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Sleep disturbances in Norwegian children with fetal alcohol spectrum disorders (FASD) with and without a diagnosis of attention‐deficit hyperactivity disorder or epilepsy.
- Source :
- Alcohol: Clinical & Experimental Research; Mar2023, Vol. 47 Issue 3, p589-599, 11p
- Publication Year :
- 2023
-
Abstract
- Background: Fetal alcohol spectrum disorder (FASD) describes a combination of developmental, cognitive, and behavioral disabilities in children with prenatal exposure to alcohol. The literature suggests that there are higher rates of sleep disturbances in these children. Few studies have investigated sleep disturbances in relation to common comorbidities of FASD. We examined the prevalence of disturbed sleep and the relationship between parent‐reported sleep problems in different FASD subgroups and comorbidities like epilepsy or attention‐deficit hyperactivity disorder (ADHD) and impact on clinical functioning. Methods: In this prospective cross‐sectional survey, caregivers of 53 children with FASD completed the Sleep Disturbance Scale for Children (SDSC). Information about comorbidities was collected, and EEG and assessment of IQ, daily‐life executive and adaptive functioning were performed. Group comparisons and ANCOVA interaction models were used to test the associations between different sleep disturbances and clinical factors that could interfere with sleep. Results: An abnormal sleep score on the SDSC was very common, affecting 79% of children (n = 42) with equal prevalence in all FASD subgroups. Difficulty falling asleep was the most common sleep problem, followed by difficulty staying asleep and waking early. The incidence of epilepsy was 9.4%, with an abnormal EEG seen in 24.5%, and a diagnosis of ADHD in 47.2% of children. The distribution of these conditions was equal in all FASD subgroups. Children with signs of sleep disturbance had poorer working memory, executive function, and adaptive functioning. Children with ADHD had a greater prevalence of sleep disturbance than those without ADHD (OR 1.36; 95% CI 1.03 to 1.79). Conclusion: Problems with sleep are very common in FASD children and seem independent of FASD subgroup and the presence of epilepsy or a pathological EEG finding, while those with ADHD had more sleep problems. The study underscores the importance of screening for sleep disturbances in all children with FASD as these problems may be treatable. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of epilepsy
PARENT attitudes
EXECUTIVE function
MEMORY
ELECTROENCEPHALOGRAPHY
CONFIDENCE intervals
CROSS-sectional method
FUNCTIONAL status
PSYCHOSOCIAL functioning
ACTIVITIES of daily living
DISEASE incidence
SLEEP disorders
ATTENTION-deficit hyperactivity disorder
COMPARATIVE studies
DISEASE prevalence
ANALYSIS of covariance
DESCRIPTIVE statistics
FETAL alcohol syndrome
COMORBIDITY
LONGITUDINAL method
INTELLIGENCE tests
DISEASE complications
SYMPTOMS
CHILDREN
Subjects
Details
- Language :
- English
- ISSN :
- 01456008
- Volume :
- 47
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Alcohol: Clinical & Experimental Research
- Publication Type :
- Academic Journal
- Accession number :
- 162707134
- Full Text :
- https://doi.org/10.1111/acer.15009