Management of sleep disorders among children and adolescents with neurodevelopmental disorders: A practical guide for clinicians  

作　　者：Michael O Ogundele Chinnaiah Yemula 

机构地区：[1]Department of Community Paediatrics,Bridgewater Community Healthcare NHS Foundation Trust,Halton District,Runcorn WA71TW,United Kingdom [2]Department of Community Paediatrics,Bedfordshire Community Health Services,Cambridgeshire Community Services NHS Trust,St Ives PE274LG,United Kingdom

出　　处：《World Journal of Clinical Pediatrics》2022年第3期239-252,共14页世界临床儿科杂志

摘　　要：There is a complex relationship between sleep disorders and childhood neurodevelopmental,emotional,behavioral and intellectual disorders(NDEBID).NDEBID include several conditions such as attention deficit/hyperactivity disorder,autism spectrum disorder,cerebral palsy,epilepsy and learning(intellectual)disorders.Up to 75%of children and young people(CYP)with NDEBID are known to experience different types of insomnia,compared to 3%to 36%in normally developing population.Sleep disorders affect 15%to 19%of adolescents with no disability,in comparison with 26%to 36%among CYP with moderate learning disability(LD)and 44%among those with severe LD.Chronic sleep deprivation is associated with significant risks of behavioural problems,impaired cognitive development and learning abilities,poor memory,mood disorders and school problems.It also increases the risk of other health outcomes,such as obesity and metabolic consequences,significantly impacting on the wellbeing of other family members.This narrative review of the extant literature provides a brief overview of sleep physiology,aetiology,classification and prevalence of sleep disorders among CYP with NDEBIDs.It outlines various strategies for the management,including parenting training/psychoeducation,use of cognitive-behavioral strategies and pharmacotherapy.Practical management including assessment,investigations,care plan formulation and follow-up are outlined in a flow chart.

关 键 词：Sleep Emotional Behavioural difficulties Neurodevelopmental disorders PHARMACOTHERAPY Non-pharmacologic interventions Cognitive therapy MELATONIN Adolescents PSYCHOEDUCATION 

分 类 号：R740[医药卫生—神经病学与精神病学]