27. Sleep Disorders

  1. William M. Klykylo3 and
  2. Jerald Kay4
  1. Martin B. Scharf1 and
  2. Christine V. Wellborn2

Published Online: 30 MAR 2012

DOI: 10.1002/9781119962229.ch27

Clinical Child Psychiatry, Third Edition

Clinical Child Psychiatry, Third Edition

How to Cite

Scharf, M. B. and Wellborn, C. V. (2012) Sleep Disorders, in Clinical Child Psychiatry, Third Edition (eds W. M. Klykylo and J. Kay), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781119962229.ch27

Editor Information

  1. 3

    Department of Psychiatry, Wright State University School of Medicine, 627 S. Edwin C Moses Blvd, P.O. Box 927, Dayton, OH 45401-0927, USA

  2. 4

    Department of Psychiatry, Wright State University School of Medicine, P.O. Box 927, Dayton, OH 45401-0927, USA

Author Information

  1. 1

    Center for Research in Sleep Disorders, 1275 East Kemper Road, Cincinnati, OH 45237, USA

  2. 2

    Tri-State Sleep Disorders Center, 1275 East Kemper Road, Cincinnati, Ohio 45246, USA

Publication History

  1. Published Online: 30 MAR 2012
  2. Published Print: 30 MAR 2012

ISBN Information

Print ISBN: 9781119993346

Online ISBN: 9781119962229

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Keywords:

  • rapid eye movement (REM);
  • non-rapid eye movement (NREM);
  • dream;
  • sleep hygiene;
  • circadian rhythm;
  • parasomnia;
  • insomnia;
  • sleepwalking;
  • night terror;
  • jactatio capitis nocturna;
  • chronophysiology;
  • phase delay;
  • polysomnography

Summary

Our goal in this chapter is to familiarize the reader with the nuances of normal sleep and to provide insight into the array of childhood sleep disorders and their diagnosis, management, and treatment. First, we describe the stages of normal sleep, their typical features and signs, and how these change during infancy, through childhood, and into adulthood. Also, summarized are the characteristics and significance of dreams. Then we introduce the notion of sleep hygiene to describe the set of behaviors that influence a person's ability to initiate and maintain sleep. Different approaches to ensure good sleep hygiene can be beneficial, depending on the age of the subject. Quality of a child's sleep can also be influenced by medication, psychological factors, and alterations in the circadian rhythm, and treatment approaches are outlined in each case. We refer to the various medical conditions that can affect sleep, and also describe the dramatic, and sometimes bizarre symptoms of the parasomnias, the most common of which are sleepwalking, night terrors, nightmares, jactatio capitis nocturna, and sleep-related enuresis. Finally, we recount the cognitive and emotional consequences of sleeplessness in children and adolescents. Case studies are used throughout to illuminate the text.