Increased behavioral problems in children with sleep-disordered breathing
Abstract Background Healthy sleep is essential for the cognitive, behavioral and emotional development of children. Therefore, this study aimed to assess the behavioral consequences of sleep disturbances by examining children with sleep-disordered breathing compared with control participants. Method...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-09-01
|
| Series: | Italian Journal of Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13052-022-01364-w |
| _version_ | 1811267213136494592 |
|---|---|
| author | Eszter Csábi Veronika Gaál Emese Hallgató Rebeka Anna Schulcz Gábor Katona Pálma Benedek |
| author_facet | Eszter Csábi Veronika Gaál Emese Hallgató Rebeka Anna Schulcz Gábor Katona Pálma Benedek |
| author_sort | Eszter Csábi |
| collection | DOAJ |
| description | Abstract Background Healthy sleep is essential for the cognitive, behavioral and emotional development of children. Therefore, this study aimed to assess the behavioral consequences of sleep disturbances by examining children with sleep-disordered breathing compared with control participants. Methods Seventy-eight children with SDB (average age: 6.7 years (SD = 1.83); 61 had OSA and 17 had primary snoring) and 156 control subjects (average age: 6.57 years (SD = 1.46) participated in the study. We matched the groups in age (t(232) = 0.578, p = 0.564) and gender (χ 2 (1) = 2.192, p = 0.139). In the SDB group, the average Apnea–Hypopnea Index was 3.44 event/h (SD = 4.00), the average desaturation level was 87.37% (SD = 6.91). Parent-report rating scales were used to measure the children’s daytime behavior including Attention Deficit Hyperactivity Disorder Rating Scale, Strengths and Difficulties Questionnaire, and Child Behavior Checklist. Results Our results showed that children with SDB exhibited a higher level of inattentiveness and hyperactive behavior. Furthermore, the SDB group demonstrated more internalizing (anxiety, depression, somatic complaints, social problems) (p < 0.001) and externalizing (aggressive and rule-breaking behavior) problems compared with children without SDB, irrespective of severity. Conclusions Based on our findings we supposed that snoring and mild OSA had a risk for developing behavioral and emotional dysfunctions as much as moderate-severe OSA. Therefore, clinical research and practice need to focus more on the accurate assessment and treatment of sleep disturbances in childhood, particularly primary snoring, and mild obstructive sleep apnea. |
| first_indexed | 2024-04-12T20:58:28Z |
| format | Article |
| id | doaj.art-c70ee88108914062b6d20384e28ed999 |
| institution | Directory Open Access Journal |
| issn | 1824-7288 |
| language | English |
| last_indexed | 2024-04-12T20:58:28Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Italian Journal of Pediatrics |
| spelling | doaj.art-c70ee88108914062b6d20384e28ed9992022-12-22T03:16:55ZengBMCItalian Journal of Pediatrics1824-72882022-09-014811710.1186/s13052-022-01364-wIncreased behavioral problems in children with sleep-disordered breathingEszter Csábi0Veronika Gaál1Emese Hallgató2Rebeka Anna Schulcz3Gábor Katona4Pálma Benedek5Department of Cognitive and Neuropsychology, Institute of Psychology, University of SzegedDepartment of Pediatrics, Clinical Center, University of PécsDepartment of Cognitive and Neuropsychology, Institute of Psychology, University of SzegedSleep Disorders Laboratory of Heim Pal National Pediatric InstituteDepartment of Oto-Rhino- Laryngology and Head- Neck Surgery, University of SzegedDepartment of Oto-Rhino- Laryngology and Head- Neck Surgery, University of SzegedAbstract Background Healthy sleep is essential for the cognitive, behavioral and emotional development of children. Therefore, this study aimed to assess the behavioral consequences of sleep disturbances by examining children with sleep-disordered breathing compared with control participants. Methods Seventy-eight children with SDB (average age: 6.7 years (SD = 1.83); 61 had OSA and 17 had primary snoring) and 156 control subjects (average age: 6.57 years (SD = 1.46) participated in the study. We matched the groups in age (t(232) = 0.578, p = 0.564) and gender (χ 2 (1) = 2.192, p = 0.139). In the SDB group, the average Apnea–Hypopnea Index was 3.44 event/h (SD = 4.00), the average desaturation level was 87.37% (SD = 6.91). Parent-report rating scales were used to measure the children’s daytime behavior including Attention Deficit Hyperactivity Disorder Rating Scale, Strengths and Difficulties Questionnaire, and Child Behavior Checklist. Results Our results showed that children with SDB exhibited a higher level of inattentiveness and hyperactive behavior. Furthermore, the SDB group demonstrated more internalizing (anxiety, depression, somatic complaints, social problems) (p < 0.001) and externalizing (aggressive and rule-breaking behavior) problems compared with children without SDB, irrespective of severity. Conclusions Based on our findings we supposed that snoring and mild OSA had a risk for developing behavioral and emotional dysfunctions as much as moderate-severe OSA. Therefore, clinical research and practice need to focus more on the accurate assessment and treatment of sleep disturbances in childhood, particularly primary snoring, and mild obstructive sleep apnea.https://doi.org/10.1186/s13052-022-01364-wSleep-disordered breathingBehavior dysregulationHyperactivityInattentiveness childrenSnoringSleep apnea |
| spellingShingle | Eszter Csábi Veronika Gaál Emese Hallgató Rebeka Anna Schulcz Gábor Katona Pálma Benedek Increased behavioral problems in children with sleep-disordered breathing Italian Journal of Pediatrics Sleep-disordered breathing Behavior dysregulation Hyperactivity Inattentiveness children Snoring Sleep apnea |
| title | Increased behavioral problems in children with sleep-disordered breathing |
| title_full | Increased behavioral problems in children with sleep-disordered breathing |
| title_fullStr | Increased behavioral problems in children with sleep-disordered breathing |
| title_full_unstemmed | Increased behavioral problems in children with sleep-disordered breathing |
| title_short | Increased behavioral problems in children with sleep-disordered breathing |
| title_sort | increased behavioral problems in children with sleep disordered breathing |
| topic | Sleep-disordered breathing Behavior dysregulation Hyperactivity Inattentiveness children Snoring Sleep apnea |
| url | https://doi.org/10.1186/s13052-022-01364-w |
| work_keys_str_mv | AT esztercsabi increasedbehavioralproblemsinchildrenwithsleepdisorderedbreathing AT veronikagaal increasedbehavioralproblemsinchildrenwithsleepdisorderedbreathing AT emesehallgato increasedbehavioralproblemsinchildrenwithsleepdisorderedbreathing AT rebekaannaschulcz increasedbehavioralproblemsinchildrenwithsleepdisorderedbreathing AT gaborkatona increasedbehavioralproblemsinchildrenwithsleepdisorderedbreathing AT palmabenedek increasedbehavioralproblemsinchildrenwithsleepdisorderedbreathing |