Sleep Quality Assessment in Children with Juvenile Arthritis in the Komi Republic: A Comparative Cross-Sectional Study with a Control Group
Abstract
Introduction. Sleep disturbances in children with juvenile idiopathic arthritis remain an insufficiently studied issue. The Child and Adolescent Sleep Checklist (CASC) is a tool used to assess sleep in children; however, evidence regarding its use in patients with juvenile idiopathic arthritis remains limited. Clarifying the relationship between disease activity, other clinical parameters, and CASC scores may contribute to a more personalized approach to the management of these patients. The aim of this study is to assess sleep quality in children with juvenile idiopathic arthritis in the Komi Republic and to examine the associations between disease activity, demographic characteristics, and the total CASC score.
Materials and methods. The study compared the total CASC score between children with juvenile idiopathic arthritis and their healthy peers. In patients with juvenile idiopathic arthritis, the effects of disease activity as measured by the JADAS-10, sex, age, and erythrocyte sedimentation rate on the total CASC score were also analysed.
Results. The proportion of children with a total CASC score above 18 was significantly higher in the juvenile idiopathic arthritis group. A significant association was identified between the JADAS-10 index and the total CASC score: each one-point increase in JADAS-10 was associated with a 0.72-point increase in the total CASC score (p 0.05). This finding indicates that sleep quality deteriorates as disease activity increases. Among…
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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.
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