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Published on: October 11, 2018
[Sleep alterations in childhood victims of sexual and physical abuse]
Miguel Angel Collado-Corona1, Arturo Loredo-Abdalá, Jorge Luis Serrano-Morales
1The American British Cowdray Hospital Medical Center, Instituto Nacional de Rehabilitación, SSA.
Insights
Abused child syndrome is linked to abnormal sleep patterns, including reduced sleep efficiency and REM sleep. These sleep alterations are a newly identified characteristic of this syndrome.
Area of Science:
- Pediatric Psychology
- Sleep Medicine
- Child Psychiatry
Context:
- Child abuse is associated with emotional disorders, including post-traumatic stress syndrome.
- Sleep-wake cycle disturbances are noted in abused children.
- Abused child syndrome requires further investigation into its physiological correlates.
Purpose:
- To investigate the polysomnographic features of abused children.
- To compare sleep patterns in abused children with healthy controls.
Summary:
- Abused children exhibited decreased sleep efficiency, reduced sleep onset latency, increased wakefulness, and diminished REM sleep and total sleep time.
- Polysomnographic recordings were conducted on 15 abused children and 15 healthy controls.
- Abnormal sleep patterns were observed in abused children regardless of abuse type, age, or sex.
Impact:
- Sleep alterations represent a novel, previously undescribed characteristic of abused child syndrome.
- Findings may inform diagnostic criteria and therapeutic interventions for abused children.
- Highlights the importance of sleep assessment in the comprehensive care of abused children.
Introduction:
The abused child syndrome is related to a variety of emotional disorders, among which are the "post-traumatic stress syndrome" and the phenomena "re-experience," which is related to disturbances of the normal sleep-wake cycle.
Objective:
To determine the polysomnographic characteristics of the abused child syndrome and compare them with paired healthy children.
Material And Methods:
After two-night habituation, all-night video-digital polygraphic recordings following recommendations of the International Federation of Clinical Neurophysiology were performed in 15 abused child syndrome and 15 healthy controls.
Results:
In the abused child syndrome patients, the main sleep changes were decreased sleep efficiency, decreased sleep onset sleep latency, increased wakefulness, decreased REM sleep and total sleep time.
Conclusions:
The abused child syndrome have abnormal sleep patterns, independent of the type of abuse, age or sex. Sleep alterations are a new characteristic of the abused child syndrome, not previously described.
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