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Sleep Quality and Caregiver Burden in Children With Cerebral Palsy

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Trial details

Who runs it
Selim Sezikli
Trial code
NCT07168577
Record updated
3 November 2026
Original description
Cerebral palsy (CP) is a lifelong condition affecting movement and posture, often requiring substantial care from family members. Children with CP frequently experience sleep disturbances associated with motor impairment, pain, seizures, and other clinical factors. Sleep difficulties may also be associated with poor sleep quality, psychological symptoms, and increased burden among caregivers.Read full original descriptionShow less

Evaluation of Sleep Quality and Caregiver Burden in Children With Cerebral Palsy

Cerebral palsy (CP) is a lifelong condition affecting movement and posture, often requiring substantial care from family members. Children with CP frequently experience sleep disturbances associated with motor impairment, pain, seizures, and other clinical factors. Sleep difficulties may also be associated with poor sleep quality, psychological symptoms, and increased burden among caregivers.

This single-center, observational, cross-sectional study evaluated sleep characteristics in children with CP, caregiver sleep quality, and caregiver burden, as well as their associations with functional status and caregiver psychological symptoms.

The study included 61 children with CP and their primary caregivers. Eligible children were aged 2-18 years. Children's sleep characteristics were assessed using a 33-item parent-reported questionnaire adapted from the Children's Sleep Habits Questionnaire (CSHQ), which was not identical to the validated Turkish CSHQ. Children's functional characteristics were evaluated using GMFCS, MACS, and CFCS. Caregiver sleep quality, caregiver burden, and psychological symptoms were assessed using the Pittsburgh Sleep Quality Index (PSQI), Zarit Burden Interview (ZBI), and Hospital Anxiety and Depression Scale (HADS), respectively.

The study was designed to examine associations among child sleep characteristics, caregiver sleep quality, caregiver burden, and psychological well-being.

Inclusion: Children aged 2-18 years with a confirmed diagnosis of cerebral palsy; Primary caregiver (≥18 years, parent or legal guardian) responsible for the child's daily care; Ability to read and write in Turkish; Sufficient cognitive capacity to complete questionnaires and participate in interviews; Voluntary agreement of both the child's caregiver and participant to join the study.

Exclusion: Presence of severe comorbid neurological or metabolic disease in the child; Caregiver with a history of severe psychiatric disorder or cognitive impairment; Hospitalization within the last 3 months due to acute medical condition; Communication problems that prevent completion of questionnaires; Withdrawal of consent or incomplete questionnaires during the study.

ClinicalTrials.gov NCT07168577

Under construction, not live – Sleep Quality and Caregiver Burden in Children With Cerebral Palsy (NCT07168577) – Frontlight Research