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Behavioral interventions for sleep disturbances in children with neurological and neurodevelopmental disorders: a

Natalie L Phillips1, Teleri Moore1, Arthur Teng2,3

  • 1School of Psychology, University of Sydney, Sydney, New South Wales, Australia.

Sleep
|March 13, 2020
PubMed

Insights

Behavioral sleep interventions (BSIs) effectively improve sleep disturbances in children with neurological and neurodevelopmental disorders (NNDDs). These interventions also show promise for improving behavioral problems in this population.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Behavioral Science

Background:

  • Sleep disturbances are prevalent in children with neurological and neurodevelopmental disorders (NNDDs).
  • These sleep issues negatively impact children's overall health and daily functioning.
  • Behavioral sleep interventions (BSIs) offer a potential therapeutic avenue.

Purpose of the Study:

  • To systematically review the efficacy of BSIs for children with NNDDs experiencing sleep disturbances.
  • To evaluate the impact of BSIs on both sleep outcomes and secondary functional outcomes.

Main Methods:

  • A comprehensive search of major scientific databases (MEDLINE, EMBASE, PsychINFO, CENTRAL) was performed.
  • Included studies were randomized controlled trials (RCTs) focusing on BSIs for children with NNDDs.
  • Meta-analysis and GRADE assessments were conducted for sleep and functional outcomes.

Main Results:

  • Nine RCTs involving 690 children were analyzed, with evidence quality predominantly rated as moderate.
  • BSIs demonstrated significant short-term improvements in various self-reported and objectively measured sleep parameters.
  • Positive effects were observed on behavioral problems, with some sustained at follow-up.

Conclusions:

  • Behavioral sleep interventions are effective in improving sleep in children with NNDDs in the short term.
  • Potential benefits extend to functional improvements, particularly in behavior.
  • Further high-quality RCTs with longer follow-up and broader outcome assessments are recommended.
Abstract

Keywords:
behavioral treatmentinsomniameta-analysispediatricsleep disturbance

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