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Current Sleep Medicine Reports

24-04-2024 | Attention Deficit Hyperactivity Disorder | REVIEW

The Role of Sleep Disturbances in the Onset and Maintenance of Psychiatric Disorders in Childhood and Adolescence: A Review of Subjective and Polysomnographic Findings

Authors: Jessica R. Lunsford-Avery, Allison Falls, Sophia Cary, Naomi N. Duke

Published in: Current Sleep Medicine Reports

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Abstract

Purpose of Review

To summarize subjective and polysomnographically measured sleep disturbances in children and adolescents with psychiatric conditions, including anxiety, mood, and neurodevelopmental disorders and high-risk syndromes for psychosis. Evidence for the role of disrupted sleep in the onset and maintenance of each diagnostic category is considered.

Recent Findings

Although subjective sleep complaints are common and transdiagnostic among youth with psychiatric disorders, evidence for disruptions in traditional polysomnographic measures (e.g., total sleep time) is inconsistent. However, physiological sleep abnormalities (e.g., delta or sigma power, rapid eye movement density) may characterize specific mental health conditions. Overall, sleep disturbances appear to be precursors to, and sustainers of, psychiatric symptoms in youth.

Summary

Future studies may elucidate physiological sleep processes underlying subjective sleep complaints in youth with psychiatric disorders and would benefit from polysomnographic methodology standardization, diverse/representative samples, incorporation of circadian measures, and inclusion of polysomnography as an outcome in behavioral sleep intervention clinical trials.
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Metadata
Title
The Role of Sleep Disturbances in the Onset and Maintenance of Psychiatric Disorders in Childhood and Adolescence: A Review of Subjective and Polysomnographic Findings
Authors
Jessica R. Lunsford-Avery
Allison Falls
Sophia Cary
Naomi N. Duke
Publication date
24-04-2024
Publisher
Springer International Publishing
Published in
Current Sleep Medicine Reports
Electronic ISSN: 2198-6401
DOI
https://doi.org/10.1007/s40675-024-00300-0