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Sleep problems in children and adolescents with common medical conditions
Amy S Lewandowski1, Teresa M Ward, Tonya M Palermo
1Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA 98145-5005, USA.
Insights
Untreated sleep disturbances and sleep disorders in children lead to adverse daytime effects and poor health. Medically ill children experience more sleep issues, requiring multidisciplinary care for better outcomes.
Area of Science:
- Pediatric Health
- Sleep Medicine
- Clinical Pediatrics
Background:
- Sleep disturbances and disorders significantly impact children's daytime functioning and long-term health.
- Children with acute or chronic medical conditions exhibit higher rates of sleep disturbances than healthy children.
- These disturbances can stem from sleep disorders, co-occurring conditions, disease mechanisms, treatments, or hospitalization.
Purpose of the Study:
- To highlight the adverse consequences of untreated sleep disturbances in children.
- To emphasize the increased prevalence of sleep issues in medically ill children.
- To advocate for a comprehensive clinical management approach for pediatric sleep disturbances.
Main Methods:
- Review of literature on pediatric sleep disturbances and medical conditions.
- Analysis of factors contributing to sleep disturbances in medically ill children.
- Synthesis of clinical management strategies for pediatric sleep issues.
Main Results:
- Untreated sleep problems in children result in significant adverse daytime consequences.
- Medically ill children are at higher risk for sleep disturbances compared to healthy peers.
- Sleep disturbances in this population are multifactorial, linked to conditions, treatments, and hospitalization.
Conclusions:
- A multidisciplinary approach is crucial for managing sleep disturbances in children.
- Routine sleep assessments are essential for early detection and intervention.
- Preventing daytime consequences and promoting healthy sleep habits are key to improving health outcomes in children.
Abstract:
Untreated sleep disturbances and sleep disorders pose significant adverse daytime consequences and place children at considerable risk for poor health outcomes. Sleep disturbances occur at a greater frequency in children with acute and chronic medical conditions compared with otherwise healthy peers. Sleep disturbances in medically ill children can be associated with sleep disorders, comorbid with acute and chronic conditions, or secondary to underlying disease-related mechanisms, treatment regimens, or hospitalization. Clinical management should include a multidisciplinary approach with particular emphasis on routine, regular sleep assessments and prevention of daytime consequences, and promotion of healthy sleep habits and health outcomes.
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