Sleep and Sleep Disorders in Children and Teens (cont.)
John Mersch, MD, FAAP
Dr. Mersch received his Bachelor of Arts degree from the University of California, San Diego, and prior to entering the University Of Southern California School Of Medicine, was a graduate student (attaining PhD candidate status) in Experimental Pathology at USC. He attended internship and residency at Children's Hospital Los Angeles.
David Perlstein, MD, MBA, FAAP
Dr. Perlstein received his Medical Degree from the University of Cincinnati and then completed his internship and residency in pediatrics at The New York Hospital, Cornell medical Center in New York City. After serving an additional year as Chief Pediatric Resident, he worked as a private practitioner and then was appointed Director of Ambulatory Pediatrics at St. Barnabas Hospital in the Bronx.
In this Article
- How much sleep do children need?
- Can a lack of sleep impact a child's behavior?
- What is sleep hygiene?
- What are some common sleep disorders in children?
- What are some common physiological sleep disorder symptoms in children?
- Sleep apnea symptoms in children
- Parasomnia symptoms in children
- Confusional arousals symptoms in children
- Night terror symptoms in children
- Narcolepsy symptoms in children
- Sleepwalking in children
- Do teenagers have the same sleep requirements as younger children?
- How can I teach my child or teen healthy sleep habits and good sleep hygiene?
- What are some ways I can help my child or teenager get a better nights sleep?
- What are some "dont's" for getting my child or teen to sleep?
- Find a local Doctor in your town
Can a lack of sleep impact a child's behavior?
The symptoms of a lack of sleep are often obvious to watchful parents. Some of these tell-tale signs include:
- recurrently falling asleep in the car (excluding young infants);
- requiring extreme stimulation and repetitive reminders to get up in the
- behavioral abnormalities such as
excessive emotionalism, aggression, and crankiness; and
- an older child's (over 8 years of age) recurrent need for an afternoon nap.
What is sleep hygiene?
A common definition of sleep hygiene is "all behavioral and environmental factors that precede sleep and may interfere with sleep." Daytime sleepiness and trouble sleeping may be a reflection of poor sleep hygiene. Detailed specifics are listed below. General areas to consider include:
- Personal habits: Establish consistent routines around bedtimes
and awakening times
environment: The bedroom should be a slightly cooler temperature, and eliminate
any distracting noise in the bedroom
- Getting ready for bed: Establish a calming pre-sleep ritual (for example,
reading, not watching TV) and
- Miscellaneous: Examples include limiting intake of foods/liquids/medications which may disrupt a restful sleep
What are some common sleep disorder in children?
The University of Michigan's Sleep Disorders program includes five issues that may be disruptive of good sleep practices. These include:
- Sleep deprivation: As noted in the previously, the amount of
sleep generally required varies with age and genetic predisposition.
Unfortunately many older children, especially teens do not receive an
appropriate amount of sound sleep.
- Night waking: All children after the first 7 to 8 months of life start to be
more sensitive to internal and external stimuli. If an infant has not yet
learned to calm himself and resettle back to sleep, the parents commonly are
summoned to help the child return to sleep. This pattern may repeat itself
several times each night.
- Separation anxiety: Children experience this emotion commonly at 5 months
of age as well as during the toddler years. Such
children become anxious and are
unable to enter a comfortable sleep pattern unless parents are present.
- Resistance to sleep/settling problems: This occurs when your child does
not want to go to bed at a reasonable time. Stalling,
temper tantrums, and other
resistance patterns are common. Parental persistence generally will resolve this
- Parasomnias: Parasomnias are problems that disrupt sleep. Examples include night terrors, grinding of teeth, sleepwalking, etc.
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