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Sleep problems seen in pediatric practice.

B Lozoff, A W Wolf, N S Davis

    Pediatrics
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Pediatric sleep problems like bedtime struggles and night waking may signal deeper child or family issues. Five key experiences identified children with these sleep disturbances, aiding early detection.

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    Area of Science:

    • Child Psychology
    • Pediatric Health
    • Family Studies

    Background:

    • Sleep problems are common in pediatric practice.
    • These issues include bedtime conflicts and night waking.
    • Their association with broader child or family disturbances requires investigation.

    Purpose of the Study:

    • To determine if common pediatric sleep problems are linked to pervasive child or family disturbances.
    • To identify specific factors associated with childhood sleep problems.
    • To validate these findings across different samples.

    Main Methods:

    • Studied two groups of 96 healthy children aged 6 months to 4 years.
    • Used interview data to identify and validate factors associated with sleep problems.
    • Defined sleep problems as night waking or bedtime struggles occurring >=3 nights/week with conflict/distress.

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    Main Results:

    • Approximately 30% of children in both samples met the criteria for a sleep problem.
    • Five experiences distinguished children with sleep problems: family illness/accident, maternal daytime absence, maternal depression, co-sleeping, and maternal ambivalence.
    • These factors accurately classified 100% of the pilot sample and 83% of the validation sample.

    Conclusions:

    • Childhood sleep problems can be early indicators of more significant child and family disturbances.
    • Bedtime conflicts and night waking are quantifiable behaviors that pediatricians can use for screening.
    • Identifying these sleep issues may help alert healthcare professionals to underlying problems.