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Hypersomnia in children: interface with psychiatric disorders.

Suresh Kotagal¹

¹Department of Neurology, Division of Child Neurology, The Center for Sleep Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. kotagal.suresh@mayo.edu

Child and Adolescent Psychiatric Clinics of North America

|October 20, 2009

Summary

Daytime sleepiness in children can signal underlying mood or behavioral issues, while hypersomnia may present with psychiatric symptoms. Addressing sleep disorders improves alertness and quality of life in pediatric patients.

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Area of Science:

Pediatric Psychiatry
Sleep Medicine
Child Psychology

Background:

Daytime sleepiness is common in pediatric patients with behavior and mood disturbances.
Conversely, hypersomnia patients may exhibit mood or behavioral issues.
The overlap suggests a complex relationship between sleep and psychiatric conditions in youth.

Purpose of the Study:

To explore the diverse etiologies of daytime sleepiness in children and adolescents.
To highlight the connection between sleep disorders and psychiatric symptoms.
To emphasize the importance of considering sleep issues in psychiatric evaluations.

Main Methods:

Literature review of pediatric sleep and psychiatric disorders.
Analysis of patient presentations in child psychiatry and sleep clinics.
Synthesis of etiological factors for daytime sleepiness.

Main Results:

Diverse causes of daytime sleepiness include poor sleep hygiene, sleep apnea, delayed sleep phase syndrome, idiopathic hypersomnia, periodic hypersomnia, narcolepsy, and mood disorders.
Psychiatric symptoms can be presenting features of underlying sleep disorders.
Effective treatment of sleep disorders positively impacts alertness and quality of life.

Conclusions:

A high index of suspicion for sleep problems is crucial in children and adolescents with psychiatric disorders.
Integrated approaches to diagnosing and treating both sleep and psychiatric conditions are beneficial.
Recognizing the bidirectional relationship improves patient outcomes.