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Pediatrics
:
The recognition that
having infants sleep supine (on their back)
can substantially reduce the incidence of Sudden Infant Death
Syndrome (SIDS) is now appreciated as a profoundly
important early infant intervention and has saved thousands
of lives. Recent research regarding the physiologic, psychological
and developmental aspects of sleep in infants, children, and
adolescents has contributed to an increased understanding of
the unique aspects of sleep and development. The study of pediatric
disorders such as Congenital Central Hypoventilation Syndrome
and Rett Syndrome has led to a better basic understanding of
autonomic regulation and respiratory control. Recent findings
regarding the complex relationship between sleep patterns and
hormonal changes in adolescence have broadened our understanding
of pubertal influences on sleep and circadian biology. The extent
of sleep restriction and sleep disturbances among children and
adolescents is now recognized to be much greater than previously
believed, and the consequent impact on mood, neurobehavioral
and academic functioning, safety, and health is considerable.
Recognition of the link between sleep disturbances and neurobehavioral
disorders in childhood, such as attention deficit hyperactivity
disorder (ADHD), has profound public health
implications for both the treatment and prevention of psychiatric
co-morbidity. |
