Cognitive dysfunction in children with sleep disorders

Luciane Bizari Coin de Carvalho1, Lucila Bizari Fernandes do Prado, Luciana Silva

  • 1Sleep Disorders Center, Departments of Neurology and Emergency Medicine, Federal University of São Paulo São Paulo SP, Brazil.

Insights

This study found no significant difference in cognitive dysfunction between children with and without sleep disorders overall. However, 8-year-olds with sleep disorders showed a lower prevalence of cognitive dysfunction compared to their peers.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Cognitive Development
  • Neuroscience

Background:

  • Sleep disorders (SD) are increasingly linked to cognitive dysfunction (CD) in children.
  • Limited research exists on the specific relationship between SD and cognition in 7-10-year-old children.

Purpose of the Study:

  • To investigate the association between sleep disorders and cognitive function in children aged 7-10 years.
  • To determine if sleep disorders impact cognitive development in this specific age group.

Main Methods:

  • A sleep disorder questionnaire was administered to 1180 children.
  • Cognitive function was assessed using the Bender Visual Motor Gestalt Test (BT).
  • Participants were divided into a sleep disorder group (n=547) and a control group (n=633).

Main Results:

  • Overall, the frequency of cognitive dysfunction was similar between children with SD (39%) and the control group (40%).
  • A notable finding was that 8-year-old children with SD exhibited a lower prevalence of CD (6%) compared to the control group (13%).
  • This lower prevalence in 8-year-olds with SD was statistically significant (p=0.04).

Conclusions:

  • In the general sample of 7-10 year olds, cognitive dysfunction frequency was comparable between children with and without sleep disorders.
  • Contrary to expectations, 8-year-old children experiencing sleep disorders demonstrated a reduced frequency of cognitive dysfunction compared to the control group.
  • These findings suggest a complex, age-dependent relationship between sleep disorders and cognitive function in children.
Abstract

Related Concept Videos

Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Information Processing Approach01:30

Information Processing Approach

The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is also...