By Gregory Stores
Sleep disturbances are regular difficulties that reason nice misery to victims and their households. they're implicated in numerous difficulties, from negative academic functionality or disturbed habit to injuries or different actual difficulties. but, there's no updated, complete, one-stop resource of data for clinicians bearing on sleep problems in teens. ordinarily, examine into sleep problems has in general happened inside of separate, unconnected clinical disciplines, as a rule regarding adults. As sleep disturbances are linked to critical illnesses, picking and treating the matter early is key for strong long term wellbeing and fitness and healthiness. Gregory shops addresses this desire with a cross-disciplinary overview of accessible medical info and coverings, illustrated by way of real circumstances. This ebook can be crucial examining for all execs concerned about baby healthcare from infancy to early life, and also will be important to common readers trying to find up to date info and references.
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Additional resources for A Clinical Guide to Sleep Disorders in Children and Adolescents
1998a). Fragmentation of sleep by arousals has received little attention in children. However, norms have recently been compiled for children of school age (Stores 33 Definition of sleep problems ( ( ( & Crawford, 2000) which will help the clinical signiWcance of this feature in sleep disorders to be assessed. Circadian sleep–wake rhythms change considerably in early development. Fullterm neonates show 3–4 hour sleep–wake cycles. Sleep periods have largely shifted to the night and wakefulness to daytime by 12 months, except for daytime napping.
Similarly (as also discussed in chapter 5) the early manifestation of narcolepsy in childhood may be very far removed from the classical narcolepsy syndrome usually described in adults. The same sleep disorder may also show diVerent physiological features according to age. g. for OSA and narcolepsy) derived from polysomnographic studies in adults do not necessarily apply in children and may well need to be modiWed. Significance The possible adverse eVects on adults of persistent sleep disturbance were emphasized in the Wrst two chapters.
It is suggested that, apart from other factors, this amount of 32 Basic aspects of sleep and its disorders ( ( ( ( ( ( SWS predisposes children of that age to arousal disorders (such as sleepwalking and sleep terrors) which usually arise from this stage of sleep. Sleep disorders (such as OSA) which in adults cause a reduction in SWS do not have this eVect. This might partly explain why extreme degrees of daytime sleepiness are not necessarily seen in children of this age with such disorders. Most children between about 5 years of age and puberty sleep particularly soundly and are very alert during the day.
A Clinical Guide to Sleep Disorders in Children and Adolescents by Gregory Stores