The Role of Sleep in Childhood Psychiatric Disorders

Overview

Journal Child Youth Care Forum

Specialty Pediatrics

Date 2009 Dec 5

PMID 19960111

Citations 55

Authors

Candice A Alfano

Amanda L Gamble

Affiliations

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Abstract

Although sleep problems often comprise core features of psychiatric disorders, inadequate attention has been paid to the complex, reciprocal relationships involved in the early regulation of sleep, emotion, and behavior. In this paper, we review the pediatric literature examining sleep in children with primary psychiatric disorders as well as evidence for the role of early sleep problems as a risk factor for the development of psychopathology. Based on these cumulative data, possible mechanisms and implications of early sleep disruption are considered. Finally, assessment recommendations for mental health clinicians working with children and adolescents are provided toward reducing the risk of and improving treatments for sleep disorders and psychopathology in children and adolescents.

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References

Richdale A . Sleep problems in autism: prevalence, cause, and intervention. Dev Med Child Neurol. 1999; 41(1):60-6. DOI: 10.1017/s0012162299000122. View

Owens J, Spirito A, McGuinn M, Nobile C . Sleep habits and sleep disturbance in elementary school-aged children. J Dev Behav Pediatr. 2000; 21(1):27-36. DOI: 10.1097/00004703-200002000-00005. View

Alfano C, Pina A, Zerr A, Villalta I . Pre-sleep arousal and sleep problems of anxiety-disordered youth. Child Psychiatry Hum Dev. 2009; 41(2):156-67. PMC: 2818382. DOI: 10.1007/s10578-009-0158-5. View

Sadeh A, McGuire J, Sachs H, Seifer R, Tremblay A, Civita R . Sleep and psychological characteristics of children on a psychiatric inpatient unit. J Am Acad Child Adolesc Psychiatry. 1995; 34(6):813-9. DOI: 10.1097/00004583-199506000-00023. View

Corkum P, Moldofsky H, Hogg-Johnson S, Humphries T, Tannock R . Sleep problems in children with attention-deficit/hyperactivity disorder: impact of subtype, comorbidity, and stimulant medication. J Am Acad Child Adolesc Psychiatry. 1999; 38(10):1285-93. DOI: 10.1097/00004583-199910000-00018. View

Owens J . The ADHD and sleep conundrum: a review. J Dev Behav Pediatr. 2005; 26(4):312-22. DOI: 10.1097/00004703-200508000-00011. View

Buysse D, Ancoli-Israel S, Edinger J, Lichstein K, Morin C . Recommendations for a standard research assessment of insomnia. Sleep. 2006; 29(9):1155-73. DOI: 10.1093/sleep/29.9.1155. View

Shaffer D, Fisher P, Dulcan M, Davies M, Piacentini J, Lahey B . The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA Study. Methods for the Epidemiology of Child and Adolescent Mental Disorders Study. J Am Acad Child Adolesc Psychiatry. 1996; 35(7):865-77. DOI: 10.1097/00004583-199607000-00012. View

Schreck K, Mulick J, Smith A . Sleep problems as possible predictors of intensified symptoms of autism. Res Dev Disabil. 2004; 25(1):57-66. DOI: 10.1016/j.ridd.2003.04.007. View

10.

Sadeh A, Pergamin L, Bar-Haim Y . Sleep in children with attention-deficit hyperactivity disorder: a meta-analysis of polysomnographic studies. Sleep Med Rev. 2006; 10(6):381-98. DOI: 10.1016/j.smrv.2006.03.004. View

11.

Wagner K, Berard R, Stein M, Wetherhold E, Carpenter D, Perera P . A multicenter, randomized, double-blind, placebo-controlled trial of paroxetine in children and adolescents with social anxiety disorder. Arch Gen Psychiatry. 2004; 61(11):1153-62. DOI: 10.1001/archpsyc.61.11.1153. View

12.

Liu X, Buysse D, Gentzler A, Kiss E, Mayer L, Kapornai K . Insomnia and hypersomnia associated with depressive phenomenology and comorbidity in childhood depression. Sleep. 2007; 30(1):83-90. DOI: 10.1093/sleep/30.1.83. View

13.

Tanguay P, Ornitz E, Forsythe A, Ritvo E . Rapid eye movement (REM) activity in normal and autistic children during REM sleep. J Autism Child Schizophr. 1976; 6(3):275-88. DOI: 10.1007/BF01543468. View

14.

Goetz R, Hanlon C, Davies M, Thompson J, Chambers W, Tabrizi M . Sleep architecture and REM sleep measures in prepubertal children with major depression: a controlled study. Arch Gen Psychiatry. 1982; 39(8):932-9. DOI: 10.1001/archpsyc.1982.04290080046007. View

15.

Carskadon M . Patterns of sleep and sleepiness in adolescents. Pediatrician. 1990; 17(1):5-12. View

16.

Rohde P, Lewinsohn P, Seeley J . Comorbidity of unipolar depression: II. Comorbidity with other mental disorders in adolescents and adults. J Abnorm Psychol. 1991; 100(2):214-22. View

17.

Alfano C, Ginsburg G, Kingery J . Sleep-related problems among children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry. 2007; 46(2):224-32. DOI: 10.1097/01.chi.0000242233.06011.8e. View

18.

Konofal E, Lecendreux M, Arnulf I, Mouren M . Iron deficiency in children with attention-deficit/hyperactivity disorder. Arch Pediatr Adolesc Med. 2004; 158(12):1113-5. DOI: 10.1001/archpedi.158.12.1113. View

19.

Patzold L, Richdale A, Tonge B . An investigation into sleep characteristics of children with autism and Asperger's Disorder. J Paediatr Child Health. 1999; 34(6):528-33. DOI: 10.1046/j.1440-1754.1998.00291.x. View

20.

Gregory A, Eley T, OConnor T, Plomin R . Etiologies of associations between childhood sleep and behavioral problems in a large twin sample. J Am Acad Child Adolesc Psychiatry. 2004; 43(6):744-51. DOI: 10.1097/01.chi/0000122798.47863.a5. View