Published online December 1, 2008
PEDIATRICS Vol. 122 No. 6 December 2008, pp. 1343-1350 (doi:10.1542/peds.2007-3308)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Jan, J. E.
Right arrow Articles by Ipsiroglu, O. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Jan, J. E.
Right arrow Articles by Ipsiroglu, O. S.
Related Collections
Right arrow Neurology & Psychiatry
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

SPECIAL ARTICLE

Sleep Hygiene for Children With Neurodevelopmental Disabilities

James E. Jan, MD, FRCP(C)a, Judith A. Owens, MD, MPHb, Margaret D. Weiss, MD, PhD, FRCP(C)c, Kyle P. Johnson, MDd, Michael B. Wasdell, MAe, Roger D. Freeman, MD, FRCP(C)f,g and Osman S. Ipsiroglu, MD, MBA, MASh,i

a Child and Family Research Institute and Divisions of
c Child Psychiatry
h Developmental Pediatrics, University of British Columbia and BC Children's Hospital, Vancouver, British Columbia, Canada
b Ambulatory Pediatrics, Brown Medical School, Providence, Rhode Island
d Division of Child and Adolescent Psychiatry, Oregon Health & Science University, Portland, Oregon
e Melatonin Research Group, BC Children's Hospital, Vancouver, British Columbia, Canada
f Professor Emeritus, Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada
g Professor Emeritus, Neuropsychiatry Clinic, BC Children's Hospital, Vancouver, British Columbia, Canada
i University of Vienna, Vienna, Austria

Sleep disturbances in children with neurodevelopmental disabilities are common and have a profound effect on the quality of life of the child, as well as the entire family. Although interventions for sleep problems in these children often involve a combination of behavioral and pharmacologic strategies, the first line of treatment is the promotion of improved sleep habits or "hygiene." Despite the importance of sleep-hygiene principles, defined as basic optimal environmental, scheduling, sleep-practice, and physiologic sleep-promoting factors, clinicians often lack appropriate knowledge and skills to implement them. In addition, sleep-hygiene practices may need to be modified and adapted for this population of children and are often more challenging to implement compared with their healthy counterparts. This first comprehensive, multidisciplinary review of sleep hygiene for children with disabilities presents the rationale for incorporating these measures in their treatment, outlines both general and specific sleep-promotion practices, and discusses problem-solving strategies for implementing them in a variety of clinical practice settings.

Key Words: children • sleep hygiene • sleep disorders • disabilities • burden of care

Abbreviations: NDD—neurodevelopmental disability

Accepted May 6, 2008.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?