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Published on: October 2, 2019
Sleep in children with Williams Syndrome
Thornton B A Mason1, Raanan Arens, Jaclyn Sharman
1Sleep Center, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. masont@email.chop.edu
Insights
Children with Williams Syndrome (WS) exhibit distinct sleep patterns, including reduced sleep efficiency and increased arousals. These sleep disturbances may be genetically influenced and linked to behavioral issues like ADHD.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
- Genetics
Background:
- Williams Syndrome (WS) is a genetic disorder associated with developmental and behavioral challenges.
- Sleep disturbances are frequently reported in children with WS, but specific polysomnographic features remain underexplored.
Purpose of the Study:
- To characterize polysomnographic sleep features in children with Williams Syndrome (WS).
- To compare sleep patterns in WS to healthy controls.
- To investigate potential associations between sleep disturbances and behavior in WS.
Main Methods:
- Overnight polysomnography and performance testing were conducted in 35 children with genetically-confirmed WS and 35 matched controls.
- Parental questionnaires assessed sleep and behavior in all participants.
Main Results:
- Children with WS demonstrated significantly reduced sleep efficiency and increased respiratory-related arousals compared to controls.
- WS subjects experienced greater difficulty initiating sleep, increased restlessness, and more frequent arousals.
- Fifty-two percent of WS subjects displayed features consistent with attention deficit-hyperactivity disorder (ADHD).
Conclusions:
- Children with Williams Syndrome exhibit significantly altered sleep architecture and quality compared to controls.
- Observed sleep differences in WS may stem from underlying genetic factors.
- Sleep disturbances in WS warrant further investigation for their impact on behavior and development.
Objective:
To analyze sleep in children with Williams Syndrome (WS) compared to normal healthy controls in order to determine whether particular sleep features are characteristic of WS, and to explore associations between disturbed sleep and behavior.
Methods:
Thirty-five children with genetically-confirmed WS and 35 matched controls underwent overnight polysomnography and performance testing in the Sleep Center at the Children's Hospital of Philadelphia. Parents completed questionnaires regarding the subjects' sleep and behavior.
Results:
WS subjects had significantly different sleep than controls, with decreased sleep efficiency, increased respiratory-related arousals and increased slow wave sleep on overnight polysomnography. WS subjects were also noted to have more difficulty falling asleep, with greater restlessness and more arousals from sleep than controls. Fifty-two percent of WS subjects had features of attention deficit-hyperactivity disorder.
Conclusion:
Children with WS had significantly different sleep than controls in our sample. These differences demonstrated in our study may reflect genetic influences on sleep.
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