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Titolo:
Sleeplessness in children with neurodevelopmental disorders - Epidemiologyand management
Autore:
Hoban, TF;
Indirizzi:
Univ Michigan, Dept Pediat, Ann Arbor, MI 48109 USA Univ Michigan Ann Arbor MI USA 48109 Dept Pediat, Ann Arbor, MI 48109 USA Univ Michigan, Dept Neurol, Ann Arbor, MI 48109 USA Univ Michigan Ann Arbor MI USA 48109 Dept Neurol, Ann Arbor, MI 48109 USA
Titolo Testata:
CNS DRUGS
fascicolo: 1, volume: 14, anno: 2000,
pagine: 11 - 22
SICI:
1172-7047(200007)14:1<11:SICWND>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEFICIT HYPERACTIVITY DISORDER; PLACEBO-CONTROLLED EVALUATION; PERIODIC LIMB MOVEMENT; SLEEP DISORDERS; RETT-SYNDROME; MELATONIN TREATMENT; TUBEROUS SCLEROSIS; MENTAL HANDICAP; TOURETTE SYNDROME; ANGELMAN-SYNDROME;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
63
Recensione:
Indirizzi per estratti:
Indirizzo: Hoban, TF Univ Michigan, Womens Hosp L3227, Med Ctr, 200 E Hosp Dr, Ann Arbor, MI 48109 USA Univ Michigan 200 E Hosp Dr Ann Arbor MI USA 48109 MI 48109 USA
Citazione:
T.F. Hoban, "Sleeplessness in children with neurodevelopmental disorders - Epidemiologyand management", CNS DRUGS, 14(1), 2000, pp. 11-22

Abstract

Sleeplessness, excessive waking and other disruptions of sleep are frequently evident in children with neurodevelopment disorders such as attention deficit hyperactivity disorder, specific genetic syndromes associated with mental retardation, autistic disorders and Tourette syndrome. The severity of sleep disruption may or may not parallel the severity of associated illness. Sleeplessness in this population is often additionally affected by concurrent medication use (such as central stimulants) and significant behavioural and environmental influences. When attempting to treat sleeplessness in children with neurodevelopmentaldisorders, the first step is to obtain an accurate sleep history documenting the child's typical sleep schedule. The child should be screened for thepresence of other extrinsic causes of sleep problems such as obstructive sleep apnoea and periodic limb movement, and use of medications known to disrupt sleep. These issues should be addressed if present. Nonpharmacologicalapproaches to treatment include implementation of good sleep hygiene and the use of behavioural programmes. Pharmacotherapy has not been extensively studied in children with neurodevelopmental disorders, although limited data suggest that melatonin, clonidine, guanfacine and hypnosedatives can be moderately effective.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 20:12:08