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Symptoms of sleep disturbances among children at two general pediatric clinics
Kristen Hedger Archbold1, Kenneth J Pituch, Parviz Panahi
1Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor 48109-0117, USA.
Insights
Childhood sleep problems, including sleep-disordered breathing and insomnia, are common in general pediatric clinics. These frequent issues affect many children
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Public Health
Background:
- Sleep problems are prevalent in children.
- Early identification and intervention are crucial for child development.
- General pediatric practices are key settings for addressing childhood sleep issues.
Purpose of the Study:
- To determine the frequency of various childhood sleep problems.
- To assess sleep issues in children attending general pediatric clinics.
- To inform pediatricians about common sleep disturbances.
Main Methods:
- A validated Pediatric Sleep Questionnaire was administered to parents.
- 1038 children aged 2.0 to 13.9 years were included.
- Data were collected in general pediatric clinic waiting areas.
Main Results:
- Insomnia was reported in 41% of children, with 18% experiencing multiple symptoms.
- Sleep-disordered breathing was identified in 11% of children.
- Excessive daytime sleepiness (14%) and parasomnias (38%) were also common.
Conclusions:
- Sleep-disordered breathing, insomnia, excessive sleepiness, and parasomnias are frequent in children.
- These sleep problems are common in general pediatric settings.
- Pediatricians should screen for sleep issues during routine visits.
Objective:
We assessed the frequency of childhood sleep problems at 2 general pediatric clinics.
Study Design:
Parents of 1038 unselected children (554 boys) aged 2.0 to 13.9 years completed a validated Pediatric Sleep Questionnaire while waiting for appointments.
Results:
Habitual snoring was reported in 176 (17%) of the children. Criterion scores suggestive of sleep-disordered breathing were found in 115 (11%) of the children, in 29% of children at the clinic for neurologic indications, and in 21% of children at the clinic for noninfectious respiratory indications. Insomnia (ie, unrefreshing sleep or difficulty with sleep onset, sleep maintenance, or early morning awakening from sleep) was reported in 430 (41%) of the children; > or =2 symptoms were present in 191 (18%) of the children. Excessive daytime sleepiness was suggested in 148 (14%) of the children, and 390 (38%) had symptoms of sleep terrors, sleepwalking, or nocturnal bruxism.
Conclusions:
Sleep problems such as sleep-disordered breathing, insomnia, excessive sleepiness, and parasomnias are frequent among children seen at general pediatric practices.
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