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Opposite Impact of REM Sleep on Neurobehavioral Functioning in Children with Common Psychiatric Disorders Compared to
Roumen Kirov1, Serge Brand2, Tobias Banaschewski3
1Institute of Neurobiology, Bulgarian Academy of Sciences Sofia, Bulgaria.
Insights
Rapid eye movement (REM) sleep impacts neurobehavioral functions differently in children with and without developmental psychiatric disorders. REM sleep alterations correlate with inattention and IQ, suggesting distinct roles in brain development.
Area of Science:
- Neuroscience
- Developmental Psychology
- Sleep Medicine
Background:
- Rapid eye movement (REM) sleep is linked to cognitive and behavioral functions, but its role in developmental psychiatric disorders remains unclear.
- Understanding REM sleep's function is crucial for addressing neurodevelopmental conditions.
Purpose of the Study:
- To investigate the association between polysomnographic (PSG) REM sleep measures and neurobehavioral functions in children with ADHD, Tourette syndrome/tic disorder (TD), comorbid ADHD/TD, and typically developing children (TDC).
Main Methods:
- A two-night PSG was conducted on 47 children with developmental psychiatric conditions and 22 TDC, matched for age and gender.
- Psychopathological scores and intelligence quotient (IQ) were assessed.
- Multiple regression analyses were used to examine correlations between REM sleep parameters and neurobehavioral measures.
Main Results:
- Children with psychiatric disorders exhibited increased REM sleep and shorter REM latency compared to TDC.
- In children with developmental psychopathology, REM sleep proportion positively correlated with inattention and negatively with performance IQ.
- Conversely, in TDC, REM sleep proportion negatively correlated with inattention and positively with performance IQ.
Conclusions:
- REM sleep appears to have an opposite impact on neurobehavioral functioning depending on the presence or absence of developmental psychiatric disorders.
- These findings suggest that REM sleep interacts differently with brain maturation pathways in children with and without psychiatric conditions.
Abstract:
Rapid eye movement (REM) sleep has been shown to be related to many adaptive cognitive and behavioral functions. However, its precise functions are still elusive, particularly in developmental psychiatric disorders. The present study aims at investigating associations between polysomnographic (PSG) REM sleep measurements and neurobehavioral functions in children with common developmental psychiatric conditions compared to typically developing children (TDC). Twenty-four children with attention-deficit/hyperactivity disorder (ADHD), 21 with Tourette syndrome/tic disorder (TD), 21 with ADHD/TD comorbidity, and 22 TDC, matched for age and gender, underwent a two-night PSG, and their psychopathological scores and intelligence quotient (IQ) were assessed. Major PSG findings showed more REM sleep and shorter REM latency in the children with psychiatric disorders than in the TDC. Multiple regression analyses revealed that in groups with developmental psychopathology, REM sleep proportion correlated positively with scores of inattention and negatively with performance IQ. In contrast, in the group of TDC, REM sleep proportion correlated negatively with scores of inattention and positively with performance IQ. Whilst shorter REM latency was associated with greater inattention scores in children with psychopathology, no such an association existed in the group of TDC. Altogether, these results indicate an opposite impact of REM sleep on neurobehavioral functioning, related to presence or absence of developmental psychiatric disorders. Our findings suggest that during development, REM sleep functions may interact dissimilarly with different pathways of brain maturation.
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