Sleep disturbances may include difficulty
settling, sleep onset delay/insomnia, night wakings, excessive daytime fatigue,
nightmares, parasomnias, bedtime refusal, and sleep disordered breathing
problems such as obstructive sleep apnea. The common causes of sleep
disturbances include a variety of medical, psychological, developmental, and
environmental factors which in isolation or in combination may contribute to or
maintain a child’s sleep disturbances.
This study explored
characteristics of sleep and other presenting problems in children and
adolescents seeking mental health services within an outpatient clinic. Primary
caregivers seeking outpatient mental health services for their children between
the ages of 2 - 18 completed a measure assessing various aspects of their
children’s sleep, emotional and behavioral problems, and use of electronics at
bedtime. The study measure included demographic questions regarding age,
gender, and ethnicity and was administered at
outpatient intake appointments.
The results showed
reduced sleep durations compared to recommended guidelines. Results also
indicated that sleep duration was negatively associated with the total number
of problems listed for both the youngest and school aged groups. Children and
adolescents with worries and fears, irritability, and mood swings had
significantly less sleep, and participants with sadness had longer sleep
latencies. Regarding use of electronics, participants with televisions in the
bedroom reported significantly less hours of sleep than those without. The
average number of hours of television watched per week was positively
correlated with the number of minutes of sleep latency, while videogame usage
was negatively correlated with sleep duration.
In conclusion, the results
of the study indicate that sleep disturbances are significant issues impacting
youth who are experiencing mental health issues. These results also emphasize
the importance of a thorough sleep assessment for children who present for
mental health services. Furthermore, sleep
disturbances should be specifically targeted in treatment plans aside from the
more overt problems parents endorse and are seeking services for.
Article by Kimberly
E. Hunter and Michele S. Knox, from University of Toledo, Toledo, USA.
Full access: http://mrw.so/H5hyt
Image by JoanDragonfly, from
Flickr-cc.
评论
发表评论