Sleep architecture and behavioral abnormalities in children and adolescents

TY - JOUR

T1 - Sleep architecture and behavioral abnormalities in children and adolescents

AU - Reeves, Gloria

AU - Blaisdell, Carol

AU - Lapidus, Manana

AU - Langenberg, Patricia

AU - Ramagopal, Maya

AU - Cabassa, Johanna

AU - Bollinger, Mary Beth

AU - Nijjar, Gagan Virk

AU - Anthony, Bruno

AU - Achenbach, Thomas

AU - Postolache, Teodor T.

PY - 2010

Y1 - 2010

N2 - Objective: To investigate the association between sleep disordered breathing (SDB) and parent report of attention and behavioral problems in children, as well as the association between sleep stage duration and measures of child functioning in a clinically referred sample. Methods: A chart review was conducted of 95 children with clinical history of SDB who completed an overnight polysomnography study in a pediatric sleep laboratory. Child functioning was assessed at the time of the sleep study by parent report on the Child Behavior Checklist (CBCL). The apnea hypopnea index was used as a measure of SDB severity. Results: The apnea hypopnea index was associated with externalizing behavior, but not attention problems on the CBCL. In children 2-3 years old, stage 4 sleep duration was associated with externalizing behavior. In children 4-16 years old, REM sleep duration was associated with externalizing behavior. Conclusions: Children with increased SDB severity may be at greater risk for behavioral problems. Differences between the association of sleep stages and externalizing behavior in toddlers compared with older children suggests possible developmental differences in the association between sleep and behavior.

AB - Objective: To investigate the association between sleep disordered breathing (SDB) and parent report of attention and behavioral problems in children, as well as the association between sleep stage duration and measures of child functioning in a clinically referred sample. Methods: A chart review was conducted of 95 children with clinical history of SDB who completed an overnight polysomnography study in a pediatric sleep laboratory. Child functioning was assessed at the time of the sleep study by parent report on the Child Behavior Checklist (CBCL). The apnea hypopnea index was used as a measure of SDB severity. Results: The apnea hypopnea index was associated with externalizing behavior, but not attention problems on the CBCL. In children 2-3 years old, stage 4 sleep duration was associated with externalizing behavior. In children 4-16 years old, REM sleep duration was associated with externalizing behavior. Conclusions: Children with increased SDB severity may be at greater risk for behavioral problems. Differences between the association of sleep stages and externalizing behavior in toddlers compared with older children suggests possible developmental differences in the association between sleep and behavior.

KW - Apnea

KW - Child behavior checklist

KW - Pediatric behavior problems

KW - Sleep disordered breathing

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U2 - https://doi.org/10.1515/IJAMH.2010.22.4.535

DO - https://doi.org/10.1515/IJAMH.2010.22.4.535

M3 - Article

C2 - 21404884

SN - 0334-0139

VL - 22

SP - 535

EP - 545

JO - International Journal of Adolescent Medicine and Health

JF - International Journal of Adolescent Medicine and Health

IS - 4

ER -