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12 - Sleep and pediatrics

from SECTION 3 - SLEEP IN SPECIALTY AREAS

Published online by Cambridge University Press:  08 August 2009

By
Roberta Leu  and
Carol L. Rosen
Edited by
Harold R. Smith ,
Cynthia L. Comella  and
Birgit Högl
Roberta Leu
Affiliation:
Department of Pediatrics, Case University School of Medicine, USA
Carol L. Rosen
Affiliation:
Department of Pediatrics, Case University School of Medicine, USA
Harold R. Smith
Affiliation:
University of California, Irvine
Cynthia L. Comella
Affiliation:
Rush University Medical Center, Chicago
Birgit Högl
Affiliation:
Inssbruck Medical University
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Summary

Introduction

Sleep disorders are common health issues in childhood that are serious and treatable, but that often go undetected. The National Sleep Foundation's Sleep in America poll in 2004 found that as many as 69% of parents believe their child has a sleep problem, but over half of doctors do not ask parents about their child's sleep, and only 10–14% of parents raise the issue with their child's doctor. Chronic sleep problems constitute one of the most common sources of parent concerns and have a major negative impact on child and family functioning. Sleep affects every aspect of a child's physical, emotional, cognitive, and social development. Sleep problems exacerbate nearly any medical, psychiatric, developmental, or psychosocial problem in childhood. The aims of this chapter are to help clinicians understand developmental changes in sleep patterns, screen for and identify common pediatric sleep disorders, know what tests and treatments to consider, and decide when to refer to a specialist.

Prevalence

Insufficient sleep is the most common sleep disorder in both adults and children, affecting 10% of children and 33% of teenagers, with excessive television viewing, 24/7 lifestyles and bedroom electronics contributing to its high prevalence. Insufficient sleep has also been shown to be a risk factor for obesity in multiple epidemiological studies of children and adults. Table 12.1 summarizes the prevalence of common sleep disorders in children.

Keywords

behavioral insomniacircadian rhythm sleep disordersnarcolepsyOSARLSrhythmic movement disorderpediatric sleep disordersparasomniasleep patterns
Type
Chapter
Information
Sleep Medicine , pp. 208 - 223
Publisher: Cambridge University Press
Print publication year: 2008

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References

American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2002; 109: 704–12.CrossRef
American Academy of Sleep Medicine. The International Classification of Sleep Disorders: Diagnostic and Coding Manual, 2nd edn (ICSD-2). Westchester, IL: American Academy of Sleep Medicine, 2005.
Dauvilliers, Y, Baumann, CR, Carlander, B, et al. CSF hypocretin-1 levels in narcolepsy, Kleine–Levin syndrome, and other hypersomnias and neurological conditions. J Neurol Neurosurg Psychiatry 2003; 74:1667–73.CrossRefGoogle ScholarPubMed
Hoban, TF. Rhythmic movement disorder in children. CNS Spectr 2003; 8:135–8.CrossRefGoogle ScholarPubMed
Iglowstein, I, Jenni, OG, Molinari, L, et al. Sleep duration from infancy to adolescence: reference values and generational trends. Pediatrics 2003; 111:302–7.CrossRefGoogle ScholarPubMed
Johnson, EO, Roth, T, Schultz, L, et al. Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics 2006; 117:e247–56.CrossRefGoogle ScholarPubMed
Kotagal, S, Pianosi, P. Sleep disorders in children and adolescents. BMJ 2006; 332:828–32.CrossRefGoogle ScholarPubMed
Laberge, L, Tremblay, RE, Vitaro, F, et al. Development of parasomnias from childhood to early adolescence. Pediatrics 2000; 106:67–74.CrossRefGoogle ScholarPubMed
Mindell, JA, Owens, JA. A Clinical Guide to Pediatric Sleep: Diagnosis and Management of Sleep Problems. Philadelphia, PA: Lippincott Williams & Wilkins, 2003.Google Scholar
Mindell, JA, Kuhn, B, Lewin, DS, et al. Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep 2006; 29: 1263–76.Google ScholarPubMed
Mindell, JA, Emslie, G, Blumer, J, et al. Pharmacologic management of insomnia in children and adolescents: consensus statement. Pediatrics 2006; 117:e1223–32.CrossRefGoogle ScholarPubMed
Moore, M, Allison, D, Rosen, CL. A review of pediatric nonrespiratory sleep disorders. Chest 2006; 130:1252–62.CrossRefGoogle ScholarPubMed
National Sleep Foundation. Adolescent Sleep Needs and Patterns: Research Report and Resource Guide. Washington, DC: National Sleep Foundation, 2000. www.sleepfoundation.org.
National Sleep Foundation. Sleep in America Polls. Washington, DC: National Sleep Foundation, 2004–07. www.sleepfoundation.org.
Owens, JA, Rosen, CL, Mindell, JA. Medication use in the treatment of pediatric insomnia: results of a survey of community-based pediatricians. Pediatrics 2003; 111:e628–35.CrossRefGoogle ScholarPubMed
Owens, J, Dalzell, V. Use of the “BEARS” sleep screening tool in a pediatric residents' continuity clinic: a pilot study. Sleep Med 2005; 6:63–9.CrossRefGoogle ScholarPubMed
Owens, J, Mindell, J. Take Charge of Your Child's Sleep. New York, NY: Marlow, 2005.Google Scholar
Picchietti, D, Allen, R, Walters, A, et al. Restless legs syndrome: prevalence and impact in children and adolescents: the PEDS REST study. Sleep 2006; 29 (abstract supplement): A70.Google Scholar
Schechter, MS. Technical report: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics 2002; 109:e69.CrossRefGoogle ScholarPubMed
Sheldon, SH, Ferber, R, Kryger, MH, Dahl, RE, eds. Principles and Practice of Pediatric Sleep Medicine. Philadelphia, PA: Saunders, 2005.Google Scholar
Wills, L, Garcia, J. Parasomnias: epidemiology and management. CNS Drugs 2002; 16:803–10.CrossRefGoogle ScholarPubMed

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