The psychological impact of an adenoidectomy and adenotonsillectomy on young children

Broekman, Birit F.P.; Olff, Miranda; Tan, Frédérique M.L.; Schreuder, Bas J. N.; Fokkens, Wytske J.; Boer, Frits

doi:10.1016/j.ijporl.2009.10.005

Cited by 5 publications

(2 citation statements)

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“…For example, a behavioral sleep treatment proposed to adolescents was found to lead to improved sleep time and significant decreases in aggressive thoughts and actions (Haynes et al, 2006). More recently, other studies have found a decrease in aggression and behavioral problems among young people treated for sleep disorders causing reduced total sleep time (Broekman et al, 2010;Chervin et al, 2006). All these studies suggest that the lack of sleep and irregular sleep schedules are closely associated with aggression (Dahl, 2006).…”

Section: Introductionmentioning

confidence: 95%

Bullying, sleep/wake patterns and subjective sleep disorders: Findings from a cross-sectional survey

Kubiszewski¹,

Fontaine²,

Potard³

et al. 2014

Chronobiology International

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The aim of this study was to explore: (a) sleep patterns and disorders possibly associated with adolescent bullying profiles (pure bully, pure victim, bully/victim and neutral) and (b) the effect of sleep on psychosocial problems (externalized and internalized) related to bullying. The sample consisted of 1422 students aged 10-18 (mean = 14.3, SD = 2.7; 57% male) from five socioeconomically diverse schools in France. Bullying profiles were obtained using the revised Bully-Victim Questionnaire. Subjective sleep disorders were assessed using the Athens Insomnia Scale. School-week and weekend sleep/wake patterns were recorded. Internalizing problems were investigated using a Perceived Social Disintegration Scale and a Psychological Distress Scale. Externalizing behaviors were assessed using a General Aggressiveness Scale and an Antisocial Behavior Scale. These questionnaires were administered during individual interviews at school. After controlling for effects of gender and age, victims of bullying showed significantly more subjective sleep disturbances than the pure-bully or neutral groups (p < 0.001). Bullies' sleep schedules were more irregular (p < 0.001 for bedtime irregularity and p<0.01 for wake-up time irregularity) and their sleep duration was shorter than their schoolmates (p < 0.001 for the school week and p < 0.05 for the weekend). There was an effect of sleep on psychosocial problems related to bullying, and our results indicate that sleep has a moderating effect on aggression in bullies (p < 0.001). This would suggest a higher vulnerability of bullies to sleep deprivation. These results show differences in sleep problems and patterns in school-bullying profiles. Findings of this study open up new perspectives for understanding and preventing bullying in schools, with implications for research and clinical applications.

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Section: Introductionmentioning

confidence: 95%

Bullying, sleep/wake patterns and subjective sleep disorders: Findings from a cross-sectional survey

Kubiszewski¹,

Fontaine²,

Potard³

et al. 2014

Chronobiology International

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“…Seventeen articles were identified, of which 9 were included in the metaanalysis. 18,34,[41][42][43][44][45][46][47] Of the 8 excluded studies, 2 were excluded due to lack of PSG, 48,49 one for the use of respiratory sinus arrhythmia rather than PSG, 50 and 5 due to lack of a depression measure. [51][52][53][54][55] In all 9 included studies, parents/caregivers were the source of children's depressive symptom ratings, with one also including teacher ratings.…”

Section: Inclusion and Exclusion Criteriamentioning

confidence: 99%

The Relationship between Depressive Symptoms and Obstructive Sleep Apnea in Pediatric Populations: A Meta-Analysis

Yılmaz

Sedky

Bennett

2013

Journal of Clinical Sleep Medicine

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Background: A higher incidence of depressive disorders and symptoms has been suggested among children suffering from obstructive sleep apnea (OSA). Yet, the extent to which OSA is related to increased depression is unclear. Objectives: To evaluate (a) the relationship between depressive symptoms and OSA in pediatric populations, and (b) the effi cacy of adenotonsillectomy (AT) for decreasing depressive symptoms among children with OSA. Methods: A meta-analysis was conducted to assess the relationship between depressive symptoms and OSA, and the effi cacy of AT for decreasing depressive symptoms. Studies reporting depressive symptoms of children with OSA through January 2013 were included. Results: Eleven studies assessed depressive symptoms in both children diagnosed with OSA (n = 894) and a comparison group (n = 1,096). A medium relationship was found between depressive symptoms and OSA (Hedges' g = 0.43, 95% CI: 0.22-0.64; p = 0.0005). Addressing the second question, 9 studies (n = 379 children) examined depressive symptoms pre-and post-AT. A medium improvement in depressive symptoms was found at follow-up (Hedge's g = 0.41, 95% CI: 0.20-0.62; p ≤ 0.001). Conclusion: Our fi ndings suggest that depressive symptoms are higher among children with OSA. Therefore, patients with depressive symptomatology should receive screening for sleep disordered breathing. Treatment of OSA with AT might decrease clinical symptoms of depression, reduce pharmacotherapy, improve sleep patterns, and promote better health. Keywords: Sleep disordered breathing, obstructive sleep apnea, depression, depressive symptoms, meta-analysis Citation: Yilmaz E; Sedky K; Bennett DS. The relationship between depressive symptoms and obstructive sleep apnea in pediatric populations: a meta-analysis.

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Stress-Related Disorders Among Young Individuals With Surgical Removal of Tonsils or Adenoids

Xiao,

Yang,

Yin

et al. 2024

JAMA Netw Open

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ImportanceStudies have suggested an increased risk of psychiatric disorders and suicidal behavior among individuals who have undergone tonsillectomy. However, little is known about stress-related disorders.ObjectiveTo investigate whether surgical removal of tonsils or adenoids is associated with a subsequent risk of stress-related disorders.Design, Setting, and ParticipantsThis cohort study used Swedish nationwide population and health registry data of all individuals born between January 1, 1981, and December 31, 2016. Individuals who had undergone surgical removal of tonsils or adenoids (ie, exposed persons) were compared with unrelated unexposed individuals individually matched by sex, birth year, and calendar date at the start of follow-up (population-matched cohort) and with their unexposed full siblings (sibling-matched cohort). The analysis was performed between December 15, 2023, and October 11, 2024.ExposureSurgical removal of tonsils or adenoids.Main Outcomes and MeasuresThe Swedish Patient Register was used to identify stress-related disorders, including posttraumatic stress disorder (PTSD), acute stress reaction, and adjustment disorder or other stress reaction. In the population-matched cohort, a Cox proportional hazards regression model was used to assess the association of tonsillectomy with the risk of stress-related disorders, conditioned on sex, birth year, and calendar date at the start of follow-up and adjusted for parental educational attainment and history of stress-related disorders. To address potential familial confounding, analyses were replicated using the sibling-matched cohort.ResultsThe population-matched cohort included 83 957 exposed and 839 570 unexposed persons (median [IQR] age at the start of follow-up, 14.4 [6.5-18.6] years; 55.2% female), and the sibling-matched cohort included 51 601 exposed persons (median [IQR] age at start of follow-up, 14.9 [6.9-18.7] years, 55.8% female) and 75 159 unexposed full siblings (median [IQR] age at start of follow-up, 13.3 [6.9-19.5] years; 52.6% male). Compared with the unexposed population reference, exposed persons exhibited a higher subsequent risk of stress-related disorders (hazard ratio [HR], 1.43; 95% CI, 1.38-1.48), especially PTSD (HR, 1.55; 95% CI, 1.43-1.69). These results were replicated in the sibling-matched cohort (any stress-related disorder: HR, 1.34 [95% CI, 1.25-1.44]; PTSD: HR, 1.41 [95% CI, 1.18-1.69]). An increased risk was consistently noted regardless of sex, age at surgery, time since surgery, parental educational attainment, or parental history of stress-related disorders and was mainly noted for a surgery due to adenotonsillar diseases or sleep and respiratory abnormalities.Conclusions and RelevanceIn this cohort study, the findings suggest that early-life surgical removal of tonsils or adenoids is associated with a higher future risk of stress-related disorders and highlight a need to understand the role of adenotonsillar diseases or associated health conditions in the development of stress-related psychiatric disorders.

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The psychological impact of an adenoidectomy and adenotonsillectomy on young children

Cited by 5 publications

References 41 publications

Bullying, sleep/wake patterns and subjective sleep disorders: Findings from a cross-sectional survey

Bullying, sleep/wake patterns and subjective sleep disorders: Findings from a cross-sectional survey

The Relationship between Depressive Symptoms and Obstructive Sleep Apnea in Pediatric Populations: A Meta-Analysis

Stress-Related Disorders Among Young Individuals With Surgical Removal of Tonsils or Adenoids

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