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Published on: October 11, 2018
Sleep patterns of children with pervasive developmental disorders
Ryan D Honomichl1, Beth L Goodlin-Jones, Melissa Burnham
1Department of Human and Community Development, University of California at Davis, 95616, USA.
Insights
Children with pervasive developmental disorders (PDD) often experience fragmented sleep and longer sleep onset times. These sleep disturbances are prevalent, even when parents do not perceive a problem.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Psychology
- Child Neurology
Background:
- Sleep disturbances are frequently reported in children with pervasive developmental disorders (PDD).
- Parental perception of sleep problems may not fully capture the extent of sleep fragmentation in this population.
Purpose of the Study:
- To investigate sleep behavior patterns in children with PDD.
- To compare sleep fragmentation and onset times with community norms.
- To examine the relationship between parental perception and objective sleep data.
Main Methods:
- Utilized sleep diaries, the Children's Sleep Habits Questionnaire (CSHQ), and the Parenting Events Questionnaire.
- Collected data from 100 children aged 2-11 years with PDD.
- Assessed short-term stability of sleep-wake patterns over two time periods.
Main Results:
- Over half of parents reported sleep problems in their children with PDD.
- Children with perceived sleep problems showed more fragmented sleep.
- All children with PDD exhibited longer sleep onset times and greater sleep fragmentation than community norms, irrespective of parental perception.
Conclusions:
- Sleep problems and fragmented sleep patterns are common in children with PDD.
- Objective measures reveal significant sleep disturbances in this population.
- Parental perception is a useful indicator but does not encompass all sleep issues in children with PDD.
Abstract:
Data on sleep behavior were gathered on 100 children with pervasive developmental disorders (PDD), ages 2-11 years, using sleep diaries, the Children's Sleep Habits Questionnaire (CSHQ), and the Parenting Events Questionnaire. Two time periods were sampled to assess short-term stability of sleep-wake patterns. Before data collection, slightly more than half of the parents, when queried, reported a sleep problem in their child. Subsequent diary and CSHQ reports confirmed more fragmented sleep in those children who were described by their parents as having a sleep problem compared to those without a designated problem. Interestingly, regardless of parental perception of problematic sleep, all children with PDD exhibited longer sleep onset times and greater fragmentation of sleep than that reported for age-matched community norms. The results demonstrate that sleep problems identified by the parent, as well as fragmentation of sleep patterns obtained from sleep diary and CSHQ data, exist in a significant proportion of children with PDD.
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