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Published on: September 22, 2020
Aspects of sleep disorders in children and adolescents
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.
Abstract:
Sleep disorders in children and adolescents is a topic that has been, and remains, neglected in both public health education and professional training. Although much knowledge has been accumulated in recent times, it has been poorly disseminated and, therefore, relatively little is put into practice. Only some general issues can be discussed in this article. The aspects chosen relate mainly to clinical practice, but they also have relevance for research. They concern various differences between sleep disorders in children and those in adults, the occurrence of such disorders in young people, their effects on psychological and physical development, the essential (but often ignored) distinction between sleep problems and their underlying causes (i.e., sleep disorders), types of sleep disturbance encountered at different ages during development, and the differential diagnosis of certain parasomnias that are at particular risk of being confused.
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