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Published on: August 5, 2017
Sleep and sensory characteristics in young children with fetal alcohol spectrum disorder
Tiffany Wengel1, Ana C Hanlon-Dearman, Brenda Fjeldsted
1University of Manitoba, Winnipeg, Canada.
Insights
Children with Fetal Alcohol Spectrum Disorder (FASD) experience significant sleep disturbances, including bedtime resistance and night awakenings. Sensory processing deficits in these children are linked to these sleep problems, suggesting a need for targeted interventions.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Sleep Medicine
Background:
- Fetal Alcohol Spectrum Disorder (FASD) is a neurodevelopmental condition resulting from prenatal alcohol exposure, characterized by significant impairments.
- Sleep disruption is a common, yet understudied, symptom of FASD, negatively impacting child health, adaptive functioning, and family well-being.
Purpose of the Study:
- To characterize sleep patterns in children with FASD.
- To investigate the influence of sensory processing difficulties on sleep in children with FASD.
Main Methods:
- Compared children with FASD (3-6 years) to age-matched typically developing controls.
- Assessed sleep using actigraphy, sleep logs, and the Children's Sleep Habits Questionnaire.
- Evaluated sensory processing via the Sensory Profile™ and correlated findings with sleep parameters.
Main Results:
- Children with FASD exhibited significantly more sleep disturbances than controls, including bedtime resistance, shorter sleep duration, sleep anxiety, and increased night awakenings.
- Actigraphy confirmed significant differences in sleep onset latency between the groups.
- Widespread sensory processing deficits were identified in children with FASD.
Conclusions:
- Sensory processing deficits are prevalent in children with FASD and are associated with numerous sleep problems.
- Screening for sleep disorders and occupational therapy for sensory-based interventions are recommended for children with FASD to improve sleep regulation.
Background:
: Fetal alcohol spectrum disorder (FASD) is a syndrome that results from prenatal alcohol exposure and is defined by significant neurobehavioral impairments. Sleep disruption has been recognized as a clinically important symptom of FASD that has multiple negative effects on the child's health, ability to function adaptively, as well as on family and caregivers. However, few studies have addressed and characterized the sleep problems in this population.
Objective:
: The objective of this study was to characterize sleep in FASD and describe the impact of sensory processing difficulties on sleep patterns in children with FASD.
Methods:
: Children with FASD were compared with age-matched typically developing children between 3 and 6 years of age. Sleep was assessed using actigraphy, a sleep log, and the Children's Sleep Habits Questionnaire. The Sensory Profile™, completed by caregivers, was used to evaluate the child's sensory processing abilities. Overall differences in sensory processing were correlated with actigraphic parameters measured in alcohol exposed and control groups.
Results:
: Data show that children with FASD have significantly more sleep disturbances than typically developing children, including increased bedtime resistance, shortened sleep duration, increased sleep anxiety, and increased night awakenings and parasomnias. Actigraphy reveals a significant difference between groups for sleep onset latency.
Conclusions:
: This study demonstrates that sensory processing deficits are widespread in children with FASD and that these deficits are associated with multiple sleep problems. Children with FASD should be screened for sleep-related disorders and would benefit from occupational therapy for sensory-based treatment aimed at sleep regulation and consolidation.
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