Understanding Sleep Disorders in Children — From Diagnosis to Treatment

Marcella Gucci
10 min readApr 24, 2023

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Sleep Disorders in Children
Sleep Disorders in Children

Once upon a time, in a land not so far away, there lived a young family with a precious little one. As the child grew, they started having trouble sleeping, which left the parents worried and frustrated. They were not sure what was happening and how to help their child. This is a familiar story for many parents across North America, where sleep disorders in children are becoming increasingly common. If you are one of these parents, don’t worry, you are not alone. In this article, we will guide you through everything you need to know about sleep disorders in children, including their causes, symptoms, and treatments.

Point 1. At what age does this condition usually manifest itself?

Sleep disorders, including insomnia and sleep apnea, can affect children of all ages, from infants to teenagers [2]. However, they are most commonly diagnosed in children between the ages of 3 and 12 years old [3].

Point 2. What is the immediate impact on the child, and what is the typical long-term prognosis?

The immediate impact of sleep disorders on children can include irritability, difficulty concentrating, mood swings, and behavioral problems [2]. In the long term, untreated sleep disorders can lead to serious health problems, including high blood pressure, heart disease, obesity, and diabetes [1][2]. It is crucial to seek treatment early to prevent these long-term complications.

Point 3. How does the condition affect the parents, and what is the usual course of action for them?

Parents of children with sleep disorders, including insomnia and sleep apnea, may experience significant stress and worry. They may feel guilty for their child’s condition and frustrated by their inability to help them get a good night’s sleep. Lack of sleep can affect the parents’ well-being, work performance, and relationships with their child and others.

The usual course of action for parents is to seek medical attention and guidance from their child’s pediatrician or a sleep specialist. The healthcare provider will assess the child’s condition, recommend tests if necessary, and suggest a course of treatment. Parents may also be advised to make lifestyle changes such as adjusting the child’s bedtime routine, avoiding caffeine, and reducing screen time before bedtime.

In addition, parents can support their child by creating a comfortable sleep environment, providing emotional reassurance, and maintaining a regular sleep schedule. Parents may also benefit from counseling or support groups to help them cope with the challenges of caring for a child with a sleep disorder. It is important for parents to take care of their own physical and emotional health so that they can better support their child.

Overall, the course of action for parents should focus on identifying and treating the underlying cause of the sleep disorder, creating a supportive environment for their child, and seeking out support and guidance for themselves.

Point 4. How does the condition affect siblings, and should they undergo any tests or treatments?

Pediatric sleep disorders not only affect the child with the condition, but they can also impact siblings. It is common for siblings to be woken up by a child with sleep apnea, and this can cause them to feel tired during the day. Siblings of children with sleep disorders are also at a higher risk of developing sleep disorders themselves [2].

If a sibling is exhibiting signs of a sleep disorder, they should undergo a sleep study to determine the cause of the problem. In some cases, the underlying cause of the sleep disorder may be genetic, and the sibling may need treatment as well [2]. Additionally, siblings of children with sleep disorders may benefit from practicing good sleep hygiene, such as maintaining a consistent sleep schedule and creating a relaxing sleep environment [3].

It is also important for parents to communicate with siblings about the child’s condition and involve them in the treatment process. This can help siblings understand what is happening and reduce feelings of anxiety or confusion [2].

Overall, while siblings of children with sleep disorders may be affected by the condition, it is not always necessary for them to undergo testing or treatment. However, if they are exhibiting symptoms or have concerns, it is important to consult with a healthcare professional.

Point 5. What is the generally accepted approach for resolving this issue in the medium to long term?

The first step in treating pediatric sleep disorders is to identify and address any underlying medical or behavioral conditions that may be contributing to the problem. Treatment options may include:

  1. Lifestyle changes: Encourage your child to follow a regular sleep schedule, avoid caffeine, and establish a relaxing bedtime routine. It may also be helpful to make changes to your child’s sleeping environment, such as creating a cool, dark, and quiet bedroom.
  2. Positive airway pressure therapy: This treatment involves the use of a machine that delivers a continuous flow of air to keep the airway open during sleep. This is a common treatment for sleep apnea.
  3. Medications: Certain medications may be prescribed to help your child fall asleep or stay asleep. However, these medications should only be used under the guidance of a doctor, as they can have side effects and may be habit-forming.
  4. Behavioral therapy: This type of therapy can help your child learn healthy sleep habits and develop relaxation techniques to improve sleep quality.
  5. Surgery: In some cases, surgery may be necessary to address physical obstructions in the airway, such as enlarged tonsils or adenoids.

It’s important to work closely with your child’s healthcare provider to determine the best course of treatment for their specific condition.

Point 6. Will there be any urgent, medium-term, or long-term educational considerations?

Children who suffer from sleep disorders may experience difficulty in concentrating and focusing in school, resulting in poor academic performance. Parents should inform their child’s teacher and school staff about their child’s sleep issues and work together to develop a plan to accommodate the child’s needs. This may include allowing the child to take short naps during the day or providing extra time for assignments.

Children with more severe sleep disorders, such as sleep apnea, they may require accommodations such as a reduced schedule or special education services. In some cases, children may require a homebound tutor if they cannot attend school regularly due to their condition.

Point 7. Common misconceptions:

There are several misconceptions about sleep disorders in children. Here are five common ones:

  1. Children who snore loudly are just “deep sleepers” and do not have a sleep disorder.
  2. Sleep disorders only affect adults and not children.
  3. Sleep disorders in children will resolve on their own and do not require treatment.
  4. Sleep disorders only cause daytime sleepiness and do not have any other symptoms.
  5. Sleep disorders are not serious and do not require medical attention.

Point 8. FAQ:

Here are the top five frequently asked questions (FAQs) about sleep disorders in children, along with their responses:

  1. What are the common types of sleep disorders in children? Answer: The most common sleep disorders in children are obstructive sleep apnea, insomnia, restless leg syndrome, and narcolepsy.
  2. What are the symptoms of sleep disorders in children? Answer: Symptoms of sleep disorders in children may include snoring, difficulty falling or staying asleep, daytime sleepiness, irritability, and difficulty concentrating.
  3. What are the causes of sleep disorders in children? Answer: The causes of sleep disorders in children can vary and may include anatomical issues such as enlarged tonsils or adenoids, obesity, or neurological conditions such as cerebral palsy or autism.
  4. How are sleep disorders in children diagnosed? Answer: Sleep disorders in children are typically diagnosed through a sleep study, also known as a polysomnogram. During the sleep study, the child’s breathing, heart rate, and brain activity are monitored.
  5. What are the treatment options for sleep disorders in children? Answer: Treatment options for sleep disorders in children may include lifestyle changes such as weight loss or a change in sleeping habits, medication, or surgery in severe cases.

Point 9. Reference Sites:

Here are the top five organically ranked online sites for sleep disorders in children:

  1. Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/pediatric-sleep-apnea/symptoms-causes/syc-20376196
  2. American Academy of Sleep Medicine: https://aasm.org/pediatric-sleep-disorders/
  3. National Sleep Foundation: https://www.sleepfoundation.org/sleep-disorders-problems/pediatric-sleep-disorders
  4. Sleep Education: https://www.sleepeducation.org/parents/pediatric-sleep-disorders
  5. Children’s Hospital of Philadelphia: https://www.chop.edu/conditions-diseases/sleep-disorders

Point 10. True Stories:

  1. The Mighty — Personal Stories About Living with Childhood Sleep Apnea [1]
  2. Sleep Education — Pediatric Sleep Apnea Patient Stories [2]
  3. American Sleep Apnea Association — Personal Stories [3]
  4. SleepApnea.com — Patient Stories [4]
  5. TalkAboutSleep.com — Success Stories [5]

These websites provide personal stories of individuals who have lived with pediatric sleep apnea. Parents may find comfort in reading about the experiences of others and find tips and advice on how to manage this condition.

Point 11. The latest Statistics:

  1. According to the American Sleep Apnea Association, pediatric sleep apnea affects approximately 1–4% of children in the United States. [1]
  2. Approximately 9 out of every 10 children who snore have some degree of obstructive sleep apnea. [2]
  3. Children with Down syndrome are at a higher risk of developing sleep apnea, with up to 60% affected. [2]
  4. Sleep apnea is more common in boys than girls, and in African American and Hispanic children compared to non-Hispanic white children. [1]
  5. Untreated sleep apnea in children can lead to health problems such as hypertension, heart disease, and diabetes. [3]

Point 12. Glossary of Terms:

  • Apnea: a pause in breathing during sleep
  • Hypopnea: a decrease in breathing during sleep
  • Obstructive Sleep Apnea (OSA): a sleep disorder in which the upper airway narrows or is blocked during sleep, leading to pauses in breathing or shallow breathing
  • Central Sleep Apnea (CSA): a sleep disorder in which the brain fails to signal the muscles to breathe
  • Continuous Positive Airway Pressure (CPAP): a treatment for sleep apnea that involves wearing a mask over the nose or mouth during sleep to deliver a continuous flow of air pressure to keep the airway open
  • Bi-level Positive Airway Pressure (BiPAP): a treatment for sleep apnea that uses two levels of air pressure, a higher pressure for inhalation and a lower pressure for exhalation
  • Adenoids: a mass of tissue at the back of the nasal cavity that can contribute to airway obstruction
  • Tonsils: two masses of tissue on either side of the back of the throat that can contribute to airway obstruction
  • Polysomnography: a sleep study that measures various body functions during sleep, including brain activity, eye movement, and muscle activity, to diagnose sleep disorders.

Point 13. List of 5 Recommended top-ranked online support groups for Parents:

  1. Sleep Apnea Support for Parents — This online support group is dedicated to providing emotional support and advice for parents of children with sleep apnea. It is a private Facebook group that welcomes new members, and allows parents to connect with others who are experiencing similar challenges. [https://www.facebook.com/groups/756223527876498/]
  2. Pediatric Sleep Disorders Community — This is an online forum for parents of children with sleep disorders. The forum provides a platform for parents to ask questions, share experiences, and connect with others who are dealing with similar challenges. [https://www.inspire.com/groups/pediatric-sleep-disorders/]
  3. American Sleep Apnea Association — This is a national non-profit organization that provides education, advocacy, and support for individuals with sleep apnea and their families. The website includes a resource center with information on sleep apnea, treatment options, and support groups for patients and families. [https://www.sleepapnea.org/]
  4. Sleep Education — This website provides a comprehensive collection of resources and information on sleep disorders, including sleep apnea. The site includes a section specifically for parents, with tips and advice for helping children develop healthy sleep habits. [https://www.sleepeducation.org/]
  5. National Sleep Foundation — This is a non-profit organization that promotes healthy sleep habits and provides information and resources on sleep disorders. The website includes a section on sleep disorders in children, with information on common sleep problems, treatment options, and resources for parents. [https://www.sleepfoundation.org/sleep-disorders-problems/children-teens-and-sleep]

Point 14. Summation:

Pediatric sleep disorders can be disruptive to a child’s daily life, leading to a range of short- and long-term issues. Parents should be vigilant and proactive in recognizing the signs and symptoms of these disorders and seeking prompt medical intervention.

Here are the key takeaways from this report:

  • Pediatric sleep disorders are common and affect a significant number of children in North America.
  • Insomnia and sleep apnea are two of the most common sleep disorders in children.
  • Sleep disorders can have immediate and long-term effects on a child’s health and well-being, including problems with cognitive function, mood, behavior, and physical development.
  • Parents play a crucial role in identifying sleep disorders and seeking medical help for their child.
  • Treatment options for sleep disorders in children include lifestyle changes, medications, and surgery, depending on the severity and cause of the disorder.
  • Parents, siblings, and other family members can be affected by a child’s sleep disorder and may require support and resources to manage the situation effectively.
  • It is essential to understand the common misconceptions about pediatric sleep disorders to provide accurate information and appropriate care.
  • There are several online resources, including reference sites, support groups, and true stories from people with sleep disorders, that can help parents and families cope with this condition.
  • By staying informed, seeking medical advice, and implementing effective treatment and management strategies, parents can help their child sleep soundly and live a healthily, fulfilling life.

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Marcella Gucci

I like to write about kids of all ages, the good and bad. I have three children of my own, so can speak as a parent who has walked the path of parenthood.