Aspects of sleep disorders in children and adolescents

Gregory Stores1

  • 1Department of Psychiatry, University of Oxford, UK. gregory.stores@psych.ox.ac.uk

Insights

Pediatric sleep disorders are under-recognized and under-treated, impacting child development. This article highlights key differences in childhood sleep disorders and their clinical management.

Area of Science:

  • Pediatric Sleep Medicine
  • Developmental Psychology
  • Clinical Neurology

Background:

  • Sleep disorders in children and adolescents are frequently overlooked in public health and professional training.
  • Despite accumulated knowledge, poor dissemination limits practical application of sleep disorder management strategies.
  • This article addresses the clinical and research relevance of pediatric sleep disorders.

Purpose of the Study:

  • To discuss key aspects of sleep disorders in children and adolescents relevant to clinical practice.
  • To differentiate pediatric sleep disorders from adult conditions and identify common issues.
  • To emphasize the distinction between sleep problems and their underlying sleep disorders.

Main Methods:

  • Review of clinical practice guidelines and relevant literature on pediatric sleep disorders.
  • Analysis of developmental differences in sleep disturbances across age groups.
  • Exploration of diagnostic challenges, particularly in differentiating parasomnias.

Main Results:

  • Sleep disorders in youth have distinct characteristics compared to adults, affecting psychological and physical development.
  • Common sleep disturbances vary significantly with age throughout development.
  • Differential diagnosis is crucial, especially for parasomnias often misidentified.

Conclusions:

  • There is a critical need to improve awareness and management of sleep disorders in children and adolescents.
  • Understanding age-specific sleep disturbances and accurate diagnosis are essential for effective intervention.
  • Bridging the gap between research knowledge and clinical practice is vital for improving pediatric sleep health.

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,...
Narcolepsy01:07

Narcolepsy

Narcolepsy is a chronic sleep disorder characterized by pervasive, uncontrolled sleepiness and other sleep disturbances. One of its hallmark symptoms is an abrupt transition to REM sleep upon falling asleep, which causes symptoms typically associated with this phase to occur unexpectedly during wakefulness. These include the following symptoms, which typically last from a minute or two to half an hour.
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...
Insomnia01:27

Insomnia

Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...