[en] [en] AIM: To examine how children with sleep-disordered breathing express their own sleep through drawing.
METHODS: Children hospitalised for a sleep study in a sleep laboratory of a tertiary hospital were asked to draw a human figure and themselves while asleep. Characteristics of the two drawings were analysed and compared along with a descriptive analysis of some drawings.
RESULTS: Children with sleep-disordered breathing and an associated disorder, n = 34, age 5-11 years, participated in the study. The size of the human figure, the colours used, the orientation of the sheet, the type of drawing strokes and the objective quality of the drawing were comparable between the two drawings. On the sleep drawing, 71% of the children drew a bed, 15% drew themselves asleep, 19% represented snoring and 12% night elements. Sixty-two per cent of the children preferred the human drawing to the sleep drawing. A descriptive analysis of 12 drawings showed the influence of the associated disorder on the two drawings.
CONCLUSION: This study showed how the associated disease of children with sleep-disordered breathing infiltrated their imaginary life. The sleep drawing gave useful information about representation, fears and wishes in relation to the associated disease and the child's sleeping.
Disciplines :
Psychiatry
Author, co-author :
Filhol, Auriane; Pediatric Noninvasive Ventilation and Sleep Unit, Hôpital Necker-Enfants malades, Paris, France
Ouss, Lisa ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie infanto-juvénile ; Pedopsychiatric Unit, Hôpital Necker-Enfants malades, Paris, France
Amaddeo, Alessandro ; Pediatric Noninvasive Ventilation and Sleep Unit, Hôpital Necker-Enfants malades, Paris, France ; VIFASOM, Université de Paris, Paris, France
Khirani, Sonia; Pediatric Noninvasive Ventilation and Sleep Unit, Hôpital Necker-Enfants malades, Paris, France ; VIFASOM, Université de Paris, Paris, France ; ASV Santé, Paris, France
Fauroux, Brigitte ; Pediatric Noninvasive Ventilation and Sleep Unit, Hôpital Necker-Enfants malades, Paris, France ; VIFASOM, Université de Paris, Paris, France
Language :
English
Title :
Drawing of their own sleep by children with sleep-disordered breathing gives insight into their imaginary life.
Marcus CL, Radcliffe J, Konstantinopoulou S, et al. Effects of positive airway pressure therapy on neurobehavioral outcomes in children with obstructive sleep apnea. Am J Respir Crit Care Med. 2012;185:998-1003.
Rae WA. Analyzing drawings of children who are physically ill and hospitalized, using the ipsative method. Child Health Care. 1991;20:198-207.
Skybo T, Ryan-Wenger N, Su YH. Human figure drawings as a measure of children's emotional status: critical review for practice. J Pediatr Nurs. 2007;22:15-28.
Clatworthy S, Simon K, Tiedeman ME. Child drawing: hospital-an instrument designed to measure the emotional status of hospitalized school-aged children. J Pediatr Nurs. 1999;14:2-9.
Dolidze K, Smith EL, Tchanturia K. A clinical tool for evaluating emotional well-being: self-drawings of hospitalized children. J Pediatr Nurs. 2013;28:470-478.
Nyman KR, Baluch B, Duffy LJ. Human figure drawings by children in hospital and mainstream schools. Int J Health Promot Educ. 2011;49:21-26.
Stafstrom CE, Havlena J. Seizure drawings: insight into the self-image of children with epilepsy. Epilepsy Behav. 2003;4:43-56.
Kortesluoma RL, Punamäki RL, Nikkonen M. Hospitalized children drawing their pain: the contents and cognitive and emotional characteristics of pain drawings. J Child Health Care. 2008;12:284-300.
Stafstrom CE, Goldenholz SR, Dulli DA. Serial headache drawings by children with migraine: correlation with clinical headache status. J Child Neurol. 2005;20:809-813.
Stefanatou A, Bowler D. Depiction of pain in the self-drawings of children with sickle cell disease. Child Care Health Dev. 1997;23:135-155.
Ebrahimpour F, Pashaeypoor S, Salisu WJ, Cheraghi MA, Sadat HS. Children's description of pain through drawings and dialogs: a concept analysis. Nurs Open. 2018;6:301-312.
Nuara A, Papangelo P, Avanzini P, Fabbri-Destro M. Body representation in children with unilateral cerebral palsy. Front Psychol. 2019;10:354.
Picchietti DL, Arbuckle RA, Abetz L, et al. Pediatric restless legs syndrome: analysis of symptom descriptions and drawings. J Child Neurol. 2011;26:1365-1376.
Wang Q, Hay M, Clarke D, Menahem S. Adolescents' drawings of their cardiac abnormality. Cardiol Young. 2011;21:556-561.
Yule W, Lockyer L, Noone A. The reliability and validity of the Goodenough-Harris drawing test. Br J Educ Psychol. 1967;37:110-201.
Buck JN. The H-T-P technique, a qualitative and quantitative scoring manual. J Clin Psychol. 1948;4:317.
Fleming JW, Holmes S, Stephens L. Color drawings: a means of identifying problems in children. J Natl Black Nurses Assoc. 1988;3:36-44.
Koppitz E. Psychological Evaluation of Children's Human Figure Drawings. New York, NY: Grune and Stratton; 1968.
Cadart M, De Sanctis L, Khirani S, Amaddeo A, Ouss L, Fauroux B. Parents of children referred to a sleep laboratory for disordered breathing reported anxiety, daytime sleepiness and poor sleep quality. Acta Paediatr. 2018;107:1253-1261.
