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. 1998 May;78(5):413–419. doi: 10.1136/adc.78.5.413

Sleep and psychological disturbance in nocturnal asthma

G Stores 1, A Ellis 1, L Wiggs 1, C Crawford 1, A Thomson 1
PMCID: PMC1717552  PMID: 9659086

Abstract

Subjective and objective sleep disturbance was studied in children with nocturnal asthma. Relations between such disturbance and daytime psychological function were also explored, including possible changes in learning and behaviour associated with improvements in nocturnal asthma and sleep. Assessments included home polysomnography, parental questionnaires concerning sleep disturbance, behaviour, and mood and cognitive testing. Compared with matched controls, children with asthma had significantly more disturbed sleep, tended to have more psychological problems, and they performed less well on some tests of memory and concentration. In general, improvement of nocturnal asthma symptoms by changes in treatment was followed by improvement in sleep and psychological function in subsequent weeks. The effects of asthma on sleep and the possible psychological consequences are important aspects of overall care.



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Selected References

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  1. Avital A., Steljes D. G., Pasterkamp H., Kryger M., Sanchez I., Chernick V. Sleep quality in children with asthma treated with theophylline or cromolyn sodium. J Pediatr. 1991 Dec;119(6):979–984. doi: 10.1016/s0022-3476(05)83062-8. [DOI] [PubMed] [Google Scholar]
  2. Bender B. G., Lerner J. A., Kollasch E. Mood and memory changes in asthmatic children receiving corticosteroids. J Am Acad Child Adolesc Psychiatry. 1988 Nov;27(6):720–725. doi: 10.1097/00004583-198811000-00010. [DOI] [PubMed] [Google Scholar]
  3. Celano M. P., Geller R. J. Learning, school performance, and children with asthma: how much at risk? J Learn Disabil. 1993 Jan;26(1):23–32. doi: 10.1177/002221949302600103. [DOI] [PubMed] [Google Scholar]
  4. Coble P. A., Kupfer D. J., Taska L. S., Kane J. EEG sleep of normal healthy children. Part I: Findings using standard measurement methods. Sleep. 1984;7(4):289–303. doi: 10.1093/sleep/7.4.289. [DOI] [PubMed] [Google Scholar]
  5. Dunleavy R. A., Baade L. E. Neuropsychological correlates of severe asthma in children 9-14 years old. J Consult Clin Psychol. 1980 Apr;48(2):214–219. doi: 10.1037//0022-006x.48.2.214. [DOI] [PubMed] [Google Scholar]
  6. Fitzpatrick M. F., Engleman H., Whyte K. F., Deary I. J., Shapiro C. M., Douglas N. J. Morbidity in nocturnal asthma: sleep quality and daytime cognitive performance. Thorax. 1991 Aug;46(8):569–573. doi: 10.1136/thx.46.8.569. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Guilleminault C., Korobkin R., Winkle R. A review of 50 children with obstructive sleep apnea syndrome. Lung. 1981;159(5):275–287. doi: 10.1007/BF02713925. [DOI] [PubMed] [Google Scholar]
  8. Janson C., De Backer W., Gislason T., Plaschke P., Björnsson E., Hetta J., Kristbjarnarson H., Vermeire P., Boman G. Increased prevalence of sleep disturbances and daytime sleepiness in subjects with bronchial asthma: a population study of young adults in three European countries. Eur Respir J. 1996 Oct;9(10):2132–2138. doi: 10.1183/09031936.96.09102132. [DOI] [PubMed] [Google Scholar]
  9. Johns M. W. A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991 Dec;14(6):540–545. doi: 10.1093/sleep/14.6.540. [DOI] [PubMed] [Google Scholar]
  10. Kales A., Beall G. N., Bajor G. F., Jacobson A., Kales J. D. Sleep studies in asthmatic adults: relationship of attacks to sleep stage and time of night. J Allergy. 1968 Mar;41(3):164–173. doi: 10.1016/0021-8707(68)90056-7. [DOI] [PubMed] [Google Scholar]
  11. Kales A., Kales J. D., Sly R. M., Scharf M. B., Tan T. L., Preston T. A. Sleep patterns of asthmaticchildren: all-night electroencephalographic studies. J Allergy. 1970 Nov;46(5):300–308. doi: 10.1016/0021-8707(70)90070-5. [DOI] [PubMed] [Google Scholar]
  12. Kovacs M. Rating scales to assess depression in school-aged children. Acta Paedopsychiatr. 1981 Feb;46(5-6):305–315. [PubMed] [Google Scholar]
  13. McNichol K. N., Williams H. E., Allan J., McAndrew I. Spectrum of asthma in children. 3. Psychological and social components. Br Med J. 1973 Oct 6;4(5883):16–20. doi: 10.1136/bmj.4.5883.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Montplaisir J., Walsh J., Malo J. L. Nocturnal asthma: features of attacks, sleep and breathing patterns. Am Rev Respir Dis. 1982 Jan;125(1):18–22. doi: 10.1164/arrd.1982.125.1.18. [DOI] [PubMed] [Google Scholar]
  15. Palm L., Persson E., Elmqvist D., Blennow G. Sleep and wakefulness in normal preadolescent children. Sleep. 1989 Aug;12(4):299–308. doi: 10.1093/sleep/12.4.299. [DOI] [PubMed] [Google Scholar]
  16. Saunders K. J. Early refractive development in humans. Surv Ophthalmol. 1995 Nov-Dec;40(3):207–216. doi: 10.1016/s0039-6257(95)80027-1. [DOI] [PubMed] [Google Scholar]
  17. Schlieper A., Alcock D., Beaudry P., Feldman W., Leikin L. Effect of therapeutic plasma concentrations of theophylline on behavior, cognitive processing, and affect in children with asthma. J Pediatr. 1991 Mar;118(3):449–455. doi: 10.1016/s0022-3476(05)82167-5. [DOI] [PubMed] [Google Scholar]
  18. Simonds J. F., Parraga H. Prevalence of sleep disorders and sleep behaviors in children and adolescents. J Am Acad Child Psychiatry. 1982 Jul;21(4):383–388. doi: 10.1016/s0002-7138(09)60942-0. [DOI] [PubMed] [Google Scholar]
  19. Stores G. Investigation of sleep disorders including home monitoring. Arch Dis Child. 1994 Sep;71(3):184–185. doi: 10.1136/adc.71.3.184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Stores G. Practitioner review: assessment and treatment of sleep disorders in children and adolescents. J Child Psychol Psychiatry. 1996 Nov;37(8):907–925. doi: 10.1111/j.1469-7610.1996.tb01489.x. [DOI] [PubMed] [Google Scholar]
  21. Stores G., Williams P. L., Styles E., Zaiwalla Z. Psychological effects of sodium valproate and carbamazepine in epilepsy. Arch Dis Child. 1992 Nov;67(11):1330–1337. doi: 10.1136/adc.67.11.1330. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Strachan D. P., Anderson H. R., Limb E. S., O'Neill A., Wells N. A national survey of asthma prevalence, severity, and treatment in Great Britain. Arch Dis Child. 1994 Mar;70(3):174–178. doi: 10.1136/adc.70.3.174. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Stradling J. R., Thomas G., Warley A. R., Williams P., Freeland A. Effect of adenotonsillectomy on nocturnal hypoxaemia, sleep disturbance, and symptoms in snoring children. Lancet. 1990 Feb 3;335(8684):249–253. doi: 10.1016/0140-6736(90)90068-g. [DOI] [PubMed] [Google Scholar]

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