Children with neurodevelopmental disorders: how do they sleep?

Belli, Arianna; Breda, Maria; Maggio, Chiara Di; Esposito, Dario; Marcucci, Lavinia; Bruni, Oliviero

doi:10.1097/yco.0000000000000790

Current Opinion in Psychiatry

2022

DOI: 10.1097/yco.0000000000000790

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Children with neurodevelopmental disorders: how do they sleep?

Arianna Belli¹,

Maria Breda²,

Chiara Di Maggio

et al.

Abstract: Purpose of reviewIn this review we summarized the available evidence on sleep disorders in children with neurodevelopmental disorders (NDDs) in particular: intellectual disability (including some genetic conditions such as Prader--Willi Syndrome, Smith-Magenis Syndrome), Autism spectrum disorder, attention-deficit/ hyperactivity disorder (ADHD), Developmental Coordination Disorder, language disorders, and specific learning disorders. Recent findingsChildren with NDDs frequently suffer from sleep disturbances, … Show more

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Cited by 5 publications

References 113 publications

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Sleep problems at ages 8–9 and ADHD symptoms at ages 10–11: evidence in three cohorts from INMA study

González-Safont,

Rebagliato,

Arregi

et al. 2023

Eur J Pediatr

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Sleep problems and attention deficit hyperactivity disorder (ADHD) are interrelated during childhood and preadolescence. The objective of this work is assessing if sleep problems at ages 8–9 represent an alarm sign for presenting ADHD problems at ages 10–11 in three cohorts from INMA Study. Participants were 1244 children from Gipuzkoa, Sabadell, and Valencia cohorts. Sleep problems were assessed (ages 8–9) with the sleep items of the Child’s Behaviour Checklist (CBCL), and ADHD problems were collected through the Conner’s Parent Rating Scales-Revised: Short Form (CPRS-R:S) (age 10–11). Minimally and fully adjusted negative binomial models were fitted for each CPRS-R:S scale. Linearity of the relationship was assessed with generalized additive models (cubic smoothing splines with 2, 3, and 4 knots). For sensitivity analyses, children with previous symptoms, those born preterm and small for gestational age, and cases with extreme values, were excluded. Sleep problems presented IRR (95% CI) of 1.14 (1.10–1.19), 1.20 (1.14–1.26), 1.18 (1.11–1.25), and 1.18 (1.13–1.23) for opposition, inattention, hyperactivity, and ADHD scales, respectively. Fully adjusted models slightly decreased the IRR, but the association remained similar and significant. Sensitivity analyses showed similar results to fully adjusted models with only hyperactivity shown a slight decrease on significance (p = 0.051) when ADHD cases at age 9 were excluded. Conclusion: Sleep problems are an alarm sign for later neurodevelopment problems such as ADHD. Healthcare systems could take advantage implementing policies to pay special attention on the sleep habits and sleep hygiene. This could contribute to add evidence to public health programmes such as the Healthy Child Programme. What is Known:• Sleep problems and Attention Deficit Hyperactivity Disorder (ADHD) are common problems during childhood and preadolescence, with prevalences of 20-40% and 3.0-7.5%, respectively.• Sleep problems are even more common in children with ADHD condition. What is New:• Sleep problems at ages 8-9 increased the risk of ADHD symptoms at ages 10-11.• This association remained strong even when considering child’s previous (5 years) and concurrent (8-9 years) ADHD symptoms, and other clinical conditions, such as being born preterm or small for gestational age.

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Sleep problems at ages 8–9 and ADHD symptoms at ages 10–11: evidence in three cohorts from INMA study

González-Safont,

Rebagliato,

Arregi

et al. 2023

Eur J Pediatr

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show abstract

Sleep disturbances and emotional dysregulation in young children with autism spectrum, intellectual disability, or global developmental delay

Favole¹,

Davico²,

Marcotulli³

et al. 2023

Sleep Medicine

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Screen exposure and sleep: How the COVID-19 pandemic influenced children and adolescents – A questionnaire-based study

Moavero¹,

Micco²,

Forte³

et al. 2023

Sleep Medicine

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Children with neurodevelopmental disorders: how do they sleep?

Cited by 5 publications

References 113 publications

Sleep problems at ages 8–9 and ADHD symptoms at ages 10–11: evidence in three cohorts from INMA study

Sleep problems at ages 8–9 and ADHD symptoms at ages 10–11: evidence in three cohorts from INMA study

Sleep disturbances and emotional dysregulation in young children with autism spectrum, intellectual disability, or global developmental delay

Screen exposure and sleep: How the COVID-19 pandemic influenced children and adolescents – A questionnaire-based study

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