Cosleeping and Behavioral Sleep Problems in School-aged Children with Neurodevelopmental and Mental Health Disorders

Bastida-Pozuelo, M F; Meltzer, Lisa J.; Sánchez‐Ortuño, María‐Montserrat

doi:10.1016/j.apnu.2018.02.002

Cited by 2 publications

(4 citation statements)

References 29 publications

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“…Since sleep is a more frequent finding than previously thought, this aspect should be further investigated given our observed impact on the quality of life of these patients/families. Moreover, this feature relates with prior findings suggesting that sleep problems are important to explore among children with mental health issues, since it has been demonstrated that untreated sleep disturbances may lead to symptoms such as emotional lability, irritability, low tolerance to frustration, behavioral disorders, and aggressiveness that affect the daytime functioning of these children and complicate their management [88][89][90]. It is interesting to note that administration of sleep-influencing drugs was reported in a small fraction (i.e., one tenth) of the IQSEC2 population.…”

Section: Discussionsupporting

confidence: 59%

“…This observation was taken into consideration by the multidisciplinary team taking care of the patients. Although co-sleeping has been previously reported for patients with ASD [ 88 ], to the best of our knowledge, mandatory co-sleeping has not been reported before for this genetic NDD. From our survey, this feature appears to be linked to female gender, in which it was reported in half of the female patients.…”

Section: Discussionmentioning

confidence: 87%

“…Among the most widely reported factors associated with a greater prevalence of co-sleeping in infants are socioeconomic factors like lower family income, lower maternal age, lower maternal education, and nonwhite ethnicity [ 91 , 92 ]. Literature on co-sleeping and sleep problems in children with mental health issues is scarce [ 88 ]. In children with ASD, sleep patterns, sleep problems, and their correlates show that co-sleeping is common in children with ASD, and these children experience a number of sleep issues [ 93 ].…”

Section: Discussionmentioning

confidence: 99%

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Natural Course of IQSEC2-Related Encephalopathy: An Italian National Structured Survey

Leoncini,

Boasiako,

Lopergolo

et al. 2023

Children

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Pathogenic loss-of-function variants in the IQ motif and SEC7 domain containing protein 2 (IQSEC2) gene cause intellectual disability with Rett syndrome (RTT)-like features. The aim of this study was to obtain systematic information on the natural history and extra-central nervous system (CNS) manifestations for the Italian IQSEC2 population (>90%) by using structured family interviews and semi-quantitative questionnaires. IQSEC2 encephalopathy prevalence estimate was 7.0 to 7.9 × 10−7. Criteria for typical RTT were met in 42.1% of the cases, although psychomotor regression was occasionally evidenced. Genetic diagnosis was occasionally achieved in infancy despite a clinical onset before the first 24 months of life. High severity in both the CNS and extra-CNS manifestations for the IQSEC2 patients was documented and related to a consistently adverse quality of life. Neurodevelopmental delay was diagnosed before the onset of epilepsy by 1.8 to 2.4 years. An earlier age at menarche in IQSEC2 female patients was reported. Sleep disturbance was highly prevalent (60 to 77.8%), with mandatory co-sleeping behavior (50% of the female patients) being related to de novo variant origin, younger age, taller height with underweight, better social interaction, and lower life quality impact for the family and friends area. In conclusion, the IQSEC2 encephalopathy is a rare and likely underdiagnosed developmental encephalopathy leading to an adverse life quality impact.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Natural Course of IQSEC2-Related Encephalopathy: An Italian National Structured Survey

Leoncini,

Boasiako,

Lopergolo

et al. 2023

Children

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“…According to Ramos et al (2007) co‐sleeping can be practiced proactively or reactively. Proactive co‐sleepers intentionally encourage parent–child bed‐sharing from birth onward, and this is often informed by cultural beliefs, breastfeeding convenience, or practical nighttime caregiving (Mileva‐Seitz et al, 2017), to maintain physical proximity to the child, support the child's emotional needs, and respond to child sleep difficulties (Andre et al, 2021; Bastida‐Pozuelo et al, 2018; Mileva‐Seitz et al, 2017). Reactive co‐sleepers bed‐share with their child in response to seemingly extraneous factors or problematic circumstances, such as perceived poor child sleep patterns (Mileva‐Seitz et al, 2017), parental sleep disturbance, or undiagnosed physical/psychological issues underlying the sleep disturbance, wherein the child may return to bed‐sharing after having endured a period of solitary sleep from infancy (Keller & Goldberg, 2004).…”

Section: Co‐sleepingmentioning

confidence: 99%

Understanding motivations and satisfaction with sleep location among co‐sleeping (including bed‐sharing) parents

D'Souza,

Morris,

Borgkvist

et al. 2023

Family Relations

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ObjectiveThe study objective was to understand intentions, sleep location preferences, and satisfaction with co‐sleeping (including bed‐sharing) arrangements in an internet‐based sample of self‐identified co‐sleeping parents.BackgroundWestern‐centric ideologies favor independent, self‐regulated, and consolidated sleep. Safe‐sleep recommendations advise against all forms of parent–child bed‐sharing while promoting room‐sharing. Co‐sleeping including bed‐sharing and room‐sharing is widely practiced globally and rates continue to increase in Western countries. Yet perspectives of co‐sleeping parents remain under‐researched.MethodA cross‐sectional study design was used to understand co‐sleeping parents' (n = 3,146) intentions, preferences, and satisfaction with co‐sleeping (room‐sharing and bed‐sharing) choices through a survey.ResultsCo‐sleeping practices were nuanced and varied with parents and children transitioning between sleep location and surfaces through the night. Although 64% of parents did not intend to co‐sleep before the birth of their child, 88% preferred the current co‐sleeping location, and 81% indicated satisfaction with it. Parental intention to co‐sleep (including bed‐share) was related to satisfaction with the arrangement. Parents who did not prefer any co‐sleeping arrangement at the current time were likely to be parenting older children. A thematic analysis yielded themes relating to the motivations underlying intent and preference, as well as reluctance and dissatisfaction with co‐sleeping arrangements.ConclusionCo‐sleeping including bed‐sharing continues to be practiced by parents in Western countries. Despite a lack of intent to engage with co‐sleeping including bed‐sharing, the majority of the parents in this sample were bed‐sharing with their infants and young children. Parents choose to room‐share and bed‐share for a range of reasons.ImplicationsParents voices highlight the need for safe co‐sleeping including bed‐sharing education. Considerations must be given to parents' perspectives in implementing nighttime infant care practices, including facilitating collaborative discussions with parents to assess and minimize potential risks associated with bed‐sharing.

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Cosleeping and Behavioral Sleep Problems in School-aged Children with Neurodevelopmental and Mental Health Disorders

Cited by 2 publications

References 29 publications

Natural Course of IQSEC2-Related Encephalopathy: An Italian National Structured Survey

Natural Course of IQSEC2-Related Encephalopathy: An Italian National Structured Survey

Understanding motivations and satisfaction with sleep location among co‐sleeping (including bed‐sharing) parents

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