Evidence-Based Review of Subjective Pediatric Sleep Measures

Lewandowski, Amy S.; Toliver-Sokol, Marisol; Palermo, Tonya M.

doi:10.1093/jpepsy/jsq119

Cited by 264 publications

(191 citation statements)

References 59 publications

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“…In addition, the Rhythmicity-Sleep scale had relatively low internal consistency. That said, these are limitations of the child and adolescent sleep literature more broadly, given the lack of validated sleep measures for these age groups, and questionable psychometrics among some existing measures (reviewed in Lewandowski et al, 2011;Spruyt & Gozal, 2011). A logical follow-up study would include actigraphic sleep measures, particularly given the conceptual overlap between the restless sleep measure in this study and the fragmentation index in actigraphy.…”

Section: Discussionmentioning

confidence: 99%

Restless Sleep and Variable Sleep Timing During Late Childhood Accelerate the Onset of Alcohol and Other Drug Involvement

Hasler

Kirisci

Clark

2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Limited prospective data indicate that premorbid sleep disturbances elevate the risk for subsequent alcohol and other drug problems, yet the implications for subsequent substance involvement trajectories remain unclear. In the present analyses, we examined risk associations between sleep characteristics during late childhood and the onset of substance use and substance use disorders into adulthood. Method: A sample of 707 children was recruited at ages 9-13 years and followed over seven additional visits through age 30 years. In 304 participants, fathers had a history of substance use disorder involving illicit drugs. Self-reported baseline sleep characteristics (restless sleep and variable sleep timing) were assessed at approximately ages 9-13 years. Assessment of alcohol, cannabis, and cocaine involvement occurred at follow-up visits. Cox proportional hazard models tested sleep characteristics as predictors of two substance-related outcomes (age at first use or diagnosis of disorder), as well as the onset of major depressive disorder. Results: Restless sleep at baseline significantly predicted an earlier onset age for trying alcohol and cannabis and showed a trend toward predicting early onset of cannabis use disorder. Restless sleep also predicted an earlier onset of depression. Irregular sleep timing at baseline significantly predicted an earlier onset age for alcohol use disorder and showed trends toward predicting early onsets of disorders of cannabis and cocaine use. Conclusions: Disturbed sleep during late childhood appears to accelerate the onset of not only initial substance use but also the development of clinically defined substance use disorder. Sleep-focused preventative efforts during late childhood may reduce the incidence of mood and substance use disorders. (J. Stud. Alcohol Drugs, 77, 649-655, 2016)

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Section: Discussionmentioning

confidence: 99%

Restless Sleep and Variable Sleep Timing During Late Childhood Accelerate the Onset of Alcohol and Other Drug Involvement

Hasler

Kirisci

Clark

2016

J. Stud. Alcohol Drugs

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“…Sleep problems are also associated with various other problems like learning disabili es, impaired cogni ve func ons, behavioural disorders, and emo onal problems 4 . Although matura on leads to improvement in some aspects of sleep pa ern, sleep problems in early childhood are likely to persist to later years 5 .…”

mentioning

confidence: 99%

Pattern of Sleep in Infants and Toddlers Visiting at a Teaching Hospital in Lalitpur

Shrestha

Dhakal

Shakya

et al. 2015

J. Nepal Paedtr. Soc.

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Introduction: Sleep is an integral part in a child's health and development. During different stages of development, there are aberrations in normal physiology of sleep which make children more susceptible to various types of sleep problems. This study was conducted to identify sleep pattern and sleep problems in Nepalese children using Nepali translation of Brief Infant Sleep Questionnaire (BISQ) screening tool. Materials and Methods: This was a descriptive cross-sectional study. Data were collected from parents of children aged 6 to 36 months attending paediatric out-patient clinic for general health check-up from July 2013 to December 2013. Nepali translation of the BISQ was used as a screening tool for sleep problems in this study. Results: The study included 553 children (52.4% boys). Mothers completed the questionnaire in 92% of children. Mean total duration of sleep in 24 hours was 11.7 ±1.7 hours. Respondents reported sleep problem in 16.9% of children whereas 20.3% of children had sleep problems according to BISQ criteria. As per this criteria, 2.7% of children had total sleep duration less than 9 hours, 5.9% of children had total night awakening duration of more than one hour, 13.9% of children had night waking >3 times. These BISQ sleep parameters differed significantly in children with and without sleep problems (p<0.001). In addition, children with sleep problem took longer time to sleep than children without sleep problems (p<0.001). Conclusion: Sleep problems are common in Nepalese infants and toddlers according to the BISQ. Screening for sleep problems is highly recommended during health care visits given the prevalence of sleep problems identified by this study to reduce their potential adverse impact.

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“…56,57 Although much of the data reported on the relationship between sleep problems and outcomes have been correlational, treatment intervention studies suggest that efforts aimed at treating sleep problems can help mitigate daytime behavioral problems in children with ASD. 58,59 Limitations and Future Directions 60 Additionally, the use of multiple informants, sleep diaries, or objective measures (eg, actigraphy) may also be helpful. 61 An additional limitation of the current study is that we were unable to accurately assess the timing of screen-based media use.…”

Section: Figurementioning

confidence: 99%

Media Use and Sleep Among Boys With Autism Spectrum Disorder, ADHD, or Typical Development

2013

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WHAT'S KNOWN ON THIS SUBJECT: Children with autism spectrum disorders (ASD) or attention-deficit/hyperactivity disorder (ADHD) are at increased risk for sleep disturbances and excessive media use. However, the relationship between media use and sleep in children with ASD or ADHD has not been studied. WHAT THIS STUDY ADDS:In-room access to screen-based media and video game hours were associated with less sleep among boys with ASD. The relationships between media use and sleep were much more pronounced among boys with ASD than among boys with ADHD or typical development.abstract OBJECTIVE: The current study examined the relationships between media use (television, computer, and video games) and sleep among boys with autism spectrum disorder (ASD) compared with those with attentiondeficit/hyperactivity disorder (ADHD) or with typical development (TD). METHODS:Participants included parents of boys with ASD (n = 49), ADHD (n = 38), or TD (n = 41) (ages 8-17 years). Questionnaires assessed daily hours of media use, bedroom access to media, and average sleep hours per night. RESULTS:Bedroom media access was associated with less time spent sleeping per night, irrespective of diagnostic group. Bedroom access to a television or a computer was more strongly associated with reduced sleep among boys with ASD compared with boys with ADHD or TD. Multivariate models showed that, in addition to bedroom access, the amount of time spent playing video games was uniquely associated with less sleep among boys with ASD. In the ASD group only, the relationship between bedroom access to video games and reduced sleep was mediated by hours of video game play. CONCLUSIONS:The current results suggest that media-related variables may be an important consideration in understanding sleep disturbances in children with ASD. Further research is needed to better characterize the processes by which media use may affect sleep among individuals with ASD. Overall, the current findings suggest that screen-based media time and bedroom media access should be routinely assessed and may be important intervention targets when addressing sleep problems in children with ASD.

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Evidence-Based Review of Subjective Pediatric Sleep Measures

Cited by 264 publications

References 59 publications

Restless Sleep and Variable Sleep Timing During Late Childhood Accelerate the Onset of Alcohol and Other Drug Involvement

Restless Sleep and Variable Sleep Timing During Late Childhood Accelerate the Onset of Alcohol and Other Drug Involvement

Pattern of Sleep in Infants and Toddlers Visiting at a Teaching Hospital in Lalitpur

Media Use and Sleep Among Boys With Autism Spectrum Disorder, ADHD, or Typical Development

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