Obstructive Sleep Apnea Mimics Attention Deficit Disorder

Blesch, Lauri; McCoy, Sarah J. Breese

doi:10.1177/1087054713479664

Cited by 12 publications

(5 citation statements)

References 6 publications

(8 reference statements)

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“…[21] Furthermore, sleep disorders and poor sleep have been found to impair academic performance and to produce symptoms similar to ADHD. [21][22][23] Thus, sleep-related symptoms should not be ignored among children.…”

Section: Journal Of Neurosciences In Rural Practice ¦ Volume 8 ¦ Issumentioning

confidence: 99%

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Gupta

Ali

Verma

et al. 2017

Journal of Neurosciences in Rural Practice

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Objective:The objective of this study is to assess the prevalence of sleep disorders among children aging between 4 and 9 years using Hindi version of Pediatric Sleep Questionnaire (PSQ).Methods:This study had two parts first, translation and validation of PSQ into Hindi language, and second, assessment of the prevalence of sleep disorders using PSQ Hindi version. Hindi PSQ was distributed in randomly chosen primary schools in a semi-urban area. The children were requested to get them filled by their parents. When the questionnaires were returned, responses were analyzed.Results:Most of the items of the Hindi version had perfect agreement with original questionnaire in a bilingual population (κ =1). Totally, 435 children were included in the field study having average age of 6.3 years. Obstructive sleep apnea was reported in 7.5% children; symptoms suggestive of restless legs syndrome were reported by 2%–3%; teeth grinding by 13.9% and sleep talking by 22.6% children.Conclusion:PSQ Hindi version is a validated tool to screen for sleep disorders among children. Sleep disorders are fairly prevalent among young children in India.

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Section: Journal Of Neurosciences In Rural Practice ¦ Volume 8 ¦ Issumentioning

confidence: 99%

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Gupta

Ali

Verma

et al. 2017

Journal of Neurosciences in Rural Practice

View full text Add to dashboard Cite

show abstract

“…This weakness in the PSQ is exaggerated by the inclusion of the DSM-IV diagnostic criteria for Attention-Deficit/Hyperactivity Disorder (ADHD) [11]. Despite evidence that the symptomatology of ADHD and pediatric OSA are similar, and in some cases related, they are relatively non-specific symptoms of OSA in children when compared to symptoms such as apneic episodes during sleep [17,18]. Additionally, the inattentive and hyperactive symptoms of ADHD are more noticeable in day-to-day life rendering them more susceptible to recall bias.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of a Pediatric Sleep Questionnaire for the Diagnosis of Obstructive Sleep Apnea in Children

Ferry¹,

Wright²,

Ohlstein³

et al. 2020

Cureus

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Background: Obstructive sleep apnea (OSA) is a source of significant morbidity in children. Polysomnography (PSG), the gold standard diagnostic tool for OSA, is often unavailable due to patient financial and geographic constraints. Our objective is to analyze the relationship between a patient's subjective complaints and the results from their PSG to determine the diagnostic value of the Pediatric Sleep Questionnaire (PSQ) for detecting OSA in children.Methods: A retrospective chart review was conducted for pediatric patients with suspected OSA from March 2012 to January 2014. Preoperative PSQ scores were compared with the results from PSG in the form of Apnea-Hypopnea Index (AHI) and Respiratory Disturbance Index (RDI) values. AHI and RDI values ranging from 1 to 5 were classified as mild OSA while values ranging from 5 to 10 were classified as moderate OSA.Results: A total of 161 patients were recruited for this study with 63 patients (39%) both completing the PSQ and undergoing PSG. Sensitivity of the positive questionnaire was higher in patients with AHI and RDI values indicative of moderate OSA (95% and 100% respectively) versus values indicative of mild OSA (83% and 86% respectively). Conversely, the positive predictive value of the positive questionnaire (n=49) was lower in patients with AHI and RDI values indicative of moderate OSA (39% and 46% respectively) versus values indicative of mild OSA (70% and 80% respectively). Conclusion:The PSQ has high diagnostic value for screening patients with suspected OSA. We recommend the use of the PSQ in the primary care setting for children with suspected OSA.

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“…Cardiovascular, neurocognitive and behavioral morbidities are associated with OSA [ 3 , 4 , 5 ]. Indeed, OSA enhances the risk of impaired cognitive function [ 6 ], attention deficit hyperactivity disorder [ 7 ], poor quality of life [ 8 ], enuresis [ 9 ], metabolic syndrome and cardiovascular disease [ 10 ]. For this reason, early diagnosis and adequate care are required to prevent long-term complications.…”

Section: Introductionmentioning

confidence: 99%

Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review

et al. 2023

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(1) Background: Obstructive sleep apnea (OSA) affects approximately 1% to 5% of children. To date, the main pathophysiological factor is adenotonsillar tissue hypertrophy. As many respiratory viruses can persist in secondary lymphoepithelial organs after upper airway infection, the objective of this systematic review was to investigate the link between history of viral infections and the risk of pediatric OSA. (2) Methods: Corresponding references were searched electronically (PubMed [MEDLINE], Cochrane Library and Scopus) until 21 November 2022. Prospective or retrospective cohorts, evaluating the children suffering from OSA with history of viral infections and comparing them with children with no history of viral infections written in English, were included. Four independent reviewers selected studies, extracted data, and evaluated the risk of bias using ROBINS-I. (3) Results: Of 1027 potentially eligible articles, four studies (one retrospective, two prospective cohorts and one case-control) were included. (4) Conclusions: Exposure to lower airway infections may precede the diagnosis of pediatric OSA suggesting that respiratory viruses may play a mechanical role in the development of pediatric OSA. Further research is required to improve our understanding of the role of viral infections. Registration: PROSPERO CRD awaiting.

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Obstructive Sleep Apnea Mimics Attention Deficit Disorder

Cited by 12 publications

References 6 publications

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Study of Sleep Disorders among Young Children Using Hindi Translated and Validated Version of Pediatric Sleep Questionnaire

Efficacy of a Pediatric Sleep Questionnaire for the Diagnosis of Obstructive Sleep Apnea in Children

Is There an Association between Viral Infections and Risk for Pediatric Obstructive Sleep Apnea? A Systematic Review

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