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Published on: April 26, 2024
Survey of sleep problems amongst Singapore children in a psychiatric setting
Rathi Mahendran1, Mythily Subramaniam, Yiming Cai
1Institute of Mental Health, 10, Buangkok View, Singapore, 539747. Rathi_Mahendran@imh.com.sg
Insights
Sleep problems affect over 60% of children in Singaporean psychiatric services. Girls, those with developmental disorders, and a family history of sleep issues were more likely to experience them.
Area of Science:
- Pediatric Psychiatry
- Child Psychology
- Sleep Medicine
Background:
- Sleep problems are prevalent in children, impacting health, learning, and mental well-being.
- Associations exist between childhood sleep disturbances and behavioral/emotional symptoms.
- Chronic sleep issues include snoring, somnambulism, and bedwetting.
Purpose of the Study:
- To determine the prevalence of sleep problems in children and adolescents at Singaporean psychiatric services.
- To identify factors associated with sleep problems in this pediatric population.
Main Methods:
- A questionnaire was administered to 490 parents/guardians of children attending a child guidance clinic.
- Data collected included sociodemographics, sleep problem frequency (e.g., nightmares, enuresis), and psychiatric diagnoses.
- Psychiatric diagnoses were confirmed via case record review.
Main Results:
- Over 62% of children experienced at least one sleep problem.
- Girls showed a significantly higher prevalence of sleep problems compared to boys.
- Key predictors included female gender, developmental disorder diagnosis, and family history of sleep problems.
Conclusions:
- Sleep disturbances are common in children and adolescents seeking psychiatric care.
- Child and adolescent psychiatrists should actively screen for sleep problems, as they may not be spontaneously reported.
Background:
Sleep problems are common among children and range from transient ones to chronic problems like snoring, somnambulism and bedwetting. Sleep problems in turn impact on children's health, learning, school performance, quality of life and are often closely related to mental health problems. Population based surveys have also revealed a strong association between sleep problems and behavioral and emotional symptoms in children. The objectives of our study were to estimate the prevalence of sleep problems in children and adolescents attending psychiatric services in Singapore and to identify the correlates of sleep problems in this population.
Methods:
A total of 490 parents/guardians accompanying their children to the child guidance clinic consented to complete a questionnaire, which was used to collect both sociodemographic data and the frequency of sleep problems. These included sleep starts, confusional arousal, sleep talking, bruxism, sleep walking, sleep terrors, nightmares, sleep paralysis and nocturnal enuresis. Psychiatric diagnosis was determined from case record survey of the participating subjects.
Results:
About 62.2% (95% CI 57.8%-66.6%) of the children suffered from at least one problem. Girls were significantly more likely to suffer from sleep problems when compared with boys (chi(2)=8.5, P<0.005). The significant predictors for sleep problems were gender, diagnosis of developmental disorders and a family history of sleep problems.
Conclusions:
The study highlights the need for child and adolescent psychiatrists to inquire about sleep problems since sleep disturbances of children are frequent and may not be self-reported.
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