Sleep Disorders in Childhood

Shelton, Althea Robinson

doi:10.1212/con.0000000000001285

Cited by 3 publications

(1 citation statement)

References 124 publications

(317 reference statements)

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“…The nonpharmacologic interventions for insomnia described below are effective with minimal side effects for adults, and these interventions can also be appropriate for adolescent populations. For information on the treatment of insomnia in pediatric populations, refer to the article "Sleep Disorders in Childhood," by Althea Robinson Shelton, MD, 22 in this issue of Continuum.…”

Section: Treatment For Insomniamentioning

confidence: 99%

Insomnia

Kutscher,

Juang

2023

CONTINUUM: Lifelong Learning in Neurology

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Objective This article provides an overview of the current definitions, diagnostic tools, and overall management of insomnia. Latest Developments The treatment of insomnia has shifted over time, with a growing emphasis on nonpharmacologic therapies as a first-line intervention and the leveraging of technology to aid in the dissemination of these therapies. With this evolution, the definition of insomnia has changed to reflect a common treatment pathway. As pharmacologic treatment options have increased, so has concern about the dangerous short-term and long-term adverse effects of these treatment options. Essential Points Insomnia is a common disorder, frequently overlapping with other neurologic and psychiatric disorders, which can cause significant distress and disruption to patients’ lives. Nonpharmacologic therapies are highly effective and are now considered first-line treatments. Although efficacy is variable, numerous pharmacologic interventions are available, and many options come with considerable concern about adverse effects, particularly in populations over 65 years old.

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Section: Treatment For Insomniamentioning

confidence: 99%

Insomnia

Kutscher,

Juang

2023

CONTINUUM: Lifelong Learning in Neurology

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A clinical-translational review of sleep problems in neurodevelopmental disabilities

Peters,

Shelton,

Malow

et al. 2024

J Neurodevelop Disord

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Sleep disorders are very common across neurodevelopmental disorders and place a large burden on affected children, adolescents, and their families. Sleep disturbances seem to involve a complex interplay of genetic, neurobiological, and medical/environmental factors in neurodevelopmental disorders. In this review, we discuss animal models of sleep problems and characterize their presence in two single gene disorders, Rett Syndrome, and Angelman Syndrome and two more commonly occurring neurodevelopmental disorders, Down Syndrome, and autism spectrum disorders. We then discuss strategies for novel methods of assessment using wearable sensors more broadly for neurodevelopmental disorders in general, including the importance of analytical validation. An increased understanding of the mechanistic contributions and potential biomarkers of disordered sleep may offer quantifiable targets for interventions that improve overall quality of life for affected individuals and their families.

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Routine del sonno e risvegli notturni nei bambini durante i primi due anni di vita

Segre,

Clavenna,

Roberti

et al. 2024

Medico E Bambino

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Background - Previous studies analyzed the characteristics and prevalence of sleep problems in Italian children. However, less attention is shed on the factors involved in sleep disturbances in the first two years of life. Aims - To provide a developmental trajectory of Italian infants’ sleep patterns during the first two years of life and to analyze what factors affect it most over time. Materials and Methods - Data for this study were collected within the NASCITA cohort. During the well-child visits conducted at 6, 12, and 24 months, paediatricians asked parents to report if their children had any sleep disturbances, particularly frequent night awakenings. Univariate and multivariable analyses were performed to test the association between child and family variables and the likelihood of frequent awakenings. Results - 2,973 toddlers were included in this study; 875 (29.4%) toddlers presented frequent awakenings in at least one visit (peak of prevalence of 19.8% at 12 months). Bed-sharing (adjusted OR 2.53; 95% CI: 2.05-3.12) and living in the North of Italy (aOR 2.25; 95% CI:1.80-2.81) were the variables more strongly associated with an increased likelihood of frequent awakenings in the binomial logistic regression, while sleeping alone was associated with a decreased chance (aOR 0.62; 95% CI 0.45-0.89). Conclusion - The current study identifies some early predictors of frequent awakenings during the first two years of life. Since optimal sleep practices in children are essential for their development, paediatric care practices must define and integrate early effective interventions.

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Sleep Disorders in Childhood

Cited by 3 publications

References 124 publications

Insomnia

Insomnia

A clinical-translational review of sleep problems in neurodevelopmental disabilities

Routine del sonno e risvegli notturni nei bambini durante i primi due anni di vita

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