title: Symptoms of sleep disturbances among children at two general pediatric clinics.
abstract: OBJECTIVE
  We assessed the frequency of childhood sleep problems at 2 general pediatric clinics.
  
  
  METHODS
  Parents of 1038 unselected children (554 boys) aged 2.0 to 13.9 years completed a validated Pediatric Sleep Questionnaire while waiting for appointments.
  
  
  RESULTS
  Habitual snoring was reported in 176 (17%) of the children. Criterion scores suggestive of sleep-disordered breathing were found in 115 (11%) of the children, in 29% of children at the clinic for neurologic indications, and in 21% of children at the clinic for noninfectious respiratory indications. Insomnia (ie, unrefreshing sleep or difficulty with sleep onset, sleep maintenance, or early morning awakening from sleep) was reported in 430 (41%) of the children; > or =2 symptoms were present in 191 (18%) of the children. Excessive daytime sleepiness was suggested in 148 (14%) of the children, and 390 (38%) had symptoms of sleep terrors, sleepwalking, or nocturnal bruxism.
  
  
  CONCLUSIONS
  Sleep problems such as sleep-disordered breathing, insomnia, excessive sleepiness, and parasomnias are frequent among children seen at general pediatric practices.
authors.affiliation: Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor 48109-0117, USA.
authors.forename: Kristen Hedger
authors.initials: KH
authors.lastname: Archbold
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Pituch
authors.forename: Parviz
authors.initials: P
authors.lastname: Panahi
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Chervin
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000453:epidemiology