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Published on: October 11, 2018
Sleep and Circadian Disturbances in Children With Neurodevelopmental Disorders
Sharon Tamir1, Thomas J Dye2, Rochelle M Witt2
1University of Cincinnati College of Medicine, Cincinnati, OH; Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Insights
Sleep problems are common in neurodevelopmental disorders (NDDs). These issues stem from factors impacting sleep and circadian rhythms, potentially causing a "developmental and sleep/circadian-related encephalopathy."
Area of Science:
- Neuroscience
- Developmental Biology
- Sleep Medicine
Background:
- Sleep problems are highly prevalent in individuals with neurodevelopmental disorders (NDDs).
- These sleep disturbances are hypothesized to arise from multiple factors impacting sleep and circadian processes.
- This bidirectional relationship may lead to a
- developmental and sleep/circadian-related encephalopathy.
Approach:
- This review examines specific NDDs with identified or suspected sleep and circadian phenotypes.
- It highlights critical factors in assessing and managing sleep and circadian disorders within these populations.
- The review synthesizes current understanding of sleep disturbances in NDDs.
Key Points:
- Neurodevelopmental disorders (NDDs) frequently present with sleep and circadian rhythm disruptions.
- These disruptions can exacerbate developmental trajectories and neurological function.
- Understanding these phenotypes is crucial for effective clinical management.
Conclusions:
- Sleep and circadian dysregulation is a significant, often overlooked, issue in NDDs.
- Addressing sleep problems is essential for improving overall development and neurological health in NDD populations.
- Further research and tailored interventions are needed for sleep and circadian disorders in NDDs.
Abstract:
Sleep problems are highly prevalent in those with neurodevelopmental disorders (NDDs). We propose this is secondary to multiple factors that directly and indirectly negatively impact sleep and circadian processes in those with NDDs, which in turn, further perturbs development, resulting in a "developmental and sleep/circadian-related encephalopathy." In this review, we discuss select NDDs with known or suspected sleep and circadian phenotypes. We also highlight important considerations when evaluating and treating sleep and circadian disorders in these populations.
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