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Sleep Patterns and Dysfunctions in Children with Learning Problems
Ramkumar Aishworiya1, Po Fun Chan, Jennifer Sh Kiing
1Department of Paediatrics, Khoo Teck Puat-National University Children's Medical Institute, National University Health Systems, Singapore.
Insights
Children with learning problems experience more sleep-disordered breathing and morning sleepiness than typically developing peers. Early screening for these sleep issues is recommended for children with learning difficulties.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Psychology
- Child Neurology
Background:
- Learning problems in children are often associated with various health and developmental issues.
- Sleep disturbances can significantly impact a child's cognitive function and behavior.
- Understanding sleep patterns in children with learning difficulties is crucial for effective intervention.
Purpose of the Study:
- To investigate and compare sleep patterns and dysfunctions in children with learning problems versus a typically developing population.
- To identify specific sleep issues that are more prevalent in children with learning challenges.
Main Methods:
- A cross-sectional study involving parents of children aged 2-6 years.
- Utilized the validated Children's Sleep Habits Questionnaire (CSHQ) with 200 children with learning problems and 372 typically developing children.
- Assessed sleep behaviors, sleep-disordered breathing, and daytime symptoms via parent-reported questionnaires.
Main Results:
- Children with learning problems showed significantly higher rates of sleep-disordered breathing symptoms (snoring, noisy/difficult breathing).
- These children also exhibited more irritability upon waking, difficulty getting out of bed, and slower alertness.
- While daytime drowsiness was less, 15% of children with learning problems had reported sleep problems compared to 9% in the typically developing group.
Conclusions:
- Sleep-disordered breathing and morning sleepiness symptoms are more common in children with learning problems.
- Daytime lethargy symptoms were comparable between the groups.
- Routine outpatient screening for sleep issues is recommended for children diagnosed with learning difficulties.
Introduction:
This study aimed to determine the sleep patterns and dysfunctions in children with learning problems in comparison against a local population-based sample.
Materials And Methods:
Parents of 200 children with learning problems and 372 parents of a local population-based sample of typically developing (TD) children were recruited to complete a questionnaire on their child's sleep patterns and sleep problems. The Children's Sleep Habits Questionnaire (CSHQ) is a validated parent-reported sleep screening questionnaire that contains 54 items identifying sleep behaviours in children.
Results:
The mean age of the sample was 4.2 years (SD: 1.4; range, 2 to 6 years). Sleep duration was similar between the 2 groups. The difference in mean CSHQ subscale scores between children with learning problems and TD children was significant for sleep-disordered breathing (1.3 vs 1.2, P = 0.001). Among children with learning problems, 36.5% snored (vs 26.6% of TD children), 30.5% had noisy breathing (vs 18.8%), and 9.0% (vs 4.6%) experienced difficulty breathing 2 or more times a week. Children with learning problems woke up in a more irritable mood (P = 0.01), had more difficulty in getting out of bed (P <0.001), and took a longer time to be alert (P <0.001). They exhibited fewer behaviours of daytime drowsiness (P = 0.009). Among this group of children, 15.0% of parents reported that their child had a sleep problem compared to 9.0% in the TD group.
Conclusion:
Sleep breathing disorders and symptoms of morning sleepiness are more prevalent in children with learning problems. Symptoms of daytime lethargy are similar between the 2 groups. We suggest that a simple outpatient screening targeted at these problems be instituted in the initial workup of any child with learning difficulties.
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