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Published on: October 11, 2018
[Treatment of sleep disorders in neurodevelopmental disorders]
María Angeles Idiazabal1, Montserrat Palau1, Xavi Bello1
1Instituto Neurocognitivo INCIA. Barcelona, España.
Insights
Sleep disorders significantly impact children's neurological development, with higher prevalence in those with neurodevelopmental disorders (NDDs). Early sleep assessment is crucial for diagnosis and improving quality of life.
Area of Science:
- Pediatric Neurology
- Developmental Psychology
- Sleep Medicine
Context:
- Sleep disorders (SD) are prevalent in the general pediatric population (6-25%).
- Children with neurodevelopmental disorders (NDDs), including autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD), exhibit a significantly higher prevalence of SDs (50-80%).
Purpose:
- To highlight the substantial impact of sleep disorders on neurological development in children.
- To emphasize the increased occurrence of sleep difficulties in children with NDDs.
- To advocate for the integration of sleep assessment into routine clinical evaluations for children with NDDs.
Summary:
- Children with NDDs experience more frequent issues with falling asleep, nocturnal awakenings, and daytime sleepiness.
- Circadian rhythm disturbances and respiratory sleep disorders are also noted in this population.
- These sleep problems lead to decreased alertness, behavioral and emotional issues, and academic challenges, including executive and memory dysfunctions.
Impact:
- Addressing sleep disorders in children with NDDs can mitigate cognitive, emotional, and behavioral deficits.
- Systematic sleep assessment facilitates accurate diagnosis and tailored treatment plans.
- Improved sleep management enhances the overall quality of life for affected children and their families.
Abstract:
Sleep disorders are common in children and affect neurological development with important cognitive, emotional and behavioral repercussions. There is a high prevalence of sleep disorders (SD) in neurodevelopmental disorders (NDD) such as autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD). Sleep disorders in pediatric population have a prevalence of 6-25%, while in children with NDD this number rises to 50-80%. In NDDs, higher rates of difficulties in falling asleep, nocturnal awakenings and daytime sleepiness are observed. Disturbances in the circadian rhythm as well as respiratory sleep disorders are also observed. Consequently, there is a decrease in alertness for daytime activities with increased behavioral disorders, emotional problems and academic difficulties associated with executive and memory dysfunctions. Sleep assessment has to be a systemic part in the clinical evaluation of children with NDDs, so as to give a convenient diagnosis and treatment in each case, allowing to improve the quality of life of children and their families.
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