소아기 수면 장애

Sleep disorders in childhood

  • 차병호 (연세대학교 원주의과대학 소아과학교실)
  • Cha, Byung Ho (Department of Pediatrics, Yonsei University Wonju College of Medicine)
  • 투고 : 2007.06.05
  • 심사 : 2007.07.10
  • 발행 : 2007.08.15

초록

Sleep disorders are very common among pediatric patients. Its prevalence is between 10% and 45% in preschool- and school-aged children. However parents commonly do not concern about their children's sleeping habits and for many pediatricians, there is not part of the routine office visit about a childs sleep. Sleep disorders were classified by International Classification of Sleep Disorder (ICSD) as dyssomnias, parasomnias, sleep disorders associated with mental, neurologic, or other medical disorders, and proposed sleep disorders. There are lots of differences in the causes, manifestations, and managements of sleep disorders between children and adult. The sleep disorders in childhood may manifest themselves as bedtime resistance, refusal to go to bed at a parentally described time, sleep-onset delay, inability to fall asleep within a reasonable time, prolonged nighttime awakening, and inability to return to sleep without assistance after waking during the night, and so have wide-ranging influences on children's behavior, mood, school performance, and family life. It's very important for pediatrician to concern about the sleep disturbances in childhood and so the problems of sleep in children should be early detected and managed.

키워드

참고문헌

  1. Mindell JA. Sleep disorders in children. Health Psychol 1993;12:151-62 https://doi.org/10.1037/0278-6133.12.2.151
  2. Kataria S, Swanson MS, Trevathan GE. Persistence of sleep disturbances in pre-school children. J Pediatr 1987;110:641-6
  3. American Sleep Disorders Association. The international classification of sleep disorders, revised: diagnostic and coding manual. Rochester, MN: ASDA; 1997
  4. Mindell JA, Owens JA, Carskadon MA. Developmental features of sleep. Child Adolesc Psychiatr Clin N Am 1999;8: 695-725 https://doi.org/10.1016/S1056-4993(18)30149-4
  5. Corkum P, Tannock R, Moldofsky H. Sleep disturbances in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1998;37:637-46 https://doi.org/10.1097/00004583-199806000-00014
  6. Claze DG, Frost Jr JD, Jankovic J. Sleep in Gilles de la Tourettes syndrome: disorder of arousal. Neurology 1982;33: 586-92
  7. Mindell JA, Owens JA. A Clinical Guide to Pediatric Sleep: Diagnosis and Management of Sleep Problems. Lippincott Williams & Wilkins, Philadelphia, 2003
  8. Stores G. A Clinical Guide to Sleep Disorders in Children and Adolescents. Cambridge University Press, New York, 2001
  9. Mindell JA. Empirically supported treatments in pediatric psychology: bedtime refusal and night wakings in young children. J Pediatr Psychol 1999;24:465-81 https://doi.org/10.1093/jpepsy/24.6.465
  10. Owens JA, Palermo TM, Rosen CL. Overview of current management of sleep disturbances in children. II: Behavioral interventions. Curr Ther Res Clin Exp 2002;63(suppl B):B38-52 https://doi.org/10.1016/S0011-393X(02)80102-3
  11. Moorcroft WH. The sleepless child. In: Lee-Chiong T, editor. Sleep: A Comprehensive Handbook. New Jersey: John Wiley & Sons. Inc. 2006;541-46
  12. Ferber R. Sleeplessness in children. In: Ferber R, Kryger M, editors. Principles and practice of sleep medicine in the child. Philadelphia: W.B. Saunders, 1995;79-89
  13. American Thoracic Society. Standards and indications for cardiopulmonary sleep studies in children. Am J Respir Crit Care Med 1996;153:866-78 https://doi.org/10.1164/ajrccm.153.2.8564147
  14. Redline S, Tishler PV, Schluchter M, Aylor J, Clark K, Graham G. Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems. Am J Respir Crit Care Med 1999;159:1527-32 https://doi.org/10.1164/ajrccm.159.5.9809079
  15. Suen JS, Arnold JE, Brooks LJ. Adenotonsillectomy for treatment of obstructive sleep apnea in children. Arch Otolaryngol Head Neck Surg 1995;121:525-30 https://doi.org/10.1001/archotol.1995.01890050023005
  16. Marcus CL, Lutz J, Katz ES, Black CA, Galster P, Carson KA. Upper airway dynamic responses in children with the obstructive sleep apnea syndrome. Pediatr Res 2005;57:99-107 https://doi.org/10.1203/01.PDR.0000147565.74947.14
  17. Guilleminault C, Pelayo R, Leger D, Clerk A, Bocian RC. Recognition of sleep-disordered breathing in children. Pediatrics 1996;98:871-82
  18. Gozal D. Sleep-disordered breathing and school performance in children. Pediatrics 1998;102:616-20 https://doi.org/10.1542/peds.102.3.616
  19. Waters KA, Everett FM, Bruderer JW, Sullivan CE. Obstructive sleep apnea: the use of nasal CPAP in 80 children. Am J Respir Crit Care Med 1995;152:780-85 https://doi.org/10.1164/ajrccm.152.2.7633742
  20. Guilleminault C, Partinen M, Praud JP, Quera-Salva MA, Powell N, Riley R. Morphometric facial changes and obstructive sleep apnea in adolescents. J Pediatr 1989;114: 997-9 https://doi.org/10.1016/S0022-3476(89)80447-0
  21. Guilleminault C. Pathophysiology of narcolepsy. In: Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 3rd edition. Philadelphia: WB Saunders; 2000;663-75
  22. Lin L, Faraco J, Li R, Kadotani H, Rogers W, Lin X, et al. The sleep disorder canine narcolepsy is caused by a mutation in the hypocretin (orexin) receptor 2 gene. Cell 1999;98:365-76 https://doi.org/10.1016/S0092-8674(00)81965-0
  23. Guilleminaut C, Pelayo R. Narcolepsy in children: a practical guide to its idagnosis, treatment and follow up. Paediatric Drugs 2000;2:1-9 https://doi.org/10.2165/00128072-200002010-00001
  24. Ohayon MM, Guilleminault C, Priest RG. Night terrors, sleepwalking, and confusional arousals in the general population: their frequency and relationship to other sleep and mental disorders. J Clin Psychiatry 1990;60:268-76 https://doi.org/10.4088/JCP.v60n0413
  25. Sheldon SH. Parasomnias in childhood. Pediatr Clin North Am 2004;51:69-88 https://doi.org/10.1016/S0031-3955(03)00177-9
  26. Rosen G, Mahowald MW, Ferber R. Sleepwalking, confusional arousal, and sleep terrors in the child. In: Ferber R, Kryger M, editors. Principles and practice of sleep medicine in the child. Philadelphia: WB Saunders 1995;99-106
  27. Guilleminault C, Moscovitch A, Yuen K, Poyares D. Atypical sexual behavior during sleep. Psychosom Med 2002;64:328-36 https://doi.org/10.1097/00006842-200203000-00017
  28. Penn NE, Kripke DF, Scharff J. Sleep paralysis among medical students. J Psychol 1981;107:247 https://doi.org/10.1080/00223980.1981.9915230
  29. Sheldon SH, Jacobsen J. REM-sleep motor disorder in children. J Child Neurol 1998;13:257-60 https://doi.org/10.1177/088307389801300603
  30. Monaco A, Ciammella NM, Marci MC, Pirro R, Giannoni M. The anxiety in bruxer child: a case-control study. Minerva Stomatol 2002;51:247-50