Year :
2020
| Month :
December
| Volume :
14
| Issue :
12
| Page :
SC01 - SC05
Full Version
Sleep Disorders in Patients with Juvenile Idiopathic Arthritis as Characterised by Sleep Disturbance Scale for Children
Published: December 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/45568.14314
Priyanka Kumari, Neha Mehra, Kalpana Panda, Somdipa Pal, Tribhuvan Pal Yadav
1. Resident, Department of Paediatrics, Dr RML Hospital, New Delhi, Delhi, India.
2. Assistant Professor, Department of Paediatrics, Dr RML Hospital, New Delhi, Delhi, India.
3. Resident, Department of Paediatrics, Dr RML Hospital, New Delhi, Delhi, India.
4. Resident, Department of Paediatrics, Dr RML Hospital, New Delhi, Delhi, India.
5. Professor, Department of Paediatrics, Dr RML Hospital, New Delhi, Delhi, India.
Correspondence Address :
Tribhuvan Pal Yadav,
Department of Paediatrics, Dr R M L Hospital, Baba Kharak Singh Marg, New Delhi-110001, Delhi, India.
E-mail: tribhuvanpal@gmail.com
Abstract
Introduction: Sleep disorders negatively impact a child’s quality of life, behaviour and cognitive function. Sleep disturbances have not been widely studied in patients with Juvenile Idiopathic Arthritis (JIA) especially using the Sleep Disturbance Scale for Children (SDSC).
Aim: To characterise sleep disorders in JIA patients by using SDSC and determine its correlation with pain and disease activity.
Materials and Methods: In this cohort study, 30 patients each of active JIA and age and sex matched controls (age 6-15 years) were administered SDSC at enrollment and after six months of treatment (in JIA patients). The study duration was from November 2017 to March 2019. Pain severity and disease activity were assessed at baseline and after six month by Visual Analogue Scale (VAS) for pain and Juvenile Arthritis Disease Activity Score-27 (JADAS-27). Data at baseline between patients and controls were compared by unpaired t-test and between six months and baseline by paired t-test. Categorical variables were analysed by Chi-square test or Fisher’s-exact test and correlation by Spearman correlation.
Results: Total SDSC score was higher in JIA patients at baseline (45.67±9.13 vs. 28.5±1.17) and decreased significantly after six months (29.73±3.17). Disorders of Initiating and Maintaining Sleep (DIMS), excessive somnolence, hyperhidrosis, arousal and sleep-wake transition were observed in 29, 18, 4, 1 and 2 patients, respectively. After six months excessive somnolence and hyperhidrosis were found in one patient each. Significant positive correlation was observed between total SDSC score, VAS for pain and JADAS-27 score.
Conclusion: SDSC scores revealed significant sleep disturbances in patients with JIA and a positive correlation with pain severity and disease activity.
Keywords
Childhood chronic arthritis, Juvenile arthritis disease activity score-27, Sleep problems, Visual analogue scale for pain
DOI: 10.7860/JCDR/2020/45568.14314
Date of Submission: Jun 21, 2020
Date of Peer Review: Aug 06, 2020
Date of Acceptance: Sep 07, 2020
Date of Publishing: Dec 15, 2020
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes (from parents)
• For any images presented appropriate consent has been obtained from the subjects. NA
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 22, 2020
• Manual Googling: Sep 02, 2020
• iThenticate Software: Nov 25, 2020 (14%)
ETYMOLOGY: Author Origin
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