Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders

<b>Background/Objectives</b>: Sleep disturbances are common among children with fetal alcohol spectrum disorders (FASD) and are often accompanied by emotional and behavioral challenges. This study aimed to evaluate the relationship between sleep problems, anxiety, and depressive symptoms...

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Main Authors: Katarzyna Anna Dyląg, Wiktoria Wieczorek-Stawińska, Agata Cichoń-Chojnacka, Anna Piaskowska, Katarzyna Jaroszewska, Kornelia Wasiak, Tomasz Jagła, Julia Frączek, Aneta Abram, Adriana Costanzo, Federica Landri, Paulina Dumnicka, Lech Popiołek
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/1/1
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author Katarzyna Anna Dyląg
Wiktoria Wieczorek-Stawińska
Agata Cichoń-Chojnacka
Anna Piaskowska
Katarzyna Jaroszewska
Kornelia Wasiak
Tomasz Jagła
Julia Frączek
Aneta Abram
Adriana Costanzo
Federica Landri
Paulina Dumnicka
Lech Popiołek
author_facet Katarzyna Anna Dyląg
Wiktoria Wieczorek-Stawińska
Agata Cichoń-Chojnacka
Anna Piaskowska
Katarzyna Jaroszewska
Kornelia Wasiak
Tomasz Jagła
Julia Frączek
Aneta Abram
Adriana Costanzo
Federica Landri
Paulina Dumnicka
Lech Popiołek
author_sort Katarzyna Anna Dyląg
collection DOAJ
description <b>Background/Objectives</b>: Sleep disturbances are common among children with fetal alcohol spectrum disorders (FASD) and are often accompanied by emotional and behavioral challenges. This study aimed to evaluate the relationship between sleep problems, anxiety, and depressive symptoms in children with FASD. <b>Methods</b>: The study included 90 children aged 7 to 16 years diagnosed with FASD, who were primarily in foster or adoptive care. Participants completed validated psychometric tools, including the Children’s Sleep Habits Questionnaire (CSHQ), State Trait Anxiety Inventory for Children (STAIC) and Children’s Depression Inventory 2 (CDI 2). <b>Results</b>: Sleep disturbances were significant, with 71.1% of participants scoring above the clinical threshold in CSHQ. State anxiety, measured by STAIC C-1, was positively correlated with specific sleep difficulties, such as bedtime resistance (r = 0.30, <i>p</i> = 0.008) and sleep anxiety (r = 0.31, <i>p</i> = 0.005). However, no correlation was found between trait anxiety (STAIC C-2) and sleep problems. Parent-reported depressive symptoms, measured using CDI 2:P, were strongly associated with general sleep disturbances (r = 0.27, <i>p</i> < 0.011), parasomnias (r = 0.33, <i>p</i> = 0.002) and daytime sleepiness (r = 0.34, <i>p</i> < 0.001). <b>Conclusions</b>: These findings suggest that sleep disturbances in children with FASD are closely related to state anxiety and depressive symptoms. The results emphasize the need for targeted interventions addressing sleep and emotional health in this population. Further research is needed to examine these relationships and their implications for clinical practice.
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spelling doaj-art-a3aa42daa9774688af5e1a9a02e9ca2b2025-01-24T13:26:56ZengMDPI AGChildren2227-90672024-12-01121110.3390/children12010001Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum DisordersKatarzyna Anna Dyląg0Wiktoria Wieczorek-Stawińska1Agata Cichoń-Chojnacka2Anna Piaskowska3Katarzyna Jaroszewska4Kornelia Wasiak5Tomasz Jagła6Julia Frączek7Aneta Abram8Adriana Costanzo9Federica Landri10Paulina Dumnicka11Lech Popiołek12Department of Pathophysiology, Jagiellonian University Medical College, Świetej Anny 12, 31-008 Krakow, PolandSt. Louis Children Hospital, Strzelecka 2, 31-503 Krakow, PolandGdynia FASD Diagnosis and Therapy Center, Morska 112b/111, 81-225 Gdynia, PolandGdynia FASD Diagnosis and Therapy Center, Morska 112b/111, 81-225 Gdynia, PolandGdynia FASD Diagnosis and Therapy Center, Morska 112b/111, 81-225 Gdynia, PolandGdynia FASD Diagnosis and Therapy Center, Morska 112b/111, 81-225 Gdynia, PolandSt. Louis Children Hospital, Strzelecka 2, 31-503 Krakow, PolandSt. Louis Children Hospital, Strzelecka 2, 31-503 Krakow, PolandSt. Louis Children Hospital, Strzelecka 2, 31-503 Krakow, PolandSt. Louis Children Hospital, Strzelecka 2, 31-503 Krakow, PolandSt. Louis Children Hospital, Strzelecka 2, 31-503 Krakow, PolandDepartment of Medical Biochemistry, Jagiellonian University Medical College, Mikołaja Kopernika 7C, 31-034 Krakow, PolandIgnatianum University in Cracow, Institute of Psychology, Sleep Research Laboratory, Mikołaja Kopernika 26, 31-501 Krakow, Poland<b>Background/Objectives</b>: Sleep disturbances are common among children with fetal alcohol spectrum disorders (FASD) and are often accompanied by emotional and behavioral challenges. This study aimed to evaluate the relationship between sleep problems, anxiety, and depressive symptoms in children with FASD. <b>Methods</b>: The study included 90 children aged 7 to 16 years diagnosed with FASD, who were primarily in foster or adoptive care. Participants completed validated psychometric tools, including the Children’s Sleep Habits Questionnaire (CSHQ), State Trait Anxiety Inventory for Children (STAIC) and Children’s Depression Inventory 2 (CDI 2). <b>Results</b>: Sleep disturbances were significant, with 71.1% of participants scoring above the clinical threshold in CSHQ. State anxiety, measured by STAIC C-1, was positively correlated with specific sleep difficulties, such as bedtime resistance (r = 0.30, <i>p</i> = 0.008) and sleep anxiety (r = 0.31, <i>p</i> = 0.005). However, no correlation was found between trait anxiety (STAIC C-2) and sleep problems. Parent-reported depressive symptoms, measured using CDI 2:P, were strongly associated with general sleep disturbances (r = 0.27, <i>p</i> < 0.011), parasomnias (r = 0.33, <i>p</i> = 0.002) and daytime sleepiness (r = 0.34, <i>p</i> < 0.001). <b>Conclusions</b>: These findings suggest that sleep disturbances in children with FASD are closely related to state anxiety and depressive symptoms. The results emphasize the need for targeted interventions addressing sleep and emotional health in this population. Further research is needed to examine these relationships and their implications for clinical practice.https://www.mdpi.com/2227-9067/12/1/1fetal alcohol spectrum disorderprenatal alcohol exposuresleep disturbancesdepressionanxiety
spellingShingle Katarzyna Anna Dyląg
Wiktoria Wieczorek-Stawińska
Agata Cichoń-Chojnacka
Anna Piaskowska
Katarzyna Jaroszewska
Kornelia Wasiak
Tomasz Jagła
Julia Frączek
Aneta Abram
Adriana Costanzo
Federica Landri
Paulina Dumnicka
Lech Popiołek
Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders
Children
fetal alcohol spectrum disorder
prenatal alcohol exposure
sleep disturbances
depression
anxiety
title Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders
title_full Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders
title_fullStr Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders
title_full_unstemmed Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders
title_short Anxiety and Depression and Sleep Problems Among Patients with Fetal Alcohol Spectrum Disorders
title_sort anxiety and depression and sleep problems among patients with fetal alcohol spectrum disorders
topic fetal alcohol spectrum disorder
prenatal alcohol exposure
sleep disturbances
depression
anxiety
url https://www.mdpi.com/2227-9067/12/1/1
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