Sleep Problems in Toddlers: Effects of Treatment on Their Daytime Behavior

Minde, Klaus; Faucon, André; Falkner, Suki

doi:10.1097/00004583-199410000-00007

Cited by 142 publications

(104 citation statements)

References 16 publications

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“…Moreover, 36% of young children with global reports of sleep problems present with significant behavioral problems (67), and conversely daytime hyperactivity, anxiety, and depressive symptoms have all been associated with prolonged sleep latency (58,67). Pre-school children with shorter total sleep time exhibit more behavioral problems (68), and the reciprocal of this observation holds true as well, since improvements in sleep are associated with improvement in daytime behavior (51,59,62). Thus, sleep and behavior exhibit dynamic interactions that can either interfere with each other, or synergistically interact, such that the outcome of such interactions is not always predictable.…”

Section: Behavioral Consequences Of General Sleep Disturbancementioning

confidence: 99%

Obstructive Sleep Apnea in Children: Implications for the Developing Central Nervous System

Gozal

2008

Seminars in Pediatric Neurology

119

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Recent increases in our awareness to the high prevalence of sleep disorders in general, and of sleepdisordered breathing among children, in particular, has led to concentrated efforts aiming to understand the pathophysiological mechanisms, clinical manifestations and potential consequences of such conditions. In this review, I will briefly elaborate on some of the pathogenetic elements leading to the occurrence of obstructive sleep apnea (OSA) in children, focus on the psychobehavioral consequences of pediatric OSA, and review the evidence on the potential mechanisms underlying the close association between CNS morbidity and the episodic hypoxia and sleep fragmentation that characterize OSA. Sleep Disorders In ChildrenPediatric sleep continues to gain significant recognition due to both increasing evidence of a high prevalence of sleep disorders among children, and by virtue of the potential somatic and psycho-behavioral effects of disrupted sleep during early development. Obstructive sleep apnea (OSA) is by far the most frequently diagnosed pediatric sleep disorder, and has been reported to affect at least 1-3% of all pre-school and school-aged children. Furthermore, symptoms consistent with an increased risk for sleep-disordered breathing have been reported in 6-27% of children (1-8).

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Section: Behavioral Consequences Of General Sleep Disturbancementioning

confidence: 99%

Obstructive Sleep Apnea in Children: Implications for the Developing Central Nervous System

Gozal

2008

Seminars in Pediatric Neurology

119

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“…The use, unobtrusiveness and reliability of this system are well established (e.g., Anders, 1979;Minde, Faucon, & Falkner, 1994). The camera, invisible infra-red light source, video recorder and tripod were set up in the infant's room with a view of the entire crib.…”

Section: Time-lapse Video Recordingsmentioning

confidence: 99%

Treating sleep disturbance in infants: What generalizes?

Healey

Blampied

2008

Behavioral Interventions

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When treating infant sleep problems implementing treatment procedures at bedtime-only might be easier and more efficient than requiring parents to implement procedures throughout the night, but only if improvements at bedtime generalize to later in the night. This study investigated the immediate and generalized effect of treating bedtime settling problems and later night waking in infants and whether it was parent or child behavior that generalized. Parents recorded sleep problems of seven infants (6-20 months) who exhibited chronic sleep disturbance, then implemented a graduated checking procedure at bedtime-only (Setting 1). A multiple-baseline across-settings and participants design was employed. Immediate (in Setting 1) and any generalized effects (in Setting 2) on wakings and other changes in parent and child behavior were assessed by diary information and all-night infra-red video recordings. Clinically significant reductions in sleep problems were evident for five out of seven infants, but these were not consistently observed until parents generalized their use of the procedure throughout the night. There was no evidence that the infants generalized changes in self-soothing from bedtime to later. It is concluded that changes in infant sleep problems are unlikely to occur unless parents actually alter their management of the problems across all settings in which the problems occur.

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“…12 The comorbidity of psychiatric symptomatology and sleep problems may result in a more negative course of development and greater impairment compared with sleep disorders without such comorbidity, 13,14 and treatment of sleep problems has been shown to positively influence behavioral problems. 15 Understanding the co-occurrence of difficulties is also necessary to recognize developmental trajectories and aid researchers and clinicians in identifying, preventing, and treating sleep problems. 7 A few studies have examined the association between sleep problems and behavioral problems in young children, 16,17 but this research explored broad categories of mental health difficulties using scale scores rather than specific psychiatric symptoms.…”

mentioning

confidence: 99%

Sleep Disorders in Preschoolers

Steinsbekk

Berg-Nielsen

Wichstrøm

2013

Journal of Developmental &Amp; Behavioral Pediatrics

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ABSTRACT:Objectives: This study provide data on the prevalence of diagnosable sleep disorders in preschoolers and examined the relationship between specific sleep disorders and a range of DSM-4-defined psychiatric symptoms. Methods: All children born in 2003 or 2004 in Trondheim, Norway, who attended regular community health checkups for 4 year olds were asked to participate (97.2% attendance; 82.0% consent rate, N 5 2475). A screen-stratified subsample of 1250 children was recruited to participate in an additional comprehensive study that included a structured diagnostic interview (the Preschool-Age Psychiatric Assessment). Nine hundred ninety-five parents (79.6%) completed the interview. Results: The estimated sleep disorder rate was 19.2%. Rates of specific disorders were as follows: primary insomnia (16.6%), primary hypersomnia (0.8%), nightmare disorder (2.2%), and sleepwalking disorder (0.7%). When adjusted for a range of common psychiatric symptoms, primary insomnia was specifically related to symptoms of depression, generalized anxiety disorder, separation anxiety, and specific phobia. When sleep problems were excluded as a symptom of depression, the association between depression and primary insomnia was no longer significant. Nightmare disorder was significantly related to generalized anxiety disorder. Conclusions: This first study of the prevalence and comorbidity of diagnosable sleep disorders in preschoolers indicates that primary insomnia is common in young children, whereas other sleep disorders are rare. Sleep disorders are related to psychiatric symptoms, particularly symptoms of anxiety disorders.(J Dev Behav Pediatr 0:1-9, 2013)

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Sleep Problems in Toddlers: Effects of Treatment on Their Daytime Behavior

Cited by 142 publications

References 16 publications

Obstructive Sleep Apnea in Children: Implications for the Developing Central Nervous System

Obstructive Sleep Apnea in Children: Implications for the Developing Central Nervous System

Treating sleep disturbance in infants: What generalizes?

Sleep Disorders in Preschoolers

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