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

By Gregory Stores

Sleep disturbances are average difficulties that reason nice misery to victims and their households. they're implicated in a number of difficulties, from negative academic functionality or disturbed habit to injuries or different actual difficulties. but, there's no updated, complete, one-stop resource of data for clinicians referring to sleep problems in teens. often, examine into sleep issues has usually happened inside of separate, unconnected clinical disciplines, regularly related to adults. As sleep disturbances are linked to severe illnesses, opting for and treating the matter early is key for solid long term healthiness and health and wellbeing. Gregory shops addresses this want with a cross-disciplinary evaluation of accessible scientific details and coverings, illustrated by way of real situations. This ebook may be crucial analyzing for all pros fascinated with baby healthcare from infancy to youth, and also will be valuable to normal readers searching for up to date details and references.

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

Example text

In successive cycles, the amount of NREM sleep decreases and the amount of 28 Basic aspects of sleep and its disorders Figure 1 Hypnogram of healthy young adult. REM sleep increases. SWS is usually conWned to the Wrst two sleep cycles. The diagrammatic representation of overnight sleep architecture is known as a ‘hypnogram’, a simpliWed form of which is shown in Figure 1. Sleep microstructure and sleep fragmentation The conventional sleep staging just described is concerned with the ‘macrostructure’ of sleep, but there is increasing interest in the microstructural disruption of sleep by frequent, brief arousals (seen mainly as changes in the EEG) lasting a matter of seconds without obvious clinical accompaniments.

Physical factors in the environment, such as noise or other distracting stimuli, are also important. Some of these factors are also likely to explain individual diVerences in the eVect of partial sleep deprivation which is much more common at any age than total sleep loss. Memory, attention and visuospatial abilities have been shown to be 21 Effects on development of persistent sleep disturbance aVected, especially sustained attention (vigilance), and possibly tasks requiring creative rather than purely logical thinking (Horne, 1988).

This subtle disruption of sleep continuity is overlooked by conventional sleep staging and can occur without any signiWcant reduction in total sleep time or conventional sleep stages. , 1994). , 1998). Their number (but not their duration) increases steadily with age, but the borderline between normal and abnormal rates of arousals is illdeWned at present. A high rate of brief arousals is known to occur in response to arousing stimuli in certain pathological conditions during sleep such as apnoea, leg movements and pain.

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