{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:26Z","timestamp":1786692686101,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Sleep disturbances are common in children with cerebral palsy (CP) and may worsen with cerebral visual impairment (CVI). Understanding CVI\u2019s impact on children and caregiver mothers is essential for holistic care planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the sleep quality of children with CP with and without CVI and their caregiver mothers. Secondary objectives included comparing maternal anxiety and depression levels and examining associations between children\u2019s visual function and both child and maternal well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Cross-sectional comparative study conducted between November 2023 and April 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Special education and rehabilitation center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Eighty-four children ages 4 to 6 yr with CP (42 with CVI, 42 without CVI) and their primary caregiver mothers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Children\u2019s sleep quality was assessed using the Child Sleep Habits Questionnaire (CSHQ) and visual functioning with the Visual Function Classification System (VFCS). Mothers\u2019 sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI), and their anxiety and depression was assessed with the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Children with CVI had significantly higher CSHQ scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05). Their mothers also reported significantly higher PSQI, BAI, and BDI scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05). VFCS score correlated with all child and maternal outcomes. Children\u2019s sleep quality was the main predictor of maternal anxiety and depression (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>CVI in children with CP has been associated with poorer sleep in both children and caregivers, as well as higher psychological burden in caregivers. A strong relationship has been found between children\u2019s sleep quality and mothers\u2019 mental health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051400","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T22:05:39Z","timestamp":1769551539000},"page":"234-244","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Investigation of the Sleep Quality of Children Ages 4 to 6 Yr With Cerebral Palsy and Cerebral Visual Impairment and Their Caregivers\u2019 Sleep Quality and Levels of Depression and Anxiety"],"prefix":"10.1177","volume":"80","author":[{"given":"Mustafa","family":"Cemali","sequence":"first","affiliation":[{"name":"Mustafa Cemali, PhD, is Assistant Professor, Department of Occupational Therapy, Trakya University, Edirne, T\u00fcrkiye;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duygu Mine","family":"Alata\u015f","sequence":"additional","affiliation":[{"name":"Duygu Mine Alata\u015f, MSc, is Research Assistant, Department of Occupational Therapy, Lokman Hekim University, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demet","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[{"name":"Demet \u00d6zt\u00fcrk, PhD, is Lecturer, Department of Physiotherapy and Rehabilitation, Lokman Hekim University, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Sar\u0131","sequence":"additional","affiliation":[{"name":"Mustafa Sar\u0131, PhD, is Assistant Professor, Department of Physiotherapy and Rehabilitation, Lokman Hekim University, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aynur Ay\u015fe","family":"Karaduman","sequence":"additional","affiliation":[{"name":"Aynur Ay\u015fe Karaduman, PhD, is Professor, Department of Occupational Therapy, Lokman Hekim University, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.51407\/mjpch.v27i2.140"},{"key":"e_1_3_2_3_1","first-page":"107","article-title":"The validity and reliability of the Pittsburgh Sleep Quality Index","volume":"7","author":"A\u011farg\u00fcn M. 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