Children's sleep under the threat of attack by ballistic missiles

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Abstract
The present paper reports on the influence of the Scud missile attacks during the Gulf War on the sleep of Israeli children. Two studies were performed. In the first, sleep habits and sleep disturbances of 61 (mean age 20 months) infants were assessed by questionnaires completed by their parents 5 months before the war and immediately after the end of the War. Comparison of pre- and post-war data revealed no major changes in sleep habits or in sleep quality. In the second study, sleep of 55 children was monitored at home by actigraphs during the last month of the War. All children were aroused during missile attacks, but returned to sleep immediately, with no evidence of carry-over effects once the 'all clear' sign was given. Comparison of sleep quality measures obtained during the War with those of age- and sex-matched children monitored a year before the war did not reveal any significant differences apart from the immediate response to the attack.

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