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Sleep Disorders, Sleep Medication Use, and Predictors of Sleep Disturbance in Children with Persistent Tic Disorders

Valerie Swisher1, Maya Tooker1, Christine Qu2

  • 1Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.

Children'S Health Care : Journal of the Association for the Care of Children'S Health
|March 4, 2024
PubMed

Insights

Children with persistent tic disorders (PTD) frequently experience sleep disorders like insomnia and nightmares. Managing co-occurring ADHD and life impairment can help reduce sleep disturbances in these youth.

Area of Science:

  • Pediatric Neurology
  • Sleep Medicine
  • Child Psychiatry

Background:

  • Persistent tic disorders (PTD) are associated with various comorbidities.
  • Sleep disturbances are common in pediatric populations but understudied in PTD.
  • Understanding sleep patterns in PTD is crucial for comprehensive care.

Purpose of the Study:

  • To investigate the prevalence of sleep disorders and sleep medication use in children with PTD.
  • To identify predictors of sleep disturbance in this population.
  • To inform clinical management strategies for sleep issues in PTD.

Main Methods:

  • A cross-sectional internet survey was administered to parents of 63 children (aged 10-17) with PTD.
  • The survey assessed lifetime sleep disorders, current sleep medication use, and clinical symptoms.
  • Statistical analyses identified predictors of sleep disturbance.

Main Results:

  • The most common lifetime sleep disorders were insomnia (19.4%), nightmares (16.1%), and bruxism (13.1%).
  • Over half of the children (52%) reported current use of sleep medication.
  • Increased severity of attention-deficit/hyperactivity disorder (ADHD), overall life impairment, and female sex were significant predictors of greater sleep disturbance.

Conclusions:

  • Sleep disorders are prevalent in children with PTD, necessitating clinical attention.
  • Co-occurring ADHD and functional impairment are key factors contributing to sleep disturbance.
  • Targeting ADHD and impairment in clinical management may alleviate sleep problems in children with PTD.

Keywords:
ADHDTourette syndromeimpairmentmedicationsleep

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