Sleep complaints in survivors of pediatric XXXX .

@entity1 @entity28 @entity1313 @entity5 @entity1353 @entity25
PURPOSE: @entity1313 survivors have increased risk of @entity25 , particularly @entity25 ( @entity25 ). Few studies have examined @entity25 in this population. METHODS: 153 @entity1 and adolescents ages 8-18 and their parents completed questionnaires (Modified Epworth Sleepiness Scale, Kosair @entity1 's Hospital Sleep Questionnaire, @entity1 's Report of Sleep Patterns, @entity1 's Sleep Hygiene Scale) during clinic visits. @entity1 were at least 5  years from diagnosis and 2  years post-treatment. Group differences in age at diagnosis, body mass index, type of treatment received, and @entity5 location were examined. RESULTS: One-third of adolescents and one-fifth of @entity1 reported @entity25 . @entity1 and parents had fair concordance (kappa coefficient   =   .64) in their report of @entity25 , while adolescents and parents had poor concordance (kappa coefficient   =   .37). Per parents, most @entity1 slept 8 to 9  h per night. Poor bedtime routines were reported for @entity1 , while adolescents endorsed poor sleep stability. Extended weekend sleep was reported across age groups. A BMI in the @entity28 range was related to higher parent-reported @entity25 in @entity1 . @entity25 @entity1353 was associated with elevated BMI in adolescents. CONCLUSIONS: While survivors reported achieving recommended amounts of sleep each night, 20 to 30  % reported @entity25 . Poor concordance among parent and adolescent report highlights the importance of obtaining self-report when assessing sleep concerns. Obesity is a modifiable factor in reducing symptoms of @entity25 in this population. Finally, the lack of association between @entity25 and @entity1313 location, BMI, or treatment received was unexpected and warrants further investigation.
