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Sleep problems and early developmental delay: implications for early intervention programs
1Albert Einstein College of Medicine, Jack and Pearl Resnick Campus, 1300 Morris Park Ave., Mazer Building., Rm. 418, Bronx, NY 10461, USA. karen.bonuck@einstein.yu.edu
Insights
Sleep disorders in young children can hinder development, impacting behavior and cognition. Early intervention evaluations should include sleep assessments to ensure timely support and maximize a child
Area of Science:
- Developmental Pediatrics
- Sleep Medicine
- Child Psychology
Background:
- Sleep disorders are prevalent in young children with developmental delays, affecting key developmental areas.
- Common sleep issues include difficulties with sleep initiation/maintenance and sleep-disordered breathing.
- Existing research often focuses on specific conditions, overlooking broader impacts.
Purpose of the Study:
- To review the impact of sleep problems across a wider range of children undergoing early intervention screening.
- To highlight the connection between sleep disorders and developmental domains assessed in early intervention.
- To advocate for the inclusion of sleep assessments in early intervention evaluations.
Main Methods:
- Literature review of studies on sleep problems in children eligible for early intervention.
- Analysis of the relationship between sleep disorders and the five developmental domains (adaptive, motor, cognitive, communication, socioemotional).
Main Results:
- Sleep disorders are common in children with developmental delays and can impede progress in adaptive and socioemotional development.
- Disordered sleep may be a symptom of underlying socioemotional or adaptive challenges.
- Assessing sleep problems can aid in establishing eligibility for early intervention services.
Conclusions:
- Integrating sleep assessments into early intervention evaluations is crucial.
- Timely identification and treatment of sleep disorders can optimize developmental potential.
- Addressing sleep issues supports overall child development and well-being.
Abstract:
Sleep disorders negatively impact behavior, cognition, and growth--the same areas targeted by early intervention. Conversely, developmental delays and disabilities may themselves precipitate sleep disorders. Young children with developmental delays experience sleep disorders at a higher rate than do typically developing children; the most common types are difficulties initiating or maintaining sleep and sleep disordered breathing. To date, attention has been focused on sleep problems in children with specific conditions (e.g., autism, genetic syndromes, prematurity, and seizure disorder). The authors review evidence of sleep problems' broader impact across the range of children screened for early intervention. Eligibility evaluations for early intervention address the five developmental domains: adaptive, motor, cognitive, communication, and socioemotional. Disordered sleep may be symptomatic of socioemotional and adaptive problems. Assessing sleep problems within the evaluation may help establish eligibility for early intervention services and would maximize developmental potential by ensuring timely identification, referral, and treatment.
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