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Published on: October 2, 2019
Sleep problems and daytime problem behaviours in children with intellectual disability
R Didden1, H Korzilius, B van Aperlo
1University of Nijmegen and De Lathmer, Department of Special Education, Wilp, the Netherlands. R.Didden@ped.kun.nl
Insights
Sleep problems affect over 16% of children with intellectual disability (ID). These issues are linked to more severe ID, epilepsy, and behavioral challenges, impacting daily functioning.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
- Child Psychology
Background:
- Sleep disturbances are prevalent in children with intellectual disability (ID).
- Understanding these sleep issues is crucial for improving quality of life for affected children and their families.
Purpose of the Study:
- To determine the prevalence of severe sleep problems in children with intellectual disability (ID).
- To investigate the relationship between severe sleep problems and child/family variables in this population.
Main Methods:
- A cross-sectional study surveyed 286 children with mild to profound ID living at home in the Netherlands.
- Data on sleep behaviors, family factors, and child demographics were collected via questionnaires.
Main Results:
- 16.1% of children experienced at least one severe sleep problem (settling, night waking, early waking).
- Severe sleep problems correlated with higher ID severity, medication use, epilepsy, cerebral palsy, younger age, daytime drowsiness, and increased problem behaviors like aggression and hyperactivity.
Conclusions:
- Findings highlight the significant impact of sleep problems on children with ID.
- Results provide a basis for targeted assessment and treatment strategies for sleep disturbances in this vulnerable group.
Background:
Sleep problems are common among children with intellectual disability (ID).
Method:
The present study assessed the prevalence of severe sleep problems in a sample of children (n=286) with mild to profound ID who lived at home with their parents(s) in the Netherlands. It also explored relationships between severe sleep problems, and family and child variables. Demographic information, data on children's sleep behaviours and parent variables were collected using questionnaires.
Results:
Severe settling problems, night waking and early waking were present in 4.2%, 10.8% and 4.2% of cases, respectively; 16.1% of children had at least one type of sleep problem. Children with a severe sleep problem had more severe levels of ID, used medication more often, had a greater frequency of epilepsy, were younger, had a greater frequency of cerebral palsy, and showed more daytime drowsiness and daytime napping than children without a severe sleep problem. Furthermore, children with a severe sleep problem showed more severe levels of daytime problem behaviours; for example, aggression, non-compliance and hyperactivity.
Conclusion:
The results of the present study are discussed with regard to the assessment and treatment of sleep problems in children with ID.
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