The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID

Acute SARS-CoV-2 infections in children and adolescents are usually mild. However, they can suffer from ongoing symptoms, generally referred to as long COVID. Sleep disorders are one of the most frequent complaints in long COVID although precise data are missing. We assessed the sleep behavior of ch...

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Main Authors: Sarah Werner, Claus Doerfel, Richard Biedermann, Michael Lorenz, Marius Rasche, Hans Proquitté, Lars Newman, Daniel Vilser
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/9/1419
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author Sarah Werner
Claus Doerfel
Richard Biedermann
Michael Lorenz
Marius Rasche
Hans Proquitté
Lars Newman
Daniel Vilser
author_facet Sarah Werner
Claus Doerfel
Richard Biedermann
Michael Lorenz
Marius Rasche
Hans Proquitté
Lars Newman
Daniel Vilser
author_sort Sarah Werner
collection DOAJ
description Acute SARS-CoV-2 infections in children and adolescents are usually mild. However, they can suffer from ongoing symptoms, generally referred to as long COVID. Sleep disorders are one of the most frequent complaints in long COVID although precise data are missing. We assessed the sleep behavior of children and adolescents who presented at our outpatient clinic between January 2021 and May 2022 with the Children’s Sleep Habits Questionnaire (CSHQ-DE). We compared the sleep behavior at three different time points: pre-COVID-19; post-COVID-19 at the initial presentation; and post-COVID-19 at re-presentation. Data from 45 patients were analyzed. Of those, 64% were female and the median age was 10 years (range: 0–18 years). Asymptomatic or mild COVID-19 disease was experienced in 89% of patients; 11% experienced moderate disease. The initial presentation occurred at a median of 20.4 weeks (6 weeks–14 months) after the infection. The CSHQ-DE score increased significantly from pre-COVID-19 (45.82 ± 8.7 points) to post-COVID-19 (49.40 ± 8.3 points; <i>p</i> ≤ 0.01). The score then normalized at re-presentation (46.98 ± 7.8; <i>p</i> = 0.1). The greatest changes were seen in the CSHQ-DE subscale score “daytime sleepiness”. Our data showed that children and adolescents with long COVID often suffer from sleep disturbances. For most children and adolescents, these sleep disorders decreased over time without any further medical intervention aside from a basic sleep consultation.
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spelling doaj.art-b58a277aecb94a43bb8ed8afda85feb72023-11-23T15:38:47ZengMDPI AGChildren2227-90672022-09-0199141910.3390/children9091419The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVIDSarah Werner0Claus Doerfel1Richard Biedermann2Michael Lorenz3Marius Rasche4Hans Proquitté5Lars Newman6Daniel Vilser7Neonatal and Pediatric Intensive Care Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyNeonatal and Pediatric Intensive Care Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyNeonatal and Pediatric Intensive Care Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyRespiratory, Allergy and Cystic Fibrosis Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyRespiratory, Allergy and Cystic Fibrosis Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyNeonatal and Pediatric Intensive Care Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyCardiology Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyCardiology Section, Department of Child and Adolescent Medicine, University Hospital Jena, 07747 Jena, GermanyAcute SARS-CoV-2 infections in children and adolescents are usually mild. However, they can suffer from ongoing symptoms, generally referred to as long COVID. Sleep disorders are one of the most frequent complaints in long COVID although precise data are missing. We assessed the sleep behavior of children and adolescents who presented at our outpatient clinic between January 2021 and May 2022 with the Children’s Sleep Habits Questionnaire (CSHQ-DE). We compared the sleep behavior at three different time points: pre-COVID-19; post-COVID-19 at the initial presentation; and post-COVID-19 at re-presentation. Data from 45 patients were analyzed. Of those, 64% were female and the median age was 10 years (range: 0–18 years). Asymptomatic or mild COVID-19 disease was experienced in 89% of patients; 11% experienced moderate disease. The initial presentation occurred at a median of 20.4 weeks (6 weeks–14 months) after the infection. The CSHQ-DE score increased significantly from pre-COVID-19 (45.82 ± 8.7 points) to post-COVID-19 (49.40 ± 8.3 points; <i>p</i> ≤ 0.01). The score then normalized at re-presentation (46.98 ± 7.8; <i>p</i> = 0.1). The greatest changes were seen in the CSHQ-DE subscale score “daytime sleepiness”. Our data showed that children and adolescents with long COVID often suffer from sleep disturbances. For most children and adolescents, these sleep disorders decreased over time without any further medical intervention aside from a basic sleep consultation.https://www.mdpi.com/2227-9067/9/9/1419long COVIDpost-COVID-19 conditionsleep disordersSARS-CoV-2coronaviruschildren
spellingShingle Sarah Werner
Claus Doerfel
Richard Biedermann
Michael Lorenz
Marius Rasche
Hans Proquitté
Lars Newman
Daniel Vilser
The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID
Children
long COVID
post-COVID-19 condition
sleep disorders
SARS-CoV-2
coronavirus
children
title The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID
title_full The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID
title_fullStr The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID
title_full_unstemmed The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID
title_short The CSHQ-DE Questionnaire Uncovers Relevant Sleep Disorders in Children and Adolescents with Long COVID
title_sort cshq de questionnaire uncovers relevant sleep disorders in children and adolescents with long covid
topic long COVID
post-COVID-19 condition
sleep disorders
SARS-CoV-2
coronavirus
children
url https://www.mdpi.com/2227-9067/9/9/1419
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