
Contents
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
Introduction Introduction
-
Goals of treatment Goals of treatment
-
Subjective sleep outcomes Subjective sleep outcomes
-
Child related Child related
-
Parent/carer related Parent/carer related
-
-
Objective sleep outcomes Objective sleep outcomes
-
Magnitude of objective change Magnitude of objective change
-
-
-
General treatment approaches General treatment approaches
-
Exclude physical and pharmacological sleep disruptors Exclude physical and pharmacological sleep disruptors
-
Pain Pain
-
Muscle spasm and joints Muscle spasm and joints
-
Reflux and constipation Reflux and constipation
-
ENT and dental ENT and dental
-
-
Medication Medication
-
Comorbid physiological sleep disorders Comorbid physiological sleep disorders
-
-
Behavioural interventions Behavioural interventions
-
Pharmacological interventions Pharmacological interventions
-
Melatonin Melatonin
-
Antihistamines Antihistamines
-
Chloral hydrate Chloral hydrate
-
Clonidine Clonidine
-
Benzodiazepines and non-benzodiazepine hypnotics Benzodiazepines and non-benzodiazepine hypnotics
-
Antidepressants Antidepressants
-
-
-
Specific neurodisabilities Specific neurodisabilities
-
Children with autism Children with autism
-
Background Background
-
Sleep issues Sleep issues
-
-
Children with attention deficit hyperactivity disorder Children with attention deficit hyperactivity disorder
-
Background Background
-
Sleep issues Sleep issues
-
-
Children with epilepsy Children with epilepsy
-
Background Background
-
Sleep issues Sleep issues
-
-
Children with cerebral palsy Children with cerebral palsy
-
Background Background
-
Sleep issues Sleep issues
-
-
Children with Down syndrome Children with Down syndrome
-
Background Background
-
Sleep issues Sleep issues
-
-
Smith–Magenis syndrome Smith–Magenis syndrome
-
Background Background
-
Sleep issues Sleep issues
-
-
Angelman syndrome Angelman syndrome
-
Background Background
-
Sleep issues Sleep issues
-
-
Rett syndrome Rett syndrome
-
Background Background
-
Sleep issues Sleep issues
-
-
Williams syndrome Williams syndrome
-
Background Background
-
Sleep issues Sleep issues
-
-
Tuberous sclerosis Tuberous sclerosis
-
Background Background
-
Sleep issues Sleep issues
-
-
-
Further reading Further reading
-
-
-
-
-
-
-
-
-
-
22 Paediatric neurodisability and sleep
Get access-
Published:February 2022
Cite
Abstract
Sleep is essential to both physical and mental development and health of the growing child. However, sleep problems in children and young people are common, with around 10% of all parents of children of all ages reporting issues which disrupt the sleep of their child – and their own! While many are behavioural in origin, some have an underlying organic basis. Conditions affecting sleep quality may not present in an obvious fashion, and formal diagnostic evaluation of sleep should be considered in any child with daytime symptoms potentially secondary to disrupted night-time sleep, such as inattention, behavioural problems, poor concentration and hyperactivity, as well as daytime somnolence. Other medical issues which may affect sleep quality are common in childhood, and conditions such as asthma, anxiety, epilepsy, gastro-oesophageal reflux, eczema, constipation, hay fever and many more, can cause significant sleep disruption. These should be actively considered as part of the diagnostic evaluation and treatment optimised. A number of conditions which disrupt or impair night-time sleep arise from sleep itself; this chapter considers the principal diagnoses in this area.
Signed in as
Institutional accounts
- National Science & Technology Library
- Capital Medical University
Sign in
Personal account
- Sign in with email/username & password
- Get email alerts
- Save searches
- Purchase content
- Activate your purchase/trial code
- Add your ORCID iD
Purchase
Our books are available by subscription or purchase to libraries and institutions.
Purchasing informationMonth: | Total Views: |
---|---|
October 2022 | 1 |
November 2022 | 4 |
December 2022 | 2 |
February 2023 | 2 |
March 2023 | 2 |
May 2023 | 2 |
July 2023 | 3 |
August 2023 | 2 |
November 2023 | 2 |
January 2024 | 1 |
March 2024 | 1 |
April 2024 | 1 |
July 2024 | 3 |
August 2024 | 6 |
January 2025 | 1 |
Get help with access
Institutional access
Access to content on Oxford Academic is often provided through institutional subscriptions and purchases. If you are a member of an institution with an active account, you may be able to access content in one of the following ways:
IP based access
Typically, access is provided across an institutional network to a range of IP addresses. This authentication occurs automatically, and it is not possible to sign out of an IP authenticated account.
Sign in through your institution
Choose this option to get remote access when outside your institution. Shibboleth/Open Athens technology is used to provide single sign-on between your institution’s website and Oxford Academic.
If your institution is not listed or you cannot sign in to your institution’s website, please contact your librarian or administrator.
Sign in with a library card
Enter your library card number to sign in. If you cannot sign in, please contact your librarian.
Society Members
Society member access to a journal is achieved in one of the following ways:
Sign in through society site
Many societies offer single sign-on between the society website and Oxford Academic. If you see ‘Sign in through society site’ in the sign in pane within a journal:
If you do not have a society account or have forgotten your username or password, please contact your society.
Sign in using a personal account
Some societies use Oxford Academic personal accounts to provide access to their members. See below.
Personal account
A personal account can be used to get email alerts, save searches, purchase content, and activate subscriptions.
Some societies use Oxford Academic personal accounts to provide access to their members.
Viewing your signed in accounts
Click the account icon in the top right to:
Signed in but can't access content
Oxford Academic is home to a wide variety of products. The institutional subscription may not cover the content that you are trying to access. If you believe you should have access to that content, please contact your librarian.
Institutional account management
For librarians and administrators, your personal account also provides access to institutional account management. Here you will find options to view and activate subscriptions, manage institutional settings and access options, access usage statistics, and more.