Behavioural sleep problems in children and adults with intellectual disabilities: An integrative literature review

Harper, Lynette; McAnelly, Su; Walshe, Ian; Ooms, Ann; Tuffrey‐Wijne, Irene

doi:10.1111/jar.13116

Cited by 2 publications

(2 citation statements)

References 120 publications

(188 reference statements)

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“…Despite a recent significant expansion of our understanding of sleep and sleep disorders, our knowledge of how these advancements pertain to adults with ID remains limited [3]. Sleep disorders in adults with ID are often referred in the literature under different terminologies, such as behavioural sleep problems, which may encompass any sleep disorder from insomnia to narcolepsy [4]. Despite internationally recognised diagnostic categories and criteria, it reflects the limited advancement of sleep medicine in this population.…”

Section: Current Evidence Base On Sleep and Sleep Disorders In People...mentioning

confidence: 99%

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Perera,

O’Regan

2024

Curr Treat Options Neurol

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Purpose of Review We performed a narrative review of the current knowledge in epidemiology, mechanisms, clinical presentation, and treatment of sleep disorders in adults with intellectual disability. Recent Findings Adults with Intellectual disability face significant mental and physical health disparities, including in sleep medicine. Despite sleep disorders having been identified as adversely affecting the health and quality of life of both adults with intellectual disabilities and their caregivers, the evidence base for assessment, diagnosis and treatment in this population remains under developed when compared to that of the general population. This review summarises the existing literature on insomnia, sleep disordered breathing, and other common sleep disorders in adults with intellectual disability. Emphasising the existing gaps in our understanding of sleep disorders in adults with intellectual disabilities, we propose strategies to address and mitigate these gaps. Summary Sleep disorders are common, yet frequently ignored in adults with intellectual disabilities. To address sleep health inequality gaps, future research should adopt tailored approaches, considering the heterogeneity within the intellectual disability population, including stratification by aetiology and health comorbidities. This is essential to improve the diagnostic accuracy and treatment of sleep disorders in adults with intellectual disability.

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Section: Current Evidence Base On Sleep and Sleep Disorders In People...mentioning

confidence: 99%

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Perera,

O’Regan

2024

Curr Treat Options Neurol

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“…Children and adults with ID have long been considered to experience worse sleep than their neurotypical peers (e.g. van de Wouw et al 2012;Bassell et al 2015;Harper et al 2023).…”

Section: Introductionmentioning

confidence: 99%

Sleep in people with and without intellectual disabilities: a systematic review and meta‐analysis

Browne,

King,

Surtees

2023

J intellect Disabil Res

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BackgroundSleep problems are regularly reported in people with intellectual disabilities. Recent years have seen a substantial increase in studies comparing sleep in people with intellectual disabilities to control participants, with an increase in the use of validated, objective measures. Emerging patterns of differences in sleep time and sleep quality warrant pooled investigation.MethodsA systematic search was conducted across three databases (Ovid Embase, PsycInfo and Medline) and returned all papers comparing sleep in people with intellectual disabilities to a control group, published since the last meta‐analysis on the topic. A quality framework was employed to rate the risk of bias across studies. Separate meta‐analyses of sleep duration and sleep quality were conducted. Subgrouping compared findings for those studies with participants with genetic syndromes or neurodevelopmental conditions and those with heterogeneous intellectual disability.ResultsThirteen new papers were identified and combined with those from the previous meta‐analysis to provide 34 papers in total. Quality of studies was generally rated highly, though sampling provided risk of bias and adaptive functioning was rarely measured. People with intellectual disability associated with genetic syndromes or neurodevelopmental conditions sleep for shorter time periods (standardised mean difference = .26) and experience worse sleep quality (standardised mean difference = .68) than their peers. People with intellectual disability of heterogeneous origin show no difference in sleep time but have poorer sleep quality. There was some evidence that age moderated these effects.ConclusionsPeople with intellectual disability have poorer sleep than those without. Subtle patterns suggest that aetiology of intellectual disability moderates the topography of these difficulties, with further work needed to differentiate common and distinct mechanisms across groups.

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Behavioural sleep problems in children and adults with intellectual disabilities: An integrative literature review

Cited by 2 publications

References 120 publications

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Sleep in people with and without intellectual disabilities: a systematic review and meta‐analysis

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