May 21, 2009 | No comments | Family & Relationships
Good Night Sleep Tight! Common causes of sleep problems in young children.
Sleep problems are quite common among toddlers and primary-school-age children. Many people assume that children will put broken nights behind them once they pass babyhood, but it’s not necessarily the case. Certain sleep problems continue to hassle children even in their adolescence.
The most common form of sleep disturbance in young children is thought to be behavioural. Dr. Sarah Blunden, Paediatric Sleep Research Fellow of the University of South Australia, says that her research has shown that up to 30% of toddlers have a bahavioural sleep problem at some stage. Refusing to go to bed, night awakening, difficulty settling to sleep and separating from the parents at bedtime can be cited as most frequent behavioural aspects. Often these problems arise because the child has never learned to self-soothe, and instead develops quite dependent sleep associations. In such cases, the child may only be able to fall asleep under very specific conditions, such as with the light on and a dummy in, or with his mother nearby.
A recent study has found out that mothers with “hostile” parenting styles, characterized by yelling at or physical punishment of their children, are more likely to have children with behavioural sleep difficulties. Most modern mothers and grandmothers are in the habit of putting the toddlers to sleep, keeping them in front of a noisy television. This not only delays the child’s sleep, in the long run it could develop into an irritating sleep problem.
Medical conditions are another major cause of childhood sleep difficulties. These include asthma, autism and obstructive sleep apnoea (OSA),where the child briefly stops breathing a number of times each night. Habitual snoring is often the presenting symptom of OSA. Obstructive sleep apnoea may lead to significant consequences in terms of both physical and mental health, including learning difficulties, behavioural issues, and cardiovascular and blood-pressure problems.
Disturbed sleep is also seen in the children who have periodic limb movement disorder(PLMD) which seems to arise in primary-school-age children, and characterized by the child being very fidgety and restless, sometimes to the point that they are labeled as having ADHD.(Attention deficit hyperactive disorder).
Children with PLMD often resist going to bed, as they find it hard to stop their arms and legs moving, and this wakes them up during the night. They may also experience so-called ‘growing pains.’
A majority of children suffer from sleep problems as a result of parasomnias: sleep walking, sleep talking and night terrors. These can be quite common in young children. A number of factors may contribute to a state of parasomnia; stress, fever, a full bladder, certain medications and a family history of such behaviour. Recent research reveals that half of the children who exhibit parasomnias may actually have an undiagnosed respiratory sleep disorder. The breathing difficulty wakes them up, so they are partially aroused and may start walking, talking or even screaming. When they are actually tested, their brains are technically still asleep. There’s a disconnection between the part of the brain that controls motor activity and the prefrontal cortex, which exerts reason.
It is as if their brain is in neutral, but their body is in drive.
Children get disrupted at sleep, as a result of a barrage of environmental factors, such as, parental conflicts, wrong food habits (intake of coffee, tea and hot chocolate six hours prior to sleep), excessive hours of video games, going to bed with empty belly, emotionally disturbed mind as a result of peer pressure or any form of child abuse, lack of sleeping atmosphere in the bedroom etc,.
Sleep disorders can have a variety of consequences, both for the child suffering from them and their family. Children with sleep problems have poorer health-related quality of life.. Short sleep duration in children has proved to be an independent risk factor for obesity. There may also be behavioural and cognitive sequeals of disturbed sleep. Children with sleep problems are 12 times more likely to receive a diagnosis of ADHD than those without. Children with sleep problems tend to have poor memory and exhibit lower performance in tests of intelligence. Preschool sleep problems have also been found to be associated with maternal, general and mental health, though interestingly have little effect on fathers.( So, all mothers out there, it’s your turn to think twice about yourself, when your child experiences troubled sleep)
According to research, children with behavioural sleep problems will grow out of these in time, especially those in whom the disturbance is mild. The rest however may need treatment or therapy. A number of methods may be used to achieve this, including establishing good ‘sleep hygiene’ and behavioural modification techniques such as star charts, where the parents gradually remove the child from the parents’ bedroom so the child learns to fall asleep, or go back to sleep, by himself. The ultimate aim is to make these changes without distress. Establishing a bedtime routine could promote peaceful sleep in children. Kids should always do three or four calming activities before bed and they should be exactly the same activities every night. Bath, reading, prayer whatever- daily repetition cues your child’s body for sleep. A routine is just as important for a fifteen year old as it is for a toddler.
A good night’s sleep actually starts in the morning. Children must be taught to wake up at the same time every day. Sunlight activates the brain. Hence, activating the brain at the same time every morning teaches your body that at noon it’s supposed to be awake and at midnight it’s supposed to be asleep. Establishing good sleep-hygiene has been found useful in reducing parasomnias, while surgery to remove the tonsils or adenoids has been more beneficial with regards to OSA.
Sleep problems in children need to be closely monitored by the parents in order to reduce its adverse effects and thereby help children have a good-night sleep. A good sleep is as important as a balanced diet.
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Nirmala Herath is a past pupil of Pushpadana Girls College of Kandy who, after obtaining her BSc in Public Administration at the Vidyodaya University, went on to qualify herself in every aspect of Urban Planning. She has had the opportunity and gaining experience from working on local as well as international level projects on urban planning. Devasriyani Jayasundara is a past pupil of Gothami Balika Vidyalaya, Colombo. She graduated from the University of Colombo in Development Studies and furthered her education on the lines of urban planning. She has obtained much knowledge and experience from studying at various universities and institutions on her chosen line of studies in Urban Planning & Housing. The book is the result of their long standing working relationship. The book provides a vivid description of the built environment in Colombo as it exists today, with many a high-rise apartment building almost frequently altering the city’s skyline. The publication should be useful both to property developers as well as professionals involved in the urban planning. It should also help the aspiring students of Architecture and Town Planning, as there are well-detailed maps and topographical information.
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