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Published on: December 6, 2016
[Neurocognitive and behavioural abnormalities in paediatric sleep-related breathing disorders]
Eduard Esteller Moré1, Mercé Barceló Mongil, Francesc Segarra Isern
1Servicio de Otorrinolaringología, Hospital General de Catalunya, San Cugat del Vallès, Barcelona, España. esteller@abaforum.es
Insights
Children with sleep-related breathing disorders show significant behavioral and neurocognitive issues. Objective psychological tests are more effective than parental interviews for identifying these abnormalities.
Area of Science:
- Pediatric neurology
- Developmental psychology
- Sleep medicine
Context:
- Sleep-related breathing disorders (SRBDs) are increasingly recognized as potential contributors to behavioral and neurocognitive deficits in children.
- Traditional assessment methods relying on parental questionnaires have shown limitations in accurately capturing the full spectrum of these issues.
Purpose:
- To investigate the prevalence of behavioral and neurocognitive abnormalities in children diagnosed with SRBDs.
- To compare the diagnostic reliability of validated psychological tests against parental reports in this population.
Summary:
- A study involving 40 children (20 with SRBDs, 20 controls) utilized a battery of psychological tests.
- Children with SRBDs exhibited significantly higher rates of abnormalities in attention, anxiety, memory, and spatial structuring compared to controls.
- Objective psychological assessments identified more abnormalities than parental interviews, highlighting a discrepancy in perceived and actual deficits.
Impact:
- This research underscores the high prevalence of neurocognitive and behavioral challenges associated with SRBDs in children.
- It emphasizes the critical need for objective assessment tools, such as psychological testing, for accurate diagnosis and intervention planning.
- Findings suggest that parental reports alone may underestimate the impact of SRBDs on a child's development.
Introduction:
Behavioural and neurocognitive abnormalities in children may be a consequence of sleep-related breathing disorders. The effectiveness of assessments based on questioning parents is dubious and objective assessment tools are therefore required.
Aim:
To ascertain the impact of these abnormalities in children with sleep-related breathing disorders and compare the reliability of questioning parents in relation to validated psychological tests.
Method:
A prospective study was performed on 20 children with sleep-related breathing disorders and 20 healthy control children between 3 and 12 years of age. Both groups were subjected to a battery of validated psychological tests. The results of both groups were compared with each other and with the response to clinical questionnaires given to parents in the problem group.
Results:
More than 75% of the cases in the problem group presented abnormalities with regard to attention, anxiety, memory and spatial structuring. The percentage involvement in all concepts was higher in the problem group. Comparisons of attention (40% of children affected in the control group and 80% in the problem group), memory (50% and 84.2%), and spatial structuring (45% and 75%) were statistically significant. More abnormality was observed in the parameters assessed with psychological tests than the equivalent concept obtained from interviewing the parents. Comparison of abnormal concentration assessed from the questionnaires (40% of children affected) with attention during the psychological test (80%), memory (15% and 84.21%), and delayed language development (10%) compared to spatial structuring (75%) was statistically significant.
Conclusions:
A high prevalence of behavioural and neurocognitive abnormalities was observed in children with sleep-related breathing disorders compared to a control group of healthy children. The use of objective assessment such as psychological tests revealed more abnormalities than were expressed by parents in response to clinical interviews.
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