Journal article
Psychosocial Characteristics of Children with Central Disorders of Hypersomnolence Versus Matched Healthy Children
Journal of clinical sleep medicine, Vol.11(11), pp.1281-1288
11/15/2015
DOI: 10.5664/jcsm.5186
PMCID: PMC4623126
PMID: 26285115
Abstract
Background: Hypersomnia of central origin from narcolepsy or idiopathic hypersomnia (IHS) is characterized by pathological levels of excessive daytime sleepiness (EDS). Central hypersomnia has historically been underdiagnosed and poorly understood, especially with respect to its impact on daytime functioning and quality of life in children.
Objective: Describe the psychosocial adjustment of children treated for narcolepsy or IHS on school performance, quality of life, and physical/extracurricular activities.
Methods: Using a matched case control design, we compared child self-and parent-reported data from thirty-three 8-to 16-year-olds with an established diagnosis of narcolepsy or IHS, according to ICSD-2 criteria, to that of 33 healthy children matched by age, race/ethnicity, gender, and household income. Assessments evaluated academic performance, quality of life and wellness, sleepiness, and participation in extracurricular activities.
Results: Compared to healthy controls, children with central hypersomnia had poorer daytime functioning in multiple domains. Children with hypersomnia missed more days of school and had lower grades than healthy controls. Children with hypersomnia had poorer quality of life by both parent and child report. Children with hypersomnia were significantly sleepier, had higher BMI, and were more likely to report a history of recent injury. Finally, children with hypersomnia engaged in fewer after-school activities than healthy controls.
Conclusions: A range of significant psychosocial consequences are reported in children with hypersomnia even after a diagnosis has been made and treatments initiated. Health care professionals should be mindful of the psychosocial problems that may present in children with hypersomnia over the course of treatment. Keywords: children, daytime sleepiness, hypersomnolence, daytime functioning
Details
- Title: Subtitle
- Psychosocial Characteristics of Children with Central Disorders of Hypersomnolence Versus Matched Healthy Children
- Creators
- Kristin T. Avis - University of Alabama at Birmingham HospitalJiabin Shen - UAB Dept Psychol, Birmingham, AL USAPatrick Weaver - UAB Dept Psychol, Birmingham, AL USADavid C. Schwebel - UAB Dept Psychol, Birmingham, AL USA
- Resource Type
- Journal article
- Publication Details
- Journal of clinical sleep medicine, Vol.11(11), pp.1281-1288
- DOI
- 10.5664/jcsm.5186
- PMID
- 26285115
- PMCID
- PMC4623126
- NLM abbreviation
- J Clin Sleep Med
- ISSN
- 1550-9389
- eISSN
- 1550-9397
- Publisher
- Amer Acad Sleep Medicine
- Number of pages
- 8
- Grant note
- R01HD058573 / Eunice Kennedy Shriver National Institute of Child Health & Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Kaul Pediatric Research Institute of the Children's of Alabama Foundation
- Language
- English
- Date published
- 11/15/2015
- Academic Unit
- Research Administration
- Record Identifier
- 9984949467502771
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