID-RCB/EUDRACT: 2013-A00374-41).
Conflict of interest
The authors declare that they have no conflict of interest.
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