{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T02:24:25Z","timestamp":1778034265727,"version":"3.51.4"},"reference-count":48,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T00:00:00Z","timestamp":1710115200000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Children with cerebral palsy have a higher prevalence of sleep disorders, with numerous factors associated with a negative impact on the quality of life of caregivers.<\/jats:p><jats:p>\n          Objective\u2003To identify factors related to sleep disorders, nonpharmacological treatment, and the impact on the lives of caregivers.<\/jats:p><jats:p>\n          Methods\u2003The present literature review was carried out in the Latin American and Caribbean Center on Health Sciences Information (BIREME), the Cochrane Library, Scopus, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, WorldCat, Web of Science, Latin American Literature on Health Sciences (LILACS), and Excerpta Medica Database (EMBASE), with the descriptors sleep, child, cerebral palsy, parents, and nursing. Studies available in Portuguese, English, or Spanish, published between 2010 and 2020, were our inclusion criteria. A total of 29 articles were included in the present review.<\/jats:p><jats:p>\n          Results\u2003We considered nonpharmacological interventions effective support measures to drug-based treatments. The main sleep disorders in children with cerebral palsy are insomnia, parasomnias, nightmares, sleep bruxism, sleepwalking, sleep talking, disorders of initiation and maintenance of sleep, and sleep hyperhidrosis. Most studies point to a reduction in the quality of life of caregivers whose children have sleep disorders.<\/jats:p><jats:p>\n          Conclusion\u2003Our review suggests the effectiveness of nonpharmacological treatments combined with the use of medications. Measures such as changes in sleep environment and routine are favorable strategies to improve sleep quality. In addition, children with sleep disorders negatively impact the quality of life of their caregivers.<\/jats:p>","DOI":"10.1055\/s-0044-1781464","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:19:01Z","timestamp":1710202741000},"page":"001-009","source":"Crossref","is-referenced-by-count":5,"title":["Cerebral palsy and sleep: nonpharmacological treatment and impact on the life of caregivers \u2013 an integrative review"],"prefix":"10.1055","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9482-2133","authenticated-orcid":false,"given":"Marcela Fischer de","family":"Almeida","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Curitiba PR, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0944-5205","authenticated-orcid":false,"given":"Suzane","family":"Mello","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Curitiba PR, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1652-7723","authenticated-orcid":false,"given":"Marise Bueno","family":"Zonta","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Curitiba PR, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6669-7312","authenticated-orcid":false,"given":"Ana Chrystina","family":"Crippa","sequence":"additional","affiliation":[{"name":"Universidade Federal do Paran\u00e1, Curitiba PR, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,11]]},"reference":[{"key":"ref1","first-page":"8","article-title":"A report: the definition and classification of cerebral palsy April 2006","volume":"109","author":"P Rosenbaum","year":"2007","journal-title":"Dev Med Child Neurol Suppl"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"15082","DOI":"10.1038\/nrdp.2015.82","article-title":"Cerebral palsy","volume":"2","author":"H K Graham","year":"2016","journal-title":"Nat Rev Dis Primers"},{"issue":"02","key":"ref3","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.sleep.2013.08.793","article-title":"Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates","volume":"15","author":"D M Romeo","year":"2014","journal-title":"Sleep Med"},{"issue":"05","key":"ref4","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1016\/j.rehab.2019.09.008","article-title":"The continuing evolution of \u201cCerebral Palsy\u201d","volume":"63","author":"P L Rosenbaum","year":"2020","journal-title":"Ann Phys Rehabil Med"},{"issue":"06","key":"ref5","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1542\/peds.2007-3308","article-title":"Sleep hygiene for children with neurodevelopmental disabilities","volume":"122","author":"J E Jan","year":"2008","journal-title":"Pediatrics"},{"issue":"07","key":"ref6","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1017\/S0012162206001198","article-title":"Sleep disorders in children with cerebral palsy","volume":"48","author":"C J Newman","year":"2006","journal-title":"Dev Med Child Neurol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.smrv.2015.11.008","article-title":"Sleep disorders in children with cerebral palsy: An integrative review","volume":"30","author":"A L L\u00e9lis","year":"2016","journal-title":"Sleep Med Rev"},{"issue":"06","key":"ref8","doi-asserted-by":"publisher","first-page":"1343","DOI":"10.1542\/peds.2007-3308","article-title":"Sleep hygiene for children with neurodevelopmental disabilities","volume":"122","author":"J E Jan","year":"2008","journal-title":"Pediatrics"},{"issue":"06","key":"ref9","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1016\/j.sleh.2019.08.006","article-title":"A systematic review and meta-analysis of the prevalence of sleep problems in children with cerebral palsy: how do children with cerebral palsy differ from each other and from typically developing children?","volume":"5","author":"L Horwood","year":"2019","journal-title":"Sleep Health"},{"issue":"03","key":"ref10","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1080\/01616412.2016.1275454","article-title":"Hyperbaric oxygen therapy is safe and effective for the treatment of sleep disorders in children with cerebral palsy","volume":"39","author":"Y Long","year":"2017","journal-title":"Neurol Res"},{"issue":"03","key":"ref11","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1111\/cch.12079","article-title":"Parents of children with physical disabilities - 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