Sleep: the neglected life factor in adults with intellectual disabilities

Korb, Laura; O’Regan, David; Conley, Jane; Dillon, Emma; Briggs, Rachel; Courtenay, Ken; Perera, Bhathika

doi:10.1192/bjb.2021.122

Cited by 5 publications

(4 citation statements)

References 40 publications

(55 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite a recent significant expansion of our understanding of sleep and sleep disorders, our knowledge of how these advancements pertain to adults with ID remains limited [3]. Sleep disorders in adults with ID are often referred in the literature under different terminologies, such as behavioural sleep problems, which may encompass any sleep disorder from insomnia to narcolepsy [4].…”

Section: Current Evidence Base On Sleep and Sleep Disorders In People...mentioning

confidence: 99%

See 1 more Smart Citation

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Perera,

O’Regan

2024

Curr Treat Options Neurol

Self Cite

View full text Add to dashboard Cite

Purpose of Review We performed a narrative review of the current knowledge in epidemiology, mechanisms, clinical presentation, and treatment of sleep disorders in adults with intellectual disability. Recent Findings Adults with Intellectual disability face significant mental and physical health disparities, including in sleep medicine. Despite sleep disorders having been identified as adversely affecting the health and quality of life of both adults with intellectual disabilities and their caregivers, the evidence base for assessment, diagnosis and treatment in this population remains under developed when compared to that of the general population. This review summarises the existing literature on insomnia, sleep disordered breathing, and other common sleep disorders in adults with intellectual disability. Emphasising the existing gaps in our understanding of sleep disorders in adults with intellectual disabilities, we propose strategies to address and mitigate these gaps. Summary Sleep disorders are common, yet frequently ignored in adults with intellectual disabilities. To address sleep health inequality gaps, future research should adopt tailored approaches, considering the heterogeneity within the intellectual disability population, including stratification by aetiology and health comorbidities. This is essential to improve the diagnostic accuracy and treatment of sleep disorders in adults with intellectual disability.

show abstract

Section: Current Evidence Base On Sleep and Sleep Disorders In People...mentioning

confidence: 99%

“…We have previously proposed one approach for the screening, assessment and treatment of sleep disorders in adults with ID (Table 2 and Fig. 1) [3,31]. In our experience, treatment plans frequently require a holistic multi-modal approach, which may in part be based on existing standard adult sleep medicine treatment guidelines.…”

Section: Homeostaticmentioning

confidence: 99%

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Perera,

O’Regan

2024

Curr Treat Options Neurol

Self Cite

View full text Add to dashboard Cite

show abstract

“…Further, the extent of sleep alterations seems to be related to the severity of learning disability 4. Despite the higher prevalence compared with the general population and the additional impairment in daily functioning, an in-depth understanding of the conceptualisation and treatment of sleep difficulties among this population is still lacking 5…”

Section: Commentarymentioning

confidence: 99%

Sleep problems in adults with learning disabilities: the compelling need for objective and methodologically consistent studies

Alfonsi

Gennaro

2022

Evid Based Nurs

View full text Add to dashboard Cite

“…Two recent literature reviews showed that non-pharmacological interventions (e.g. activity scheduling, stimulus control, cognitive-behaviour therapy, relaxation and sleep hygiene) focusing on improving the sleep-wake rhythm and/or mood are not yet evidence based for people with IDs (Priday et al 2017;Shanahan et al 2019;Korb et al 2023).…”

Section: Introductionmentioning

confidence: 99%

Long‐term effects of environmental dynamic lighting on sleep–wake rhythm, mood and behaviour in older adults with intellectual disabilities

Böhmer,

Oppewal,

Bindels

et al. 2024

J intellect Disabil Res

View full text Add to dashboard Cite

BackgroundSleep–wake problems and depressive symptoms are common in people with intellectual disabilities (IDs) and are thought to be related to the unstable sleep–wake rhythm in this population. Previously, we showed that after increasing environmental light exposure, mid‐sleep and sleep onset advanced, and mood improved over a period of 14 weeks after installing environmental dynamic light installations in the living room of people with IDs. We invited participants of that short‐term study to take part in the current study on sleep–wake rhythm, mood and behaviour in older adults with IDs 1 year after installing environmental dynamic light installations in the common living rooms of six group homes.MethodsA pre–post study was performed from October 2017 to February 2019. We included 45 participants (63.5 ± 8.5 years, 67% female) from six group home facilities who provided data at baseline (9, 4 and 1 weeks prior to installing light installations), short term (3, 7 and 14 weeks after installing light installations) and 1 year (54 weeks after installing light installations). Wrist activity was measured with actigraphy (GENEActiv) to derive the primary outcome of interdaily stability of sleep–wake rhythms as well as sleep estimates. Mood was measured with the Anxiety, Depression and Mood Scale. Behaviour was measured with the Aberrant Behaviour Checklist.ResultsOne year after installing dynamic lighting, we did not find a change in interdaily stability. Total sleep time decreased (β = −25.40 min; confidence interval: −10.99, −39.82), and sleep onset time was delayed (β = 25.63 min; confidence interval: 11.18, 40.08). No effect on mood or behaviour was found.ConclusionsWe did not find a change in sleep–wake rhythm, mood or behaviour in older persons with IDs living in care facilities 1 year after installing the light. We did find evidence for a long‐term effect on sleep duration and sleep timing. The results have to be interpreted with care as the current study had a limited number of participants. The need for more research on the long‐term effects of enhancing environmental light in ID settings is evident.

show abstract

Sleep: the neglected life factor in adults with intellectual disabilities

Cited by 5 publications

References 40 publications

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Sleep problems in adults with learning disabilities: the compelling need for objective and methodologically consistent studies

Long‐term effects of environmental dynamic lighting on sleep–wake rhythm, mood and behaviour in older adults with intellectual disabilities

Contact Info

Product

Resources

About