Authors

LUCIA PARISI1, MARGHERITA SALERNO2, AGATA MALTESE1, GABRIELE TRIPI3,4, PALMIRA ROMANO5, ANNABELLA DI FOLCO1, TERESA DI FILIPPO1, MICHELE ROCCELLA1

Departments

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

Abstract

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.

Keywords

Primary nocturnal enuresis, paternal shift-working, SDSC

DOI:

10.19193/0393-6384_2017_3_071