Links between sleep and daytime behaviour problems in children with Down syndrome

Esbensen, Anna J.; Hoffman, Emily K.; Beebe, Dean W.; Byars, Kelly C.; Epstein, Jeffery N.

doi:10.1111/jir.12463

Cited by 28 publications

(24 citation statements)

References 60 publications

(104 reference statements)

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“…Altogether, our results confirm and extend previous findings on the association between externalizing symptoms and sleep disturbances in youths with DS. For instance, parent-reported sleep disturbances in DS have been associated with more attention-deficit/hyperactivity problems [ 13 ]; similarly, parent-reported poor sleep quality, evaluated through the Parasomnia subscale of the Children’s Sleep Habits Questionnaire [ 72 ], has been found to be predictive of increased daytime hyperactivity/impulsivity [ 33 ]. In children with DS, symptoms of attention-deficit/hyperactivity disorder occur at rates 2–3 times higher compared with children with intellectual disability [ 73 , 74 , 75 ].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, sleep problems may worsen learning and behavioral problems in children with DS. In fact, it has been well documented how sleep disturbances affect their school performance, limit social interactions, interfere with the accomplishment of daily activities, and affect the quality of life in their parents [ 17 , 25 , 31 , 32 , 33 , 34 ]. Because of the prevalence among people with DS, sleep breathing disorders and associated neuropsychological and psychopathological features have been largely investigated; however, less is known about the neuropsychological and psychopathological correlates of other sleep disturbances.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Characterization of Sleep Disturbances in Children and Adolescents with Down Syndrome and Their Relation with Cognitive and Behavioral Features

Fucà

Costanzo

Celestini

et al. 2021

IJERPH

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Despite sleep disturbances are common among youths with Down syndrome (DS), the cognitive and behavioral features associated with sleep problems have not yet been studied extensively. The present study investigated the presence of sleep disturbances in a group of children and adolescents with DS and their cognitive and behavioral correlates. Seventy-one children and adolescents with DS underwent a neuropsychological evaluation, whereas parents completed questionnaires for the screening of the child’s sleep, emotional and behavioral problems. We found no association between sleep disturbances and sex, nonverbal IQ, nor adaptive abilities. However, we found that age was positively associated with disorders in initiating and maintaining sleep (DIMS) and disorders of excessive somnolence (DOES), while body mass index was related with DOES. We also detected a relationship between visual-motor integrations and DIMS, as well as multiple associations between sleep disturbances and psychopathological and behavioral problems, mainly externalizing symptoms. The present study provided a detailed characterization of sleep problems in relation to several features of youths with DS. The proper identification of sleep disturbances profile in the DS population could support the process of clinical evaluation, in particular for psychopathological aspects.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Characterization of Sleep Disturbances in Children and Adolescents with Down Syndrome and Their Relation with Cognitive and Behavioral Features

Fucà

Costanzo

Celestini

et al. 2021

IJERPH

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“…These findings are similarly present among children with intellectual disabilities [ 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. There is a growing body of research in the field of DS supporting a relationship between shorter sleep periods or greater sleep disturbances and negative outcomes for behavior and executive functioning, both at home and at school [ 7 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Child Sleep Linked to Child and Family Functioning in Children with Down Syndrome

et al. 2021

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Sleep problems have a bi-directional impact on the daytime performance of children, parental well-being, and overall family functioning in the general population. Children with Down syndrome (DS) are at a high risk of sleep problems, yet the relationship between sleep problems, adaptive functioning, and family stress in children with DS is not well documented. We examined the relationship between sleep (i.e., duration and quality) and child and parent/family functioning. Sixty-six children with DS wore an actigraph for a week to assess their sleep duration and sleep efficiency. Their parents completed ratings on child sleep duration and parasomnias, child adaptive functioning, parental depression and sleep, and family stress. The parents’ reports of their children’s sleep duration were associated with parental depressive symptoms. The parents’ reports of their children’s restless sleep behaviors were associated with poorer performances in child-compliant/calm behaviors, worse parental sleep, and negative parental feelings and sibling relationships. The findings from actigraph measures of the children’s sleep demonstrated that greater sleep efficiency was associated with greater child adaptive functioning and fewer parental depressive symptoms. The study findings provide preliminary evidence that sleep problems are related to child adaptive functioning, parental functioning, and family stress in children with DS.

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“…poor school performance, limited social interactions and impaired activities of daily living) that may contribute to lower quality of life (QOL; Ebensen & Hoffman ; Esbensen et al . ; Joyce & Dimitriou ; Lal et al . ; Lukowski & Milojevich ; Sedky et al .…”

Section: Introductionmentioning

confidence: 99%

“…Since 2000, there have been over 100 studies addressing sleep problems in children with DS (Esbensen & Hoffman ; Esbensen et al . , ; Lee et al . ).…”

Section: Introductionmentioning

confidence: 99%

Sleep problems in Korean children with Down syndrome and parental quality of life

Choi

Jung

Riper

et al. 2019

J intellect Disabil Res

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Background Sleep problems are common among children with Down syndrome (DS), and they can have a serious impact on children with DS as well as their parents and other family members. Specific aims of this study were to evaluate parent‐reported sleep problems in children with DS and to examine the relationship between the sleep behaviour of children with DS and their parents' quality of life (QOL). Method A cross‐sectional survey was conducted in September and October of 2017. Parents of children with DS were recruited from an online self‐support community for parents of children with DS in South Korea. The mean age of the parents and children with DS was 40.40 years (SD = 5.09) and 7.89 years (SD = 3.03), respectively. Children's sleep problems and parents' QOL were assessed using the Children's Sleep Habits Questionnaire and the abbreviated version of the World Health Organization Quality of Life scale, respectively. Results Results revealed that 83% of the parents reported that their child with DS experienced sleep problems. Children with DS had significantly more bedtime resistance, night waking, parasomnias and sleep‐disordered breathing than did typically developing children. In addition, their Children's Sleep Habits Questionnaire scores were higher than those of typically developing children. Moreover, being older, being male and having more severe developmental delays were significant risk factors for sleep problems among children with DS. Furthermore, sleep problems in children with DS negatively affected parents' QOL. Conclusions Sleep problems negatively affect children with DS as well as their parents; therefore, health care providers should be aware of these issues and help parents manage sleep problems proactively.

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Links between sleep and daytime behaviour problems in children with Down syndrome

Cited by 28 publications

References 60 publications

Characterization of Sleep Disturbances in Children and Adolescents with Down Syndrome and Their Relation with Cognitive and Behavioral Features

Characterization of Sleep Disturbances in Children and Adolescents with Down Syndrome and Their Relation with Cognitive and Behavioral Features

Child Sleep Linked to Child and Family Functioning in Children with Down Syndrome

Sleep problems in Korean children with Down syndrome and parental quality of life

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