FeaturesSleep Quality in Children With Juvenile Rheumatoid ArthritisLabyak, Susan E. PhD, RN; Bourguignon, Cheryl PhD, RN; Docherty, Sharron PhD, RNAuthor Information School of Nursing, University of Washington, Seattle (Labyak) School of Nursing, University of Virginia, Charlottesville (Bourguignon) School of Nursing, Duke University, Durham, NC (Docherty). This article was developed with support from grant #P30 NR03962 from the National Institute of Nursing Research, NIH, to the Center for Research on Chronic Illness at the University of North Carolina at Chapel Hill; the Research Support Center and Biobehavioral Laboratory at the UNC School of Nursing; and the General Clinical Research Center at UNC funded by the NIH (#RR00046). We also acknowledge partial support from grant #T32AT00052 from the National Center for Complementary and Alternative Medicine, NIH. We thank colleagues at the University of Washington who provided editorial support: Drs Martha Lentz, Carol Landis, and Karen Thomas. Corresponding author: Susan E. Labyak, PhD, RN, Department of Family and Child Nursing, School of Nursing, University of Washington, Box 357262, Seattle, WA 98195-7262 (e-mail: [email protected]). Holistic Nursing Practice: July 2003 - Volume 17 - Issue 4 - p 193-200 Buy Abstract Children with juvenile rheumatoid arthritis (JRA) report poor sleep quality, daytime sleepiness, fatigue, anxiety, and altered mood. Sleep disturbances in school-aged children are an issue of serious concern. Children are at an age when sleep is of primary importance to physical and intellectual growth, and sleep disturbances that begin in childhood may persist into adulthood. In this article we will review what is currently known about sleep in children with JRA, the influence of medications on sleep quality, the potential impact of poor sleep quality on daily life issues, and complementary/alternative modalities that may be effective in reducing sleep disturbances. © 2003 Lippincott Williams & Wilkins, Inc.