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Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Sleep problems in preschool children at the child development center with different developmental status: A
Chi-Man Kuok1, Jia-Rou Liu2, Jao-Shwann Liang1,3
1Department of Pediatrics, Far Eastern Memorial Hospital, New Taipei, Taiwan.
Insights
Preschool children with suspected developmental delay frequently experience sleep problems, which are linked to various developmental factors. Addressing sleep issues is crucial for improving early intervention outcomes in these children.
Area of Science:
- Pediatric Development
- Sleep Medicine
- Developmental Pediatrics
Background:
- Preschool children with suspected developmental delay often present with sleep disturbances.
- The relationship between sleep problems and developmental outcomes in this population requires further investigation.
Purpose of the Study:
- To examine the association between sleep problems and developmental status in preschool children with suspected developmental delay.
- To identify factors associated with sleep disturbances and their interaction with development, particularly in preterm children.
Main Methods:
- 192 preschool children (including preterm and full-term) underwent developmental assessments (gross motor, fine motor, speech, cognitive, socio-emotional).
- Parents completed the Children's Sleep Habits Questionnaire (CSHQ).
- Correlation and network analyses were employed to explore relationships.
Main Results:
- A high prevalence of developmental delay (75.5%) and abnormal sleep habits (89% abnormal CSHQ scores) was observed.
- Sleep problems (CSHQ scores) were significantly correlated with age, gestational age, speech, cognitive, and socio-emotional development.
- Interactions between sleep problems and development were most pronounced in the preterm subgroup.
Conclusions:
- Sleep disturbances are highly prevalent in children with suspected developmental delay and are linked to multiple developmental domains.
- Screening for sleep quality and habits during multidisciplinary evaluations is recommended.
- Interventions targeting sleep problems may enhance the effectiveness of early developmental interventions.
Objective:
To investigate the relationship between sleep problems and development in preschool children with suspected developmental delay.
Methods:
A total of 192 preschool children (mean age 4 years; 131 males, 61 females) were recruited from the Child Development Clinic, including 98 preterm children and 94 age- and sex-matched full-term children. All participants underwent evaluation of gross motor, fine motor and speech performance. All parents of all participants completed the Children's Sleep Habits Questionnaire (CSHQ). Some of the participants also underwent psychological evaluation. Correlation analysis and community network analysis were used to investigate the interactions.
Results:
The developmental status was: 75.5% developmental delay, 19.3% borderline development, and 5.2% normal development. Eighty-nine percent of the subjects had abnormal CSHQ scores. Age, gestational age, speech development, cognitive development, and socio-emotional development were significantly correlated with the CSHQ. Significant interactions between sleep problems and development were noted mostly in the preterm group.
Conclusion:
High prevalence of sleep disturbances in children at the Child Development Center was noted and associated with multiple factors. Therefore, during the multidisciplinary evaluation of children with possible developmental delay, inquiring about their sleep quality and habits is strongly recommended. Mitigating sleep problems enhances the efficacy of early intervention programs.
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