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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.
Summary
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.
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