Event-related potentials and behavior performance scores in children with sleep-disordered breathing
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Published on: October 24, 2019
Jiang Kaihua1, Yi Yang2, Zhao Fangqiao1
1Children's Health Research Center, Changzhou Children's Hospital, 213003, China.
Insights
Children with Sleep-Disordered Breathing (SDB) show cognitive deficits in attention and inhibition, particularly in the frontal brain regions. Boys with SDB may also exhibit more behavioral issues compared to girls.
Area of Science:
- Neuroscience
- Pediatrics
- Sleep Medicine
Background:
- Sleep-Disordered Breathing (SDB) affects children's development.
- Cognitive and behavioral impairments are potential consequences of SDB.
- Understanding these deficits is crucial for early intervention.
Purpose of the Study:
- To investigate cognitive impairments and behavioral abnormalities in children with SDB.
- Utilize Event-Related Potentials (ERPs), Continuous Performance Testing (CPT), and the Child Behavior Checklist (CBCL).
Main Methods:
- Recruited 108 children (6-8 years old), 54 with SDB and 54 controls.
- Administered CBCL and OSA-18 questionnaire.
- 19 SDB children and 19 controls underwent CPT and ERP analysis.
Main Results:
- No significant differences in CPT performance between SDB and control groups.
- SDB group showed altered ERP amplitudes (Go-P3, NoGo-N2) and latencies (Go-P3, NoGo-P3) in frontal regions.
- SDB boys had significantly higher CBCL scores in multiple behavioral domains.
Conclusions:
- Children with SDB exhibit cognitive deficits in conflict monitoring, attention, and inhibition, primarily in the frontal lobe.
- Inhibition dysfunction may link SDB and ADHD pathogenesis.
- Boys with SDB may present with more behavioral problems than girls.
Objective:
To explore impaired cognition characteristics and abnormal behavior in children with Sleep-Disordered Breathing (SDB) via Event-Related Potentials (ERPs), continuous performance testing (CPT), and the Child Behavior Checklist (CBCL).
Methods:
A total of 108 children aged 6-8 years old were recruited, including fifty-four children (28 boys) with SDB and fifty-four normal children (28 boys). CBCL and Chinese version of the OSA-18 questionnaire were administered. Nineteen children with SDB (OSA-18 questionnaire value >60) and Nineteen normal children completed a CPT task. ERP was extracted using the BESA software.
Results:
No significant differences in the correct number, reaction time, or the number of commission error were noted between the CPT of the two groups (P > 0.05). The ERP Go-P3 amplitudes at F3, Fz and F4 of the SDB group were significantly higher than those of the control group (P < 0.05). The NoGo-N2 amplitudes at F3 and Fz of the SDB group were significantly lower than those of the control group (P < 0.05). The Fz and F4 Go-P3 and FZ NoGo-P3 latency of the SDB group were significantly longer than those of the control group (P < 0.05). However, among boys, the CBCL scores of the SDB group including the subscores, schizo, somatic complaints, compulsion, aggression, and hyperactivity, as well as the total score, were significantly higher than the control group (all P < 0.05).
Conclusion:
Children with SDB demonstrate significant functional deficits in regard to conflict monitoring, attention, and inhibition. The frontal region is the primary area of dysfunction, especially in the left brain region, and inhibition function dysfunction may be a common pathogenesis of SDB and ADHD. Moreover, boys with SDB may exhibit more behavior problems when compared to girls.
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