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Published on: October 11, 2018
The Role of Sleep in Childhood Psychiatric Disorders
Candice A Alfano1, Amanda L Gamble
1Children's National Medical Center, The George Washington University School of Medicine.
Insights
Early sleep problems in children significantly impact emotional and behavioral regulation, increasing psychopathology risk. Addressing these sleep issues is crucial for effective mental health treatment and prevention in youth.
Area of Science:
- Pediatric psychiatry
- Developmental psychology
- Sleep medicine
Background:
- Sleep problems are core features of psychiatric disorders in children.
- The reciprocal relationship between early sleep, emotion, and behavior regulation is understudied.
- Early sleep disturbances may be a risk factor for psychopathology.
Purpose of the Study:
- Review the pediatric literature on sleep in children with psychiatric disorders.
- Examine the role of early sleep problems as a risk factor for psychopathology.
- Consider mechanisms and implications of early sleep disruption.
Main Methods:
- Systematic review of pediatric literature.
- Analysis of evidence linking early sleep problems to psychopathology.
- Synthesis of data to propose mechanisms and implications.
Main Results:
- Children with primary psychiatric disorders frequently exhibit sleep problems.
- Evidence supports early sleep disruption as a risk factor for developing psychopathology.
- Sleep, emotion, and behavior regulation are intricately linked from early development.
Conclusions:
- Early sleep problems are significant in pediatric mental health.
- Clinicians should assess and treat sleep disorders in children and adolescents.
- Interventions targeting early sleep disruption may reduce psychopathology risk and improve treatment outcomes.
Abstract:
Although sleep problems often comprise core features of psychiatric disorders, inadequate attention has been paid to the complex, reciprocal relationships involved in the early regulation of sleep, emotion, and behavior. In this paper, we review the pediatric literature examining sleep in children with primary psychiatric disorders as well as evidence for the role of early sleep problems as a risk factor for the development of psychopathology. Based on these cumulative data, possible mechanisms and implications of early sleep disruption are considered. Finally, assessment recommendations for mental health clinicians working with children and adolescents are provided toward reducing the risk of and improving treatments for sleep disorders and psychopathology in children and adolescents.
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