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Sleep in children with psychiatric disorders
Anna Ivanenko1, Valerie McLaughlin Crabtree, David Gozal
1Division of Pediatric Sleep Medicine, University of Louisville, 571 South Floyd Street, Room 438, Louisville, KY 40202, USA. AIVANENKO@lumc.edu
Pediatric Clinics of North America
|March 11, 2004
Summary
Children with emotional and behavioral problems often have sleep difficulties. Treatment varies from cognitive-behavioral interventions for bedtime issues to professional management for pervasive sleep problems in psychiatric disorders.
Area of Science:
- Pediatric Psychiatry
- Sleep Medicine
- Child Psychology
Background:
- Sleep disturbances are common in children with psychiatric disorders.
- The precise nature of these sleep issues requires further extensive study.
- Children with emotional and behavioral problems show a higher prevalence of sleep difficulties.
Purpose of the Study:
- To summarize the current understanding of sleep disturbances in children with psychiatric disorders.
- To differentiate management strategies based on the type and pervasiveness of sleep issues.
- To highlight the need for specialized interventions for complex cases.
Main Methods:
- Review of existing literature on pediatric sleep disturbances and psychiatric conditions.
- Categorization of sleep problems based on their presentation (e.g., bedtime-limited vs. pervasive).
- Discussion of treatment modalities, including cognitive-behavioral interventions, psychotherapy, and pharmacologic approaches.
Main Results:
- Sleep difficulties are frequently observed in children with significant emotional and behavioral challenges.
- Bedtime-limited sleep issues can often be effectively managed with cognitive-behavioral interventions.
- Pervasive sleep problems in children with anxiety disorders, mood disorders, or neurodevelopmental disabilities necessitate comprehensive evaluation and professional intervention.
Conclusions:
- Sleep disturbances are a significant concern in pediatric psychiatric populations.
- Tailored treatment approaches are essential, ranging from behavioral strategies to multidisciplinary professional management.
- Further research is needed to fully elucidate the complex relationship between sleep and psychiatric disorders in children.