Related Experiment Video

Updated: Jun 5, 2026

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea
07:54

Drug-Induced Sleep Endoscopy (DISE) with Target Controlled Infusion (TCI) and Bispectral Analysis in Obstructive Sleep Apnea

Published on: December 6, 2016

Behavioral sleep disturbances in children clinically referred for evaluation of obstructive sleep apnea

Kelly Byars1, Polporn Apiwattanasawee, Anchalee Leejakpai

  • 1Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, ML 2021, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA. Kelly.Byars@cchmc.org

Sleep Medicine
|January 18, 2011
PubMed

Insights

Many children evaluated for obstructive sleep apnea (OSA) also have behavioral sleep disturbances (BSD). Clinicians must address both conditions for comprehensive care.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology

Background:

  • Obstructive sleep apnea (OSA) and behavioral sleep disturbances (BSD) negatively impact children's health.
  • The comorbidity of OSA and BSD is often underestimated in clinical practice.

Purpose of the Study:

  • To determine the prevalence of clinically significant BSD in children referred for OSA evaluation.
  • To examine the comorbidity of BSD and OSA.
  • To assess whether BSD are addressed in the medical treatment plans of these children.

Main Methods:

  • Children referred for OSA evaluation underwent polysomnography and completed the Children's Sleep Habits Questionnaire.
  • Prevalence of BSD and comorbidity with OSA were calculated.
  • Medical records were reviewed to identify documented treatment plans for BSD.

Main Results:

  • Over 50% of the children exhibited clinically significant BSD.
  • OSA and BSD coexisted in 39.46% of the study sample.
  • Between 36-54% of patients with significant BSD had no documented treatment plan for this condition.

Conclusions:

  • Children referred for OSA evaluation frequently have significant BSD, regardless of an OSA diagnosis.
  • Sleep medicine clinicians should consider BSD's impact even in children diagnosed with OSA.
  • Integrating knowledge of behavioral sleep treatments or access to services is crucial for comprehensive pediatric sleep care.
Abstract

More Related Videos

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease04:53

Acupoint Application Combined with Ear Plaster Therapy for Treating Sleep Disorders with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

Published on: October 18, 2024

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Oppositional Defiant Disorder01:30

Oppositional Defiant Disorder

A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
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...
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
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: