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Gepubliceerd in: Child Psychiatry & Human Development 4/2015

01-08-2015 | Original Article

Sleep Onset and Night Waking Insomnias in Preschoolers with Psychiatric Disorders

Auteurs: John R. Boekamp, Lauren R. Williamson, Sarah E. Martin, Heather L. Hunter, Thomas F. Anders

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2015

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Abstract

This study examined the nature and prevalence of diagnostically defined sleep disorders, including Sleep Onset Insomnia (SOI) and Night Waking Insomnia (NWI), in a sample of 183 young children admitted to an early childhood psychiatric day treatment program. A semi-structured diagnostic interview, the Diagnostic Infant and Preschool Assessment, was used to assess for sleep and other psychiatric disorders. Daily sleep diaries and the Child Behavior Checklist were also examined. 41 % of children met criteria for a sleep disorder; 23 % met diagnostic criteria for SOI and 4 % met criteria for NWI, with an additional 14 % meeting criteria for both (SOI + NWI). Sleep-disordered children demonstrated longer latency to sleep onset, longer and more frequent night awakenings, less total sleep, and lower sleep efficiency than non-sleep disordered participants. Diagnosable sleep disorders, particularly SOI, were quite common in this acute clinical sample, exceeding previous estimates obtained in community and pediatric practice samples.

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Voetnoten
1
Percentages do not sum to 100 % because diagnoses were not mutually exclusive and many children met criteria for multiple diagnoses. For example, 17.4 % of children met criteria for two diagnoses and 43.2 % of children met criteria for three or more diagnoses.
 
2
We appreciated the comments of an anonymous reviewer who suggested ideas about a continuum of severity and shared arousal processes.
 
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Metagegevens
Titel
Sleep Onset and Night Waking Insomnias in Preschoolers with Psychiatric Disorders
Auteurs
John R. Boekamp
Lauren R. Williamson
Sarah E. Martin
Heather L. Hunter
Thomas F. Anders
Publicatiedatum
01-08-2015
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2015
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-014-0505-z