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The effect of sleep restriction on neurobehavioural functioning in normally developing children and adolescents:
J Cassoff1, J A Bhatti2, R Gruber3
1Attention behavior and sleep laboratory, Douglas mental health university institute, 6875, LaSalle Boulevard, H4H 1R3 Verdun, QC, Canada; Department of psychology, McGill university, 1205, Dr.-Penfield, H3A 1B1 Montreal, QC, Canada.
Insights
Sleep restriction negatively impacts neurobehavioral functioning (NBF) in children. Further research is needed to clarify this causal link, with improved methods enhancing understanding of sleep restriction effects on child development.
Area of Science:
- Neuroscience
- Developmental Psychology
- Sleep Medicine
Background:
- The Attention, Behavior, and Sleep (ABS) laboratory investigates sleep's role in ADHD, obesity, and academic performance.
- This paper focuses on the association between sleep restriction and neurobehavioral functioning (NBF) in typically developing children.
Purpose of the Study:
- To review existing research on sleep restriction and NBF in children.
- To highlight the methodological contributions of the ABS lab in this research area.
- To clarify the causal relationship between sleep restriction and NBF.
Main Methods:
- Review of 13 studies on experimental sleep restriction and NBF in pediatric populations.
- Emphasis on ABS lab's unique methods: home-based sleep assessment, extensive phenotyping, and standardized NBF assessments.
- Inclusion of strategies like rater blinding and customized sleep restriction protocols.
Main Results:
- Eight of the 13 reviewed studies indicated that sleep restriction impairs NBF.
- Inconsistencies in outcome measures, protocols, and statistical power limit current interpretations.
- ABS lab's methods aim to address these limitations for clearer causal inference.
Conclusions:
- Sleep restriction is a significant factor affecting neurobehavioral functioning in children.
- Methodological rigor is crucial for understanding the precise impact of sleep restriction.
- Further research using advanced methodologies is necessary to confirm the causal relationship and inform interventions.
Abstract:
In the current paper, we first introduce the research themes of the attention, behaviour and sleep (ABS) laboratory, namely, sleep and ADHD, sleep and obesity, and sleep and academic performance. We then focus in on the topic to be reviewed in the current paper - the association between sleep restriction and neurobehavioral functioning (NBF) in typically developing children. We review the research thus far conducted by the ABS lab specific to this topic and posit the unique methodological contributions of the ABS lab (e.g. home-based assessment of sleep architecture and patterns, extensive phenotyping, etc.) in terms of advancing this research area. In the second section of the paper, we review 13 studies investigating the causal association between experimental sleep restriction and NBF in normally developing pediatric populations. Eight of the 13 studies found that sleep restriction causes impairments in neurobehavioural functioning. However, given the inconsistency in outcome measures, experimental protocols and statistical power, the studies reviewed herein are difficult to interpret. Strategies used by the ABS including implementing home assessments of sleep, restricting sleep relative to the participants' typical sleep schedules, blinding raters who assess NBF, and using valid and reliable NBF assessments are an attempt to address the gaps in this research area and clarify the causal relationship between sleep restriction and NBF in typically developing children and adolescents.
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