LUCIA PARISI1, MARGHERITA SALERNO2, AGATA MALTESE1, GABRIELE TRIPI3,4, PALMIRA ROMANO5, ANNABELLA DI FOLCO1, TERESA DI FILIPPO1, MICHELE ROCCELLA1
1Department of Psychological, Pedagogical and Educational Sciences, University of Palermo, Italy - 2Sciences for Mother and Child Health Promotion, University of Palermo, Italy - 3Department PROSAMI, University of Palermo, Italy - 4Childhood Psychiatric Service for Neurodevelopmental Disorders, CH Chinon, France - 5Clinic of Child and Adolescent Neuropsychiatry; Department of Mental Health and Physical and Preventive Medicine, Università degli Studi della Campania-Luigi Vanvitelli, Italy
Objectives: Primary monosymptomatic nocturnal enuresis (PMNE) is a common problem in childhood and studies about the sleep habits of affected children are not conclusive. Work-family conflict (WFC) results from the incompatibility between family demands and business/workplace needs. WFC can impact parental quality with many consequences on children health. Aim of study is assessing the prevalence of sleep disturbances in enuretic children, sons of work-shifters.
Materials and methods: 80 children (67 males) aged 5-13 years (mean 10,43; SD ± 1,99), were consecutively referred for PMNE. Sleep habits were investigated with Sleep Disturbances Scale for Children (SDSC) and the results were compared with a con- trol group of 255 (190 males) typical developing children (TDC) sons of no shift-workers, matched for age (mean 10.57 SD ± 1,89; p = 0.569) and sex distribution (Chi-square= 2.416; p = 0.120).
Results: To evaluate statically differences among mean values of two samples, the Chi-square test was performed. Logistic regression was assessed to verify the role of paternal shift-working as risk factor for sleep disorders. p≤0.05. All sleep disturbances categories were more prevalent in PMNE children sons of shift-workers than control group (Chi-square= 43.926; p<0.001); particu- larly 82.5% of PMNE vs. 11.76% of TDC show pathological scores for SBD category (Chi-square = 145.592; p<0.001; OR = 35,35; IC95% = 17.71-70.57); 61.25% vs 9.41% for SWTD (Chi-square = 93; p < 0.001; OR = 15.213; IC95% = 8.21-28.15); 57.5% vs 9.41% for DA (Chi-square = 82.31; p < 0.001; OR = 13.02; IC95% = 7.06-23.98); 37.5% vs 6.67% for DIMS (Chi-square = 45.476; p < 0.001; OR = 8,4; IC95% = 4.3-16.39); 26.25% vs 5.88% for SHY (Chi-square = 24.257; p < 0.001; OR = 5.69; IC95% = 2,76-11,71) and 25%c vs 5.49% for DOES (Chi-square = 23.323; p < 0.001; OR = 5,73; IC95% = 2,73-12,01).
Conclusions: Our findings suggest that paternal shif-working plus PMNE children may be a relevant factor affecting sleep quality in affected children.
Primary nocturnal enuresis, paternal shift-working, SDSC