perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”perinatology-56Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSЭмоциональные расстройства и расстройства поведения у детей, связанные с нарушениями снаEmotional and behavioral problems associated with sleep disorders in childrenКельмансонИ. А.KelmansonI. A.

д.м.н., проф. каф. клинической психологии

Институт специальной педагогики и психологии Международного университета семьи и ребенка им. Рауля Валленберга, Санкт-ПетербургРоссияInstitute of Special Pedagogics and Psychology, Raoul Wallenberg International University for Family and Child, Saint PetersburgRussian Federation2014040320165943240Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20162016Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/56

Рассматривается возможная связь нарушений сна у детей и подростков с эмоциональными расстройствами и расстройствами поведения. Приводятся данные о связи нарушений продолжительности и целостности сна с повышенной эмоциональной реактивностью и лабильностью, высоким уровнем тревоги, симптомами депрессии. Обсуждается связь клинической симптоматики синдрома дефицита внимания и гиперактивности, агрессивности, низкой успеваемости с нарушениями сна, в том числе на фоне расстройств дыхания во время сна, синдромов беспокойных ног и периодического движения конечностей. Приводятся данные о характерных полисомнографических изменениях, выявляемых на фоне обсуждаемых эмоциональных и поведенческих расстройств у детей. Дается возможное патофизиологическое обоснование выявленных ассоциаций. Обосновываются практические рекомендации по обследованию детей с жалобами на эмоциональные и поведенческие расстройства на предмет возможных сопутствующих нарушений сна. 

The paper considers whether parasomnia may be associated with emotional and behavioral problems. It gives data on the relationship of impaired sleep duration and integrity to increased emotional responsiveness and lability, high levels of anxiety, and depression symptoms. Whether the clinical symptoms of attention-deficit/hyperactivity disorder, aggression, and academic underachievement are related to sleep disorders, including those in the presence of sleep disordered breathing, restless legs syndrome and periodic limb movement disorder, is discussed. There are data on the characteristic polysomnographic changes detected in the presence of the discussed emotional and behavioral disorders in children. A possible pathophysiological rationale is provided for the found associations. Practical guidelines for examination of children with complaints about emotional and behavioral disorders for possible concomitant parasomnias are substantiated. 

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The authors declare that there are no conflicts of interest present.