Child Temperament, Parenting Discipline Style, and Daytime Behavior in Childhood Sleep Disorders

Owens-Stively, Judith; Frank, Natalie; Smith, A.; Hagino, Owen; Spirito, Anthony; Arrigan, Mark; Alario, Anthony J.

doi:10.1097/00004703-199710000-00005

Cited by 120 publications

(84 citation statements)

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“…It is extensively reported that children with SDB display diurnal neurobehavioural problems such as ADHD, learning problems, behavioural disorders and hypersomnolence [32,33]. Although a significant improvement in diurnal neurobehavioral disorders has been widely demonstrated following adenotonsillectomy [32,[34][35][36], the relationship between the severity of OSA syndrome and cognitive deficits is usually weak [37][38][39]. The results of our study support the idea these symptoms are related to SDB but are not specific to OSA.…”

Section: Discussionsupporting

confidence: 81%

Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disordered breathing

et al. 2012

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Overnight polysomnography (PSG) is an expensive procedure which can only be used in a minority of cases, although it remains the gold standard for the diagnosis of sleep disordered breathing (SDB). The objective of this study was to develop a simple, PSG-validated tool to screen SDB, thus reducing the use of PSG.For every participant we performed PSG and a sleep clinical record was completed. The sleep clinical record consists of three items: physical examination, subjective symptoms and clinical history. The clinical history analyses behavioural and cognitive problems. All three items were used to create a sleep clinical score (SCS).We studied 279 children, mean¡SD age 6.1¡3.1 years, 63.8% male; 27.2% with primary snoring and 72.8% with obstructive sleep apnoea (OSA) syndrome. The SCS was higher in the OSA syndrome group compared to the primary snoring group (8.1¡9.6 versus 0.4¡0.3, p,0.005), correlated with apnoea/hypopnoea index (p50.001) and had a sensitivity of 96.05%. Positive and negative likelihood ratios were 2.91 and 0.06, respectively. SCS may effectively be used to screen patients as candidates for PSG study for suspected OSA syndrome, and to enable those with a mild form of SDB to receive early treatment.

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Section: Discussionsupporting

confidence: 81%

Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disordered breathing

et al. 2012

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“…4 Although a similar pattern was seen in our cohort, the severity of externalizing behavior problems in children with persistent sleep problems did not fall into the clinical range. 5 The strengths of this study include the prospective nature of the data collection. The high response rate (73%) in this sample suggests that our results are likely to be representative of a middle-class Australian population.…”

Section: Outcomes Of Infant Sleep Problemsmentioning

confidence: 99%

“…Despite the prevalence of infant sleep problems and their associated morbidities, [2][3][4][5][6][7] few studies have examined the natural history of early infant sleep problems. [7][8][9] These few have suffered from small sample sizes 8,9 or followed infants with severe sleep problems only.…”

mentioning

confidence: 99%

Outcomes of Infant Sleep Problems: A Longitudinal Study of Sleep, Behavior, and Maternal Well-Being

2003

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“…These associations include behaviours arising with sleep deprivation (O'Reilly & Lancioni, 2000;Pilcher & Huffcutt, 1996), or coinciding in children with sleep difficulties (Owens-Stively et al, 1997;Quine, 1991;Richdale et al, 2000;Wiggs & Stores, 1996); and behaviour reduction coinciding with sleep treatment (Bramble, 1997;Minde, Faucon, & Falkner, 1994;Wiggs & Stores, 1999). Behaviours have included aggression, lethargy, irritability, hyperactivity, self-injurious behaviour, lowered concentration, tiredness, tantrums, attachment to routines, and lower quality interactions with caregivers (O'Reilly & Lancioni, 2000;Quine, 1991;Wiggs & Stores, 1999).…”

Section: Introductionmentioning

confidence: 99%

The behavioural treatment of sleep difficulties in children with an intellectual disability

Thackeray

Richdale

2002

Behavioral Interventions

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Reinforcement, instruction giving, partner support strategies, bedtime routine, and standard extinction were taught to the parents of three boys (aged 5-10 years) with an intellectual disability and sleeping difficulties. Sleep was measured using sleep diaries and actigraphy, and daytime behaviour was monitored using diaries and direct observation. At referral, all children needed a parent present to fall asleep, two had co-sleeping difficulties, and two had night waking difficulties. At post-intervention, all children were falling asleep independently, co-sleeping was eliminated for two children, and night waking was reduced in one child. An extinction burst was experienced by two children, with one family putting their child back to bed 259 times on the first night. Though one child still had night waking difficulties following intervention, actigraph recording demonstrated an improvement in his sleep quality. In addition to the children's independence, improvements were seen for sleep length, sleep latency, and morning wake time. However, improvements in daytime behaviour showed inconsistency across behaviours and settings. Improvement in sleep was maintained at a three month follow-up. It was concluded that using extinction to address sleep problems in children with an intellectual disability is effective and approved of by parents, but any impact on daytime behaviour is equivocal.

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Child Temperament, Parenting Discipline Style, and Daytime Behavior in Childhood Sleep Disorders

Cited by 120 publications

References 0 publications

Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disordered breathing

Sleep clinical record: an aid to rapid and accurate diagnosis of paediatric sleep disordered breathing

Outcomes of Infant Sleep Problems: A Longitudinal Study of Sleep, Behavior, and Maternal Well-Being

The behavioural treatment of sleep difficulties in children with an intellectual disability

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