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Behavioral evaluation in children with obstructive sleep disorders

Sandra Fumi Hamasaki Uema1, Marla Vargas Rodrigues Vidal, Reginaldo Fujita

  • 1Discipline of Pediatric Otolaryngology, UNIFESP, Brazil.

Brazilian Journal of Otorhinolaryngology
|August 19, 2006
PubMed

Insights

This study found that 25% of children with obstructive sleep disorder exhibit abnormal behavior. Standardized assessments reveal issues in competency, somatic complaints, social problems, and aggressive behavior, highlighting a significant need for further research.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Behavioral Science

Background:

  • Obstructive sleep apnea (OSAS) in children is often associated with behavioral and neurocognitive issues.
  • Previous research has largely inferred these alterations, with limited recent studies employing standardized assessments.

Purpose of the Study:

  • To evaluate behavioral patterns in children diagnosed with obstructive sleep disorder.
  • To determine the prevalence of abnormal behavior in this pediatric population.

Main Methods:

  • A prospective study design was employed.
  • Parents of children aged 4 to 18 years completed the Child Behavior Checklist (CBCL 4/18) between January and July 2005.

Main Results:

  • The study included 20 children (60% male, 40% female).
  • A significant 25% of children presented with abnormal total problem scores on the CBCL 4/18.
  • Abnormalities were observed in introversion (10%) and extroversion (25%).
  • Individual syndrome scales showed abnormalities in 0-20% of patients, with total competency (20%), somatic complaints (10%), social problems (10%), and aggressive behavior (10%) being most frequently affected.

Conclusions:

  • This study indicates a high prevalence (25%) of abnormal behavior in children with obstructive sleep disorder.
  • The findings underscore the importance of standardized behavioral assessments in diagnosing and managing pediatric OSAS.
  • Further research is needed to fully understand and address the behavioral and neurocognitive consequences of obstructive sleep disorders in children.
Abstract

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