Carotenuto M, Esposito M, Cortese S, Laino D, Verrotti A
Sleep Clinic for Developmental Age, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy.
Department of Psychology, Developmental Brain-Behavior Laboratory, University of Southampton, Southampton, UK.
Acta Paediatr. 2016 Sep;105(9):1079-82. doi: 10.1111/apa.13472. Epub 2016 Jun 8.
Although there have been frequent clinical reports about sleep disturbances in children with learning disabilities, no data are available about the prevalence of sleep disturbances in children with developmental dyslexia (DD). This study evaluated sleep disturbances in children with DD referred to a hospital clinic and compared their scores with healthy controls.
We consecutively enrolled 147 children (66% male) aged 10.26 ± 2.63 years who were referred by clinical paediatricians to the Clinic for Child and Adolescent Neuropsychiatry at the Second University of Naples with DD and 766 children without DD (60% male) aged 10.49 ± 2.39 years recruited from schools in the same urban area. Sleep disturbances were assessed with the Sleep Disturbances Scale for Children (SDSC), which was filled out by the children's main carers.
Compared with the controls, the children with DD showed significantly higher rates of above threshold scores on the total SDSC score (p < 0.001) and on the subscales for disorders in initiating and maintaining sleep (p < 0.001), sleep breathing disorders (p < 0.001) and disorders of arousal (p < 0.001).
Sleep disorders were significantly more frequent in children with DD than in healthy controls. A possible relationship between dyslexia and sleep disorders may have relevant clinical implications.
尽管关于学习障碍儿童睡眠障碍的临床报告屡见不鲜,但关于发育性阅读障碍(DD)儿童睡眠障碍患病率的数据尚无可用资料。本研究评估了转诊至医院门诊的DD儿童的睡眠障碍情况,并将他们的得分与健康对照组进行比较。
我们连续招募了147名年龄为10.26±2.63岁的儿童(66%为男性),这些儿童由临床儿科医生转诊至那不勒斯第二大学儿童与青少年神经精神病诊所,被诊断为DD;同时从同一市区的学校招募了766名非DD儿童(60%为男性),年龄为10.49±2.39岁。睡眠障碍通过儿童睡眠障碍量表(SDSC)进行评估,该量表由儿童的主要照顾者填写。
与对照组相比,DD儿童在SDSC总分(p<0.001)以及入睡和维持睡眠障碍(p<0.001)、睡眠呼吸障碍(p<0.001)和觉醒障碍(p<0.001)子量表上高于阈值分数的发生率显著更高。
DD儿童的睡眠障碍明显比健康对照组更为常见。阅读障碍与睡眠障碍之间的可能关系可能具有相关的临床意义。