Clinical Medicine

New PDF release: A Clinical Guide to Sleep Disorders in Children and

By Gregory Stores

ISBN-10: 0511040571

ISBN-13: 9780511040573

ISBN-10: 0521653983

ISBN-13: 9780521653985

Sleep disturbances are regular difficulties that reason nice misery to victims and their households. they're implicated in quite a few difficulties, from bad academic functionality or disturbed habit to injuries or different actual difficulties. but, there's no updated, complete, one-stop resource of knowledge for clinicians pertaining to sleep problems in youngsters. ordinarily, examine into sleep issues has in general happened inside of separate, unconnected scientific disciplines, as a rule related to adults. As sleep disturbances are linked to severe illnesses, determining and treating the matter early is key for strong long term wellbeing and fitness and healthiness. Gregory shops addresses this desire with a cross-disciplinary evaluate of accessible medical info and coverings, illustrated by means of genuine circumstances. This e-book may be crucial studying for all pros all for baby healthcare from infancy to early life, and also will be helpful to common readers searching for updated info and references.

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Additional resources for A Clinical Guide to Sleep Disorders in Children and Adolescents

Example text

The ability of parents to provide such help depends on their 41 Differences between sleep disorders in children and adults ( ( personality and sensitivity, their circumstances and their own emotional state. Hopefully, older children and adolescents become increasingly independent. Much harm can be done (perhaps long-term) if, instead of encouraging in their child positive attitudes to sleeping, parents create negative associations such as confrontation, punishment, rejection or in extreme cases abuse.

Dyssomnias caused by extrinsic factors (mainly child rearing practices) are particularly common in early childhood. Those attributable to circadian sleep–wake rhythm disorders (especially the delayed sleep phase syndrome) can occur at all ages, but are considered to be commonplace in adolescents. ( Some sleep disorders thought to be essentially adult conditions are now recognized in children. Examples include obstructive sleep apnoea and REM sleep behaviour disorder. A serious omission in the ICSD-R is any mention in the section concerned with mental, neurological and other medical disorders that sleep problems are commonly associated with learning disability.

The high level of REM sleep in very early life suggests a role in cerebral maturation, but at present its true signiWcance remains unclear (Goodale, 1994). NREM/REM sleep cycles occur at intervals of 50–60 minutes in infants who often enter REM sleep at the start of their sleep period. This interval between sleep cycles continues until adolescence when the periodicity changes to 90–100 minutes which persists into adult life. The amounts of NREM and REM in each sleep cycle is about equal in early infancy; afterwards NREM sleep (especially SWS) predominates in the earlier cycles and REM sleep in the later cycles.

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A Clinical Guide to Sleep Disorders in Children and Adolescents by Gregory Stores


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