Эмоциональные расстройства и расстройства поведения у детей, связанные с нарушениями сна
Аннотация
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.
Об авторе
И. А. КельмансонРоссия
д.м.н., проф. каф. клинической психологии
Список литературы
1. Kelmanson I.A. Disturbed sleep and emotional reactivity in 5-year-old children. Somnologie 2013; 17: 1: 49—56.
2. Nixon G.M., Thompson J.M., Han D.Y. et al. Short sleep duration in middle childhood: risk factors and consequences. Sleep 2008; 31: 1: 71—78.
3. Schultz D., Izard C.E., Bear G. Children's emotion processing: relations to emotionality and aggression. Dev Psychopathol 2004; 16: 2: 371—387.
4. Baglioni C., Spiegelhalder K., Lombardo C., Riemann D. Sleep and emotions: a focus on insomnia. Sleep Med Rev 2010; 14: 4: 227—238.
5. Левин Я.И., Полуэктов М.Г. Избранные лекции по сомнологии. М: Медфорум 2013; 430. (Levin Ya.I., Poluektov MG. Selected lectures on somnology. Moscow: Medforum 2013; 430.)
6. Кельмансон И.А. Сон и дыхание детей раннего возраста. Ст-Петербург: Элби—Ст-Петербург 2006; 292. (Kelmanson I.A. Sleep and breathing in young children. St- Petersburg: Elbi-St-Petersburg 2006; 292)
7. Вербицкий Е.В. Сон и тревожность. Ростов-на-Дону: Изд-во ЮНЦ РАН 2008; 340. (Verbitsky E.V. Sleep and anxiety. Rostov-on-Don: South Scientific Centre of the Russian Academy of Sciences Publisher 2008; 340.)
8. Roy-Byrne P.P., Uhde T.W., Post R.M. Effects of one night's sleep deprivation on mood and behavior in panic disorder. Patients with panic disorder compared with depressed patients and normal controls. Arch Gener Psych 1986; 43: 9: 895—899.
9. Кельмансон И.А. Закономерности психомоторного развития и риск нарушений сна у детей второго полугодия жизни. Рос вестн перинатол и педиат 2012; 5: 57—61. (Kelmanson I.A. The patterns of psychomotor development and the risk of sleep disorders in infants at the second half of the first year of life. Ros vestn perinatol I pediat 2012; 5: 57—61.)
10. Alfano C.A., Mellman T.A. Sleep in anxiety disorders. In: J.W.Winkelman, D.T.Plante (eds). Foundations of psychiatric sleep medicine. London: Cambridge University Press 2010; 286—297.
11. Muris P., Merckelbach H., Ollendick T.H. et al. Children's nighttime fears: parent-child ratings of frequency, content, origins, coping behaviors and severity. Behav Res Ther 2001; 39: 1: 13—28.
12. Forbes E.E., Bertocci M.A., Gregory A.M. et al. Objective sleep in pediatric anxiety disorders and major depressive disorder. J Am Acad Child Adol Psychiat 2008; 47: 2: 148—155.
13. Say How O., Wickramaratne P., Min T., Weissman M.M. Early childhood sleep and eating problems as predictors of adolescent and adult mood and anxiety disorders. J Affective Dis 2006; 96: 1: 1—8.
14. Yoo S.S., Gujar N., Hu P. et al. The human emotional brain without sleep-a prefrontal amygdala disconnect. Current biology: CB 2007; 17: 20: R877—878.
15. Zohar D., Tzischinsky O., Epstein R., Lavie P. The effects of sleep loss on medical residents' emotional reactions to work events: a cognitive-energy model. Sleep 2005; 28: 1: 47—54.
16. El-Sheikh M., Buckhalt J.A. Vagal regulation and emotional intensity predict sleep problems children’s sleep problems. Dev Psychobiol 2005; 46: 4: 307—317.
17. Forbes E.E., Williamson D.E., Ryan N.D. Peri-sleep-onset cortisol levels in children and adolescents with affective disorders. Biol Psychiat 2006; 59: 1: 24—30.
18. Scher A., Hall W.A., Zaidman-Zait A., Weinberg J. Sleep quality, cortisol levels, and behavioral regulation in toddlers. Dev Psychobiol 2010; 52: 1: 44—53.
19. Warren S.L., Gunnar M.R., Kagan J. et al. Maternal panic disorder: infant temperament, neurophysiology, and parenting behaviors. J Am Acad Child Adol Psychiat 2003; 42: 7: 814—825.
20. Buckley T.M., Schatzberg A.F. On the interactions of the hypothalamic-pituitary-adrenal (HPA) axis and sleep: normal HPA axis activity and circadian rhythm, exemplary sleep disorders. J Clin Endocrinol Metabol 2005; 90: 5: 3106—3114.
21. Dahl R.E. The regulation of sleep and arousal: Development and psychopathology. Development Psychopathol 1996; 8: 1: 3—27.
22. Borbely A.A., Tobler I., Loepfe M. et al. All-night spectral analysis of the sleep EEG in untreated depressives and normal controls. Psychiat Res 1984; 12: 1: 27—33.
23. Emslie G.J., Armitage R., Weinberg W.A. et al. Sleep polysomnography as a predictor of recurrence in children and adolescents with major depressive disorder. Int J Neuropsychopharmacol 2001; 4: 2: 159—168.
24. Rao U., Hammen C.L., Poland R.E. Risk markers for depression in adolescents: sleep and HPA measures. Neuropsychopharmacol 2009; 34: 8: 1936—1945.
25. Gillin J.C., Sitaram N., Mendelson W.B. Acetylcholine, sleep, and depression. Hum Neurobiol 1982; 1: 3: 211—219.
26. Duman R.S. Pathophysiology of depression: the concept of synaptic plasticity. Eur Psychiat 2002; 17: Suppl 3: 306—310.
27. Chamberlain S.R., Sahakian B.J. Cognition in mania and depression: psychological models and clinical implications. Curr Psychiat Rep 2004; 6: 6: 451—458.
28. Salomon R.M., Ripley B., Kennedy J.S. et al. Diurnal variation of cerebrospinal fluid hypocretin-1 (Orexin-A) levels in control and depressed subjects. Biol Psychiat 2003; 54: 2: 96—104.
29. Pandi-Perumal S.R., Kramer M. Sleep and mental illness. Cambridge—New York: Cambridge University Press 2010; 430.
30. Arendt J. Melatonin: a new probe in psychiatric investigation? Br J Psychiat 1989; 155: 585—590.
31. Kelmanson I.A. Temperament and sleep characteristics in twomonth- old Infants. Sleep Hypnosis 2004; 6: 2: 67—73.
32. Chervin R.D., Archbold K.H., Dillon J.E. et al. Inattention, hyperactivity, and symptoms of sleep-disordered breathing. Pediatrics 2002; 109: 3: 449—456.
33. Wolfson A.R., Carskadon M.A. Sleep schedules and daytime functioning in adolescents. Child Devel 1998; 69: 4: 875—887.
34. Morrison D.N., McGee R., Stanton W.R. Sleep problems in adolescence. J Am Acad Child Adol Psychiat 1992; 31: 1: 94—99.
35. Lecendreux M., Konofal E., Bouvard M. et al. Sleep and alertness in children with ADHD. J Child Psychol Psychiat All Disciplines 2000; 41: 6: 803—812.
36. Van der Heijden K.B., Smits M.G., Van Someren E.J. et al. Effect of melatonin on sleep, behavior, and cognition in ADHD and chronic sleep-onset insomnia. J Am Acad Child Adol Psychiat 2007; 46: 2: 233—241.
37. Gruber R., Sadeh A. Sleep and neurobehavioral functioning in boys with attention-deficit/hyperactivity disorder and no reported breathing problems. Sleep 2004; 27: 2: 267—273.
38. Bell-McGinty S., Habeck C., Hilton H.J. et al. Identification and differential vulnerability of a neural network in sleep deprivation. Cerebral Cortex 2004; 14: 5: 496—502.
39. Ali N.J., Pitson D., Stradling J.R. Sleep disordered breathing: effects of adenotonsillectomy on behaviour and psychological functioning. Eur J Pediat 1996; 155: 1: 56—62.
40. Beebe D.W., Gozal D. Obstructive sleep apnea and the prefrontal cortex: towards a comprehensive model linking nocturnal upper airway obstruction to daytime cognitive and behavioral deficits. J Sleep Res 2002; 11: 1: 1—16.
41. Barry R.J., Johnstone S.J., Clarke A.R. A review of electrophysiology in attention-deficit/hyperactivity disorder: II. Event-related potentials. Clin Neurophysiol 2003; 114: 2: 184—198.
42. van den Berg J., Neely G., Nilsson L. et al. Electroencephalography and subjective ratings of sleep deprivation. Sleep Med 2005; 6: 3: 231—240.
43. Drummond S.P., Brown G.G., Gillin J.C. et al. Altered brain response to verbal learning following sleep deprivation. Nature 2000; 403: 6770: 655—657.
44. Mesulam M.M. Large-scale neurocognitive networks and distributed processing for attention, language, and memory. Ann Neurol 1990; 28: 5: 597—613.
45. Arnsten A.F., Li B.M. Neurobiology of executive functions: catecholamine influences on prefrontal cortical functions. Biol Psychiat 2005; 57: 11: 1377—1384.
46. Zang Y.F., He Y., Zhu C.Z. et al. Altered baseline brain activity in children with ADHD revealed by resting-state functional MRI. Brain Devel 2007; 29: 2: 83—91.
47. Kelmanson I.A. Snoring, noisy breathing in sleep and daytime behaviour in 2—4-month-old infants. Eur J Pediat 2000; 159: 10: 734—739.
48. O'Brien L.M., Mervis C.B., Holbrook C.R. et al. Neurobehavioral implications of habitual snoring in children. Pediatrics 2004; 114: 1: 44—49.
49. Mulvaney S.A., Goodwin J.L., Morgan W.J. et al. Behavior problems associated with sleep disordered breathing in schoolaged children--the Tucson children's assessment of sleep apnea study. J Pediat Psychol 2006; 31: 3: 322—330.
50. Katz E.S., D'Ambrosio C.M. Pediatric obstructive sleep apnea syndrome. Clin Chest Medicine 2010; 31: 2: 221—234.
51. Gozal D., Pope D.W. Snoring during early childhood and academic performance at ages thirteen to fourteen years. Pediatrics 2001; 107: 6: 1394—1399.
52. LeBourgeois M.K., Avis K., Mixon M. et al. Snoring, sleep quality, and sleepiness across attention-deficit/hyperactivity disorder subtypes. Sleep 2004; 27: 3: 520—525.
53. Xu W., Chi L., Row B.W. et al. Increased oxidative stress is associated with chronic intermittent hypoxia-mediated brain cortical neuronal cell apoptosis in a mouse model of sleep apnea. Neuroscience 2004; 126: 2: 313—323.
54. Gozal D., Crabtree V.M., Sans Capdevila O. et al. C-reactive protein, obstructive sleep apnea, and cognitive dysfunction in school-aged children. Am J Res Crit Care Med 2007; 176: 2: 188—193.
55. Halbower A.C., Mahone E.M. Neuropsychological morbidity linked to childhood sleep-disordered breathing. Sleep Med Rev 2006; 10: 2: 97—107.
56. Lewin D.S., Rosen R.C., England S.J., Dahl R.E. Preliminary evidence of behavioral and cognitive sequelae of obstructive sleep apnea in children. Sleep Medicine 2002; 3: 1: 5—13.
57. Huang Y.S., Guilleminault C., Li H.Y. et al. Attentiondeficit/ hyperactivity disorder with obstructive sleep apnea: a treatment outcome study. Sleep Med 2007; 8: 1:18—30.
58. Picchietti D.L., Picchietti M.A. Restless legs syndrome: what have we learned from prevalence studies and how will incidence studies further clinical knowledge? J Clin Sleep Med 2012; 8: 2: 125—126.
59. Allen R.P. Race, iron status and restless legs syndrome. Sleep Med 2002; 3: 6: 467—468.
60. Hodges K.E., Felt B.T., Giordani B.J., Chervin R.D. Behavioral morbidity in pediatric sleep-disordered breathing. In: L. Kheirandish-Gozal, D. Gozal (eds). Sleep disordered breathing in children. New York: Humana Press 2012; 427—440.
Рецензия
Для цитирования:
Кельмансон И.А. Эмоциональные расстройства и расстройства поведения у детей, связанные с нарушениями сна. Российский вестник перинатологии и педиатрии. 2014;59(4):32-40.
For citation:
Kelmanson I.A. Emotional and behavioral problems associated with sleep disorders in children. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2014;59(4):32-40. (In Russ.)