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9. Common causes of sleep disruption and daytime sleepiness: childhood sleep disorders II
1Developmental Paediatrics Sleep Unit, Mater Children's Hospital, Stanley Street, Brisbane, QLD 4101. H_heussler@mater.org.au
Insights
Childhood sleep disorders are linked to behavioral and mood issues. Behavioral interventions and good sleep hygiene are key for managing common childhood sleep problems.
Area of Science:
- Pediatrics
- Child Psychology
- Sleep Medicine
Background:
- Childhood sleep disorders frequently co-occur with behavioral, concentration, and mood difficulties.
- Behaviorally-maintained sleep disorders are prevalent in young children, significantly affecting family life.
Purpose of the Study:
- To outline the evaluation and management of common childhood sleep disorders.
- To emphasize the role of behavioral factors and family dynamics in pediatric sleep disturbances.
Main Methods:
- Comprehensive medical history and physical, neurological, and developmental examinations.
- Detailed assessment of nocturnal events, daytime effects, family situation, and parental management strategies.
- Application of behavioral techniques for establishing good sleep hygiene.
Main Results:
- Behavioral interventions and sleep hygiene education are effective for common childhood sleep disorders.
- Parasomnias, such as night terrors, improve with enhanced sleep hygiene.
- Children with underlying respiratory or neurological causes require specialist referral.
Conclusions:
- Effective management of childhood sleep disorders requires a holistic approach, considering the child's developmental stage and family context.
- Behavioral strategies and sleep hygiene are crucial for addressing common pediatric sleep issues.
- Timely referral for specialist care is essential for sleep disturbances with organic causes.
Abstract:
There are strong associations between childhood sleep disorders and behavioural, concentration and mood problems. Sleep disorders caused and maintained by behavioural factors (eg, sleep-onset association disorder) are common in young children, and have a significant impact on families. Evaluation should include a medical history, a physical, neurological and developmental examination, a description of any nocturnal events or daytime effects of the child's disturbed sleep, and a good understanding of the family situation and parental management of the child. Management involves recognising the developmental age of the child and the family dynamics, and educating and supporting families in applying behavioural techniques to establish good sleep hygiene. Children with parasomnias (eg, night terrors) also benefit from good sleep hygiene, while those with respiratory or neurological causes of sleep disturbance should be referred for specialist treatment.
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