Sleep disorders prevalence among pediatric patients with cancer in Hospital de Pediatria Centro Medico Nacional Siglo XXI
DOI:
https://doi.org/10.65549/q4bb5p79Keywords:
cancer, Insomnia, Children, Parasomnia, PrevalenceAbstract
Insomnia is the most common sleep disorder reported by cancer patients. It is estimated that up to 30% of children have chronic sleep disturbances. In some previous researches it has been already suspected that cancer patients suffer sleep problems, secondary to pain and psychological stress experienced by these patients. In our country the magnitude of sleep disorders in children with cancer is unknown.
METHODS. This is an observational study. All pediatric patients of 2-18 years old with cancer hospitalized at the Department of Oncology in UMAE Hospital de Pediatría Centro Médico Nacional Siglo XXI were considered. The questionnaire used was PSQ (Pediatric Sleep Questionnaire) consisting of 69 questions. It has a sensitivity of 85% and specificity of 87%. The questionnaire was answered by the parents, after prior informed consent.
RESULTS. 30 patients were obtained. The mean age of the patients was 9.4 ± 4.6 years old. All patients were on combined chemotherapy. 30% of patients had some type of sleep disorder, excluding the parasomnias. If taking into account the parasomnias, 90% had sleep disorders.
CONCLUSIONS. The prevalence of sleep disorders (excluding parasomnias) demonstrate that this study is consistent with data found in the literature, both in adults as reported in children. Our study reports a 20% prevalence of insomnia in the entire study population. However the high prevalence of sleep disorders including parasomnias (90%) has not been reported previously, since most studies commonly do not include these disorders. Parasomnias proved to be the most common sleep disorder in patients having a prevalence of 77%, being the most common of them somniloquy, followed by nightmares and night terrors.
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