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Behavioral Problems in Children Evaluated for Sleep Disordered Breathing
Jun Kohyama M.D., Ph.D, Wakana Furushima M.D, Takeshi Hasegawa M.D., Ph.D
Although hyperactivity is reported to be common among children with suspected sleep
disordered breathing (SDB), the spectrum of behavioral abnormalities in these children is
uncertain. The aim of this study is to survey behavioral abnormalities seen in children with
suspected SDB. We compared the scores from the Child Behavior Checklist of 32
suspected SDB children with those of 137 age-matched healthy children. The CBCL we
used (a Japanese version of the CBCL for ages 4 through 18 years) has 113 questions that
are classified into 8 categories. On this CBCL, the higher the score, the more likely is the
child to have problems. We also performed one-night polysomnography on the 32
suspected SDB children and compared the SDB measures obtained from
polysomnography with the CBCL scores. Suspected SDB children showed higher scores on
attention, withdrawal, somatic complaints, anxiety/depression, social problems and
thought problems than in the controls. However, the severity of SDB failed to significantly
elevate the scales of each CBCL category. Suspected SDB children had more behavioral
problems than age-matched healthy children. The spectrum of behavioral abnormalities in
suspected SDB children is wider than previously recognized. The factors causing behavioral
problems in suspected SDB children remain unknown. (Sleep and Hypnosis
2003;5(2):89-94)
| Keywords: hyperactivity, attention deficit, sleep disordered breathing, child behavior check list (CBCL), subcortical activation, and periodic leg movement during sleep |
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