School performance, race, and other correlates of sleep-disordered breathing in children
Michael S. Aldrich Sleep Disorders Laboratory, Department of Neurology, University of Michigan, 8D8702 University Hospital, Box 0117, 1500 E. Medical Center Dr., Ann Arbor, MI 48109-0117, USA. Sleep Medicine
(Impact Factor: 3.15).
01/2003; 4(1):21-7. DOI: 10.1016/s1389-9457(02)00243-5
Childhood sleep-disordered breathing (SDB) has been associated with poor school performance. Both problems are common among African-American (AA) children, but potential confounders such as low socioeconomic status (SES) and obesity have not been well studied.
Children in second and fifth grades at six urban elementary schools were evaluated by teachers' ratings and year-end reading and math assessments. Risk for SDB was assessed with the validated parental Pediatric Sleep Questionnaire, and SES by qualification for school lunch assistance.
Among 146 children whose parents completed surveys, risk for SDB was associated with AA race, low SES, and poor teacher ratings (P<0.01), but not assessment scores (P>0.1). In multiple regression models, poor school performance was consistently and independently predicted by low SES (P<0.01) but not by AA race or SDB risk. Risk for SDB was associated with low SES before, but not after body mass index (BMI) was taken into account.
The SDB symptoms, AA race, and low SES all vary to some extent with poor school performance, but the only consistent and independent covariate of performance is SES. Risk for SDB is associated with low SES, perhaps because of a third variable, namely high BMI.
Available from: Masaya Tachibana
- "Sleep disturbances can have a profound effect on children. Studies have described the association between insufficient sleep and behavioral and affective disorders, as well as suboptimal school performance secondary to impairment of attention  . In addition, sleep disturbances may be misconstrued as possible cognitive impairment . "
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ABSTRACT: We aimed to present psychometric properties and describe the score distributions of the Japanese Sleep Questionnaire for Preschoolers (JSQ-P), a guardian-reported survey questionnaire for assessing sleep disturbances and problematic sleep habits among preschool children.
Guardians of 2998 toddlers in three communities and guardians of 102 patients diagnosed with sleep disorders in two clinics completed the JSQ-P.
Exploratory factor analysis (EFA) revealed the 10 domains of the JSQ-P to be similar to our previous small-scale study and confirmed the robustness of the JSQ-P. The JSQ-P showed acceptable internal consistency; α coefficients ranged from 0.622 (insufficient sleep) to 0.912 (restless legs syndrome [RLS], motor) for the community sample and 0.696 (insufficient sleep) to 0.959 (RLS, motor) for the clinical sample. The score differentiations between the community and clinical samples associated with RLS, obstructive sleep apnea syndrome (OSAS), morning symptoms, parasomnias, excessive daytime sleepiness, and daytime behaviors were demonstrated in our study. The distributions of percentile T scores for each subscale and age and gender differentiation of scores also were evaluated.
We confirmed that the JSQ-P is a valid and reliable instrument to evaluate Japanese sleep habits using a large population-based sample. The JSQ-P may be useful in both clinical and academic settings.
Sleep Medicine 12/2013; 15(4). DOI:10.1016/j.sleep.2013.05.020 · 3.15 Impact Factor
Available from: Christian Friedrich Poets
- "Several impairments due to diminished sleep quantity and quality are related to cognitive functioning and working memory11–17 as well as to lower school performance.18,19 "
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ABSTRACT: Insomnia in children is a common disorder, yet only few child-specific treatment modalities exist so far. The goal of this study was to investigate the effectiveness of a multicom-ponent intervention program for children with insomnia at 5–10 years of age and their parents. The program was a structured six-session behavioral and hypnotherapeutic group treatment with three sessions for the children and three for their parents. Thirty-eight children (5.1–10.9 years) were randomly assigned to the specific treatment condition or waiting list plus sleep diary control condition. Twenty-two children participated in the treatment group and 16 in the control group. All children suffered from insomnia according to the International Classification of Sleep Disorders criteria. Sleep symptoms were assessed with a sleep diary and the German version of the Children Sleep Habit Questionnaire (CSHQ) and the Sleep Disturbance Scale for Children (SDSC). Although both conditions showed a significant decrease in several sleep symptoms, the treatment group exhibited a significantly greater improvement with regard to CSHQ and SDSC total scores as well as in several sleep parameters, reflecting the most important features of the intervention program, such as bedtime, sleep-related anxiety, night waking, and sleeping in parents' bed. By contrast, the control group's data revealed only unspecific effects. These pilot data suggest that insomnia in childhood can be treated effectively with this child-specific multicomponent group treatment.
Nature and Science of Sleep 01/2011; 3:3-1. DOI:10.2147/NSS.S15254
Available from: James F. Pagel
- "An IRB approved, 18-question frequency-based pediatric sleep disturbance questionnaire, based on validated and indexed questions (Chervin et al., 2000, 2003; Pagel et al., 2007), was used for all three samples. The questionnaire consisted of five ordinal response categories: 1 = never; 2 = rarely (once a month); 3 = sometimes (once a week); 4 = occasionally (twice a week); 5 = always (every night). "
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ABSTRACT: The clear association between reports of sleep disturbance and poor school performance has been documented for sleepy adolescents. This study extends that research to students outside the adolescent age grouping in an associated school setting (98 middle school students, 67 high school students, and 64 college students). Reported restless legs and periodic limb movements are significantly associated with lower GPA's in junior high students. Consistent with previous studies, daytime sleepiness was the sleep variable most likely to negatively affects high school students. Sleep onset and maintenance insomnia were the reported sleep variables significantly correlated with poorer school performance in college students. This study indicates that different sleep disorder variables negatively affect performance at different age and educational levels.
Frontiers in Neurology 11/2010; 1:125. DOI:10.3389/fneur.2010.00125
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