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Screening for Sleep Disturbances in Children and Adolescents with Tics, Headache Disorders or Type 1 Diabetes

Charlotte P A Bengtsen1, Cecilie Paulsrud1,2, Steffen U Thorsen1,3

  • 1Department of Pediatrics, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.

Journal of Child Neurology
|April 24, 2025
PubMed

Insights

Children with medical conditions experience high rates of sleep disturbances, including increased screen time before bed. This highlights sleep issues as a critical, often overlooked, area for intervention in pediatric healthcare.

Area of Science:

  • Pediatric Health
  • Sleep Medicine
  • Clinical Research

Background:

  • Sleep is crucial for child well-being but often neglected in medically complex children.
  • Sleep disturbances are prevalent in children with conditions like tics/Tourette syndrome, headaches, and type 1 diabetes.

Purpose of the Study:

  • To screen for sleep disturbances in children with specific medical conditions.
  • To assess the prevalence of sleep issues and identify potential interventions.
  • To compare sleep patterns between children with medical conditions and healthy controls.

Main Methods:

  • A cross-sectional study involving children and adolescents aged 6-17 years.
  • Inclusion of groups with tics/Tourette syndrome, headaches, type 1 diabetes, and a healthy control group.
  • Administration of the validated Sleep Screening Questionnaire-Children and Adolescents (SSQ-CA).

Main Results:

  • 81.5% of children with medical conditions reported sleep disturbances versus 70.9% in healthy children.
  • Children with medical conditions exhibited poorer sleep quality and more frequent awakenings.
  • Increased use of screens (mobile/computer, television) before bedtime was noted in the medically conditions group.

Conclusions:

  • A high prevalence of sleep disturbances exists in children with selected medical conditions.
  • Increased pre-sleep screen time is a significant finding in this population.
  • Sleep screening and intervention should be prioritized in pediatric medical care.

Keywords:
pediatricsquestionnairesleepsleep disturbances

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