ABSTRACT
WHAT IS KNOWN ON THE SUBJECT?: Paediatric sleep problems are clinical conditions that often coexist with other mental health problems and meet criteria that warrant the implementation of screening procedures, including high prevalence, and significant clinical impact. Researchers have designed the BEARS, a user-friendly paediatric sleep screening tool that seems to increase the amount of sleep information recorded, as well as the likelihood of identifying sleep problems during routine health encounters. Nonetheless, there are no studies using the BEARS in Spanish-speaking samples. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Using a sample of children with mental health problems, this study provides support for the use of the Spanish version of the BEARS to identify the most common sleep problems seen in paediatric populations. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Considering how frequent sleep problems are, it is especially important for health professionals working with children in general, and with children with mental health problems in particular, to be aware of and be encouraged to use simple brief screening tools for paediatric sleep problems. ABSTRACT: Objective Research studies describe a high prevalence of sleep problems in children with mental health problems, up to 50%, and its role as a risk factor in the development of psychopathology. These often go unnoticed and are not evaluated in the clinical field. Our objective was to assess the concurrent validity of the BEARS, a brief paediatric sleep screening instrument, using the Children Sleep Habits Questionnaire (CSHQ) as the comparison instrument. Methods In this cross-sectional descriptive study, the BEARS was applied by a registered nurse to a sample of parents of children aged 2-16 years (n = 60, 71.7% male) who attended a mental healthcare facility (located in Murcia, Spain) for the first time to receive a group psychoeducational intervention. The association between the information collected with the BEARS and scores on the related subscales of the CSHQ was assessed by Mann-Whitney U tests. Results Children who, according to the BEARS, had a sleep problem obtained scores on the CSHQ-related subscales significantly higher than children who did not have a sleep problem (all Ps < 0.05). Conclusion Our results support the concurrent validity of the Spanish translation of the BEARS to detect sleep problems in paediatric nursing assessments. Further studies, with bigger and more heterogeneous samples, are warranted.
Subject(s)
Sleep Wake Disorders/diagnosis , Surveys and Questionnaires/standards , Adolescent , Child , Cross-Sectional Studies , Female , Humans , Male , Reproducibility of Results , SpainABSTRACT
El objetivo del presente estudio es evaluar la relación existente entre variables de personalidad y bienestar en pacientes diagnosticados de cervicalgia. Para ello, se seleccionó una muestra de sujetos con diagnóstico y baja laboral por cervicalgia procedentes de dos mutuas de accidentes de trabajo de la ciudad de Murcia. Los resultados indican que la mitad de los sujetos de la muestra tiene una estructura de personalidad desadaptativa, con un claro perfil neurótico. Este perfil se caracteriza por inestabilidad emocional, escasos recursos para afrontar las situaciones de estrés y dificultades para adaptarse e implicarse activamente en el trabajo. El 61,9% de los participantes muestra una estructura de personalidad inapropiada para tener éxito laboral. Así mismo, el 49,1% perciben claramente un malestar psicológico que se focaliza en la presencia de síntomas somáticos. La presencia de sintomatología ansioso-depresiva es un indicador de mal pronóstico con relación a la duración de la baja. El perfil de personalidad neurótica y la presencia de cuadros depresivos se relacionan con la recurrencia de los cuadros cervicálgicos. Con respecto a la prevención, los resultados sugieren que la evaluación y el tratamiento de aspectos psicopatológicos serían importantes para reducir las bajas laborales, minimizar su duración y evitar las recurrencias
The objective of the present work is to evaluate the relationship between personality variables and wellness among patients diagnosed with cervicalgia. A sample of subjects with cervicalgia and on sick-leave was recruited from two sickness and accident insurance companies at the city of Murcia. About half of the sample showed not to have a well-adapted personality, with a clear neurotic profile. This profile was characterised by emotional instability, poor resources to cope with stress and difficulties to be adapted and involved into the work life. 61.9% of participants showed a personality structure non-efficient to achieve work success. In this way, 49.1% reported some psychological discomfort, which was often expressed in soma to form symptoms. Regarding the sick-leave length, the presence of anxious- depressive symptoms was an indicator of worse prognosis. The neurotic personality profile and the depressive symptoms were related to the neck pain recurrence. With relation to prevention, our results suggest that taking into account the evaluation and treatment of psychopathological aspects may be of help to minimize the number of sick-leaves, reduce their length and prevent their recurrence
