title: Comorbid symptoms of sleep-disordered breathing and behavioral sleep problems from 18-57 months of age: a population-based study.
abstract: Research suggests that in clinical samples, almost 1/2 of children with obstructive sleep apnea have a behavioral sleep problem, and of those, most do not receive behavioral recommendations. This study extends previous research via a longitudinal investigation of the presence and comorbidity of symptoms of sleep-disordered breathing (SDB) and behavioral sleep problems in a non-clinical sample. Findings were that the prevalence of symptoms of SDB and behavioral sleep problems at each of the 4 time points was nearly identical, with a peak age of 30 months, and that 25% to 40% of children with symptoms of SDB had behavioral sleep problems. Results suggest that an interdisciplinary approach, including behavioral expertise, is warranted even if the referral concern is solely SDB.
authors.affiliation: Division of Pulmonary Medicine, Sleep Center, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. mooremel@email.chop.edu
authors.forename: Melisa
authors.initials: M
authors.lastname: Moore
authors.forename: Karen
authors.initials: K
authors.lastname: Bonuck
mesh_terms: D015982:Bias; D002675:Child, Preschool; D015897:Comorbidity; D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D018401:Sample Size; D012891:Sleep Apnea Syndromes / Q000453:epidemiology* / Q000503:physiopathology*; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology* / Q000503:physiopathology*