Advertisement

Sleep and Breathing

, Volume 23, Issue 1, pp 327–332 | Cite as

Parent–child co-sleeping in children with co-morbid conditions and sleep-disordered breathing

  • Lynda Sidhoum
  • Alessandro Amaddeo
  • Jorge Olmo Arroyo
  • Livio De Sanctis
  • Sonia Khirani
  • Brigitte FaurouxEmail author
Pediatrics • Original Article
  • 90 Downloads

Abstract

Purpose

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.

Methods

Parents of consecutive children undergoing a sleep study filled in a questionnaire on co-sleeping.

Results

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).

Conclusions

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.

Keywords

Co-sleeping Child Sleep-disordered breathing Sleep quality 

Abbreviations

yrs.

years

wks

weeks

Notes

Acknowledgements

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.

References

  1. 1.
    Mileva-Seitz VR, Bakermans-Kranenburg MJ, Battaini C, Luijk MP (2017) Parent-child bed-sharing: the good, the bad, and the burden of evidence. Sleep Med Rev 32:4–27CrossRefGoogle Scholar
  2. 2.
    Salm Ward TC (2015) Reasons for mother-infant bed-sharing: a systematic narrative synthesis of the literature and implications for future research. Matern Child Health J 19:675–690CrossRefGoogle Scholar
  3. 3.
    Paul IM, Hohman EE, Loken E, Savage JS, Anzman-Frasca S, Carper P, Marini ME, Birch LL (2017) Mother-infant room-sharing and sleep outcomes in the INSIGHT study. Pediatrics 140:e20170122CrossRefGoogle Scholar
  4. 4.
    Jiang Y, Chen W, Spruyt K, Sun W, Wang Y, Li S, Shen X, Wang G, Jiang F (2016) Bed-sharing and related factors in early adolescents. Sleep Med 17:75–80CrossRefGoogle Scholar
  5. 5.
    Palmer CA, Clementi MA, Meers JM, Alfano CA (2018) Co-sleeping among school-aged anxious and non-anxious children: associations with sleep variability and timing. J Abnorm Child Psychol 46(6):1321–1332Google Scholar
  6. 6.
    Larson AM, Ryther RC, Jennesson M, Geffrey AL, Bruno PL, Anagnos CJ, Shoeb AH, Thibert RL, Thiele EA (2012) Impact of pediatric epilepsy on sleep patterns and behaviors in children and parents. Epilepsia 53:1162–1169CrossRefGoogle Scholar
  7. 7.
    Jacquier D, Newman CJ (2017) Co-sleeping in school-aged children with a motor disability: a comparative population-based study. Dev Med Child Neurol 59:420–426CrossRefGoogle Scholar
  8. 8.
    Köse S, Yılmaz H, Ocakoğlu FT, Özbaran NB (2017) Sleep problems in children with autism spectrum disorder and intellectual disability without autism spectrum disorder. Sleep Med 40:69–77CrossRefGoogle Scholar
  9. 9.
    Bloetzer C, Jeannet PY, Lynch B, Newman CJ (2012) Sleep disorders in boys with Duchenne muscular dystrophy. Acta Paediatr Scand 101:1265–1269CrossRefGoogle Scholar
  10. 10.
    Pautrat J, Khirani S, Boulé M, Ramirez A, Beydon N, Fauroux B (2015) Carbon dioxide levels during polygraphy in children with sleep-disordered breathing. Sleep Breath 19:149–157CrossRefGoogle Scholar
  11. 11.
    Kaditis AG, Alonso Alvarez ML, Boudewyns A, Alexopoulos EI, Ersu R, Joosten K, Larramona H, Miano S, Narang I, Trang H, Tsaoussoglou M, Vandenbussche N, Villa MP, Van Waardenburg D, Weber S, Verhulst S (2016) Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management. Eur Respir J 47:69–94CrossRefGoogle Scholar
  12. 12.
    Johns MW (1991) A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep 14:540–545CrossRefGoogle Scholar
  13. 13.
    Johns MW (1994) Sleepiness in different situations measured by the Epworth Sleepiness Scale. Sleep 17:703–710CrossRefGoogle Scholar
  14. 14.
    Takahashi M, Adachi M, Yasuda S, Osato-Kaneda A, Saito M, Kuribayashi M, Nakamura K (2017) Prevalence of sleep problems in Japanese preschoolers in a medium-sized city: community-based survey using the Children’s Sleep Habits Questionnaire. Pediatr Int 59:747–750CrossRefGoogle Scholar
  15. 15.
    Salm Ward TC, Robb SW, Kanu FA (2016) Prevalence and characteristics of bed-sharing among black and white infants in Georgia. Matern Child Health J 20:347–362CrossRefGoogle Scholar
  16. 16.
    D'Halluin AR, Roussey M, Branger B, Venisse A, Pladys P (2011) Formative evaluation to improve prevention of sudden infant death syndrome (SIDS): a prospective study. Acta Paediatr 100:e147–e151CrossRefGoogle Scholar
  17. 17.
    Philip P, Vecchierini MF, Davenne D, Gronfier C, Adrien J (2018) Enquête Journée du Sommeil 2017 : dormir seul ou pas : quel impact sur le sommeil ? Médecine du Sommeil 15:46CrossRefGoogle Scholar
  18. 18.
    Mörelius E, Hemmingsson H (2014) Parents of children with physical disabilities - perceived health in parents related to the child's sleep problems and need for attention at night. Child Care Health Dev 40:412–418CrossRefGoogle Scholar
  19. 19.
    Seear M, Kapur A, Wensley D, Morrison K, Behroozi A (2016) The quality of life of home-ventilated children and their primary caregivers plus the associated social and economic burdens: a prospective study. Arch Dis Child 101:620–627CrossRefGoogle Scholar
  20. 20.
    Ramirez A, Khirani S, Aloui S, Delord V, Borel J-C, Pépin J-L, Fauroux B (2013) Continuous positive airway pressure and noninvasive ventilation adherence in children. Sleep Med 14:1290–1294CrossRefGoogle Scholar
  21. 21.
    Mellies U, Dohna-Schwake C, Stehling F, Voit T (2004) Sleep disordered breathing in spinal muscular atrophy. Neuromuscul Disord 14:797–803CrossRefGoogle Scholar
  22. 22.
    Nozoe KT, Polesel DN, Moreira GA, Pires GN, Akamine RT, Tufik S, Andersen ML (2016) Sleep quality of mother-caregivers of Duchenne muscular dystrophy patients. Sleep Breath 20:129–134CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Lynda Sidhoum
    • 1
  • Alessandro Amaddeo
    • 1
    • 2
  • Jorge Olmo Arroyo
    • 1
  • Livio De Sanctis
    • 1
  • Sonia Khirani
    • 1
    • 3
  • Brigitte Fauroux
    • 1
    • 2
    Email author
  1. 1.Pediatric noninvasive ventilation and sleep unitAP-HP, Hôpital Necker Enfants-MaladesParisFrance
  2. 2.Paris Descartes UniversityParisFrance
  3. 3.ASV SantéGennevilliersFrance

Personalised recommendations