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Paediatric sleep disorders: the need for multidisciplinary sleep clinics
1Section of Child and Adolescent Psychiatry, Park Hospital, University of Oxford, Old Road, Headington, Oxford OX3 7LQ, UK. lucinda.wiggs@psych.oc.ac.uk
Insights
A multidisciplinary approach is crucial for diagnosing and treating pediatric sleep disorders (SD), especially sleep-disordered breathing (SDB). This integrated care model ensures comprehensive management for children with complex conditions.
Area of Science:
- Pediatric Sleep Medicine
- Multidisciplinary Healthcare
- Child Neurology
Background:
- Sleep disorders (SD) affect multiple medical specialties.
- Pediatric sleep-disordered breathing (SDB) often co-exists with other SD.
- Children with intellectual disabilities or neurological/psychiatric conditions have a higher prevalence of SD.
Purpose of the Study:
- To emphasize the necessity of a multidisciplinary approach for assessing and treating pediatric sleep disorders.
- To highlight the specific challenges and importance of managing sleep-disordered breathing (SDB) in children.
- To advocate for integrated care models in pediatric sleep medicine.
Main Methods:
- Review of the literature on pediatric sleep disorders.
- Analysis of the interdisciplinary nature of sleep medicine.
- Case examples illustrating the need for holistic assessment and treatment.
Main Results:
- Co-existing sleep disorders, such as SDB, parasomnias, and sleep-related anxiety, require integrated assessment.
- Children with developmental or neurological conditions are at higher risk for overlooked sleep disturbances.
- Misattribution of daytime symptoms to underlying conditions can delay diagnosis of SD.
Conclusions:
- A multidisciplinary approach is essential for effective recognition, assessment, and treatment of pediatric sleep disorders.
- Specialized sleep centers offering integrated care are vital for optimal management.
- Holistic assessment is key, especially for children with co-morbidities.
Unlabelled:
The field of sleep disorders (SD) medicine crosses the boundaries of many medical specialties and disciplines. This paper aims to highlight the importance of a multidisciplinary approach to the assessment and treatment of SD in children, with particular reference to sleep-disordered breathing (SDB). The link between SDB and other SD (e.g. various parasomnias, sleep-related anxiety) illustrates the need for a holistic approach to assessment since these co-existing SD can be the most overt symptoms. Further, different approaches to treatment of the various SD are likely to be called for. Multidisciplinary care becomes particularly pertinent when dealing with clinical groups of children in which an increased prevalence of SD, including SDB, have been noted. Such groups include children with intellectual disabilities and those with neurological or psychiatric conditions. The nature of their basic condition may make it likely that SD will be overlooked with the daytime consequences of the nocturnal disturbance (e.g. cognitive/behavioural problems) misattributed to the underlying condition.
Conclusion:
An ideal national service would include a limited number of specialised sleep centres where a broad and multidisciplinary approach to the recognition, assessment and treatment of children's SD was possible.
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