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[A Child's Sleep: A Book with Seven Seals? A Guide to Systematic Problem Identification and Solution]
Alexandre N Datta1,2, Daniel Trachsel2,3
11 Abteilung für Neuro- und Entwicklungspädiatrie, Universitäts-Kinderspital beider Basel, Universität Basel.
Insights
This guide explains how to identify and solve childhood sleep problems using the BEARS questionnaire. It helps determine which sleep issues require immediate medical attention versus specialized care.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Psychology
Background:
- Childhood sleep disturbances are common and impact both children and parents.
- Parents often seek medical advice for these issues.
Purpose of the Study:
- To introduce the BEARS questionnaire for initial diagnosis of childhood sleep problems.
- To guide physicians in assessing the urgency and type of intervention needed for pediatric sleep disorders.
Main Methods:
- Utilizing the BEARS (Bedtime problems, Affect,بیداری, Regularity/duration, Snoring) questionnaire.
- Classifying sleep issues based on key symptoms.
Main Results:
- The BEARS questionnaire facilitates early diagnostic steps for common childhood sleep problems.
- It helps differentiate between issues manageable in primary care and those needing specialist referral.
Conclusions:
- The BEARS tool aids in systematic problem identification for pediatric sleep disturbances.
- It empowers physicians to make informed decisions regarding referral to specialized sleep centers.
Abstract:
A Child's Sleep: A Book with Seven Seals? A Guide to Systematic Problem Identification and Solution Abstract. The sleep of a child can be influenced and sometimes disturbed by many, often development-associated, phenomena. This results not only in a burden for the child, but regularly also for the parents, who in their need for help, often seek the advice of the attending physician. The child- and adolescent-specific questionnaire BEARS, which was developed by J. Owens and K. Mindell, allows the first diagnostic steps and classifications based on the most important symptoms such as bedtime problems, excessive daytime sleepiness, waking up at night, problems with regularity and sleep duration as well as nocturnal breathing disorders. The aim of this article is to show that important conclusions can be drawn in the everyday practice as to which symptoms need to be clarified how and how urgently, and which belong in the hands of a specialized sleep center.