The Treatment of Dually Diagnosed Individuals with Sleep Disturbances and Intellectual Disabilities

McPherson, Pamela; Kaushal, Miky; Kothapalli, Vanitha

doi:10.1007/978-3-030-46835-4_36

Cited by 5 publications

(14 citation statements)

References 201 publications

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“…Because of this, sleep problems are more likely to be noticed by a physician when they induce nocturnal or daytime malfunction, including behavioral disorders, impairing a person's subjective impression of their quality of life (75). When evaluating sleep disturbances, general population guidelines stress the significance of checking for coexisting medical diseases.…”

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

“…The initial management for persistent insomnia in the general population is multicomponent cognitive-behavioral therapy (CBT-I), and there are elements of this that can be helpful for individuals with intellectual impairments (74). Understanding the impacts of environment and lifestyle on sleep, such as caffeine use, exercise, and regular sleep schedules, along with lighting, noise, and temperature, can be achieved through education on sleep hygiene (75).…”

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

“…Adults with cognitive disabilities are more prone than the general population to lack appropriate daily activity and regular exposure to natural light, thus even small changes to everyday routine and the sleeping environment can be beneficial (75). The needs of the person should be taken into consideration when making such recommendations, such as lowering external noise for autistic people sensitive to sounds.…”

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

“…The evidence is not strong enough to support the use of pharmaceuticals to treat sleep disturbances in adults with intellectual impairments. Melatonin is the drug that has drawn the most attention, maybe due to its favorable side-effect profile and the fact that several trials have demonstrated its efficacy (75). According to a meta-analysis, melatonin consumption enhances total sleep time and reduces the number of wake-ups per night in people with intellectual disabilities.…”

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

“…According to a meta-analysis, melatonin consumption enhances total sleep time and reduces the number of wake-ups per night in people with intellectual disabilities. Currently, the pharmacological management of illnesses other than insomnia tends to use the same routes as those for the general public (75).…”

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

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A literature review of sleep problems and neurodevelopment disorders

Lihabi

2023

Front. Psychiatry

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IntroductionSleep is an incredibly complex process that goes beyond relaxing and body resting. Disturbance in sleep leads to several short-term and long-term consequences. Neurodevelopmental diseases such as “autism spectrum disorder” (ASDs), Attention-deficit hyperactivity disorder (ADHD), and intellectual disability commonly experience sleep disorders that affect their clinical presentation, daily function, and quality of life.DiscussionThe incidence of sleep problems in ASD patients ranges from 32 to 71.5%, especially insomnia, while an estimated 25–50% of people with ADHD report having sleep issues in clinical settings. The incidence of sleep issues is widespread in persons with intellectual disabilities, reaching up to 86%. This article is a literature review covering the neurodevelopmental disorder interaction with sleep disorder and different management.ConclusionDisorders of sleep are key concerns in children with neurodevelopmental disorders. In this group of patients, sleep disorders are common and tend to be chronic. Recognizing and diagnosis of sleep disorders will enhance their function, response to treatment, and quality of life.

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Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

Section: Diagnosis Of Sleep Disordersmentioning

confidence: 99%

See 3 more Smart Citations

A literature review of sleep problems and neurodevelopment disorders

Lihabi

2023

Front. Psychiatry

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Medical Home for Children with Autism Spectrum Disorder and Other Developmental Disabilities

Kraft

2022

Handbook of Treatment Planning for Children With Autism and Other Neurodevelopmental Disorders

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Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

Perera,

O’Regan

2024

Curr Treat Options Neurol

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Purpose of Review We performed a narrative review of the current knowledge in epidemiology, mechanisms, clinical presentation, and treatment of sleep disorders in adults with intellectual disability. Recent Findings Adults with Intellectual disability face significant mental and physical health disparities, including in sleep medicine. Despite sleep disorders having been identified as adversely affecting the health and quality of life of both adults with intellectual disabilities and their caregivers, the evidence base for assessment, diagnosis and treatment in this population remains under developed when compared to that of the general population. This review summarises the existing literature on insomnia, sleep disordered breathing, and other common sleep disorders in adults with intellectual disability. Emphasising the existing gaps in our understanding of sleep disorders in adults with intellectual disabilities, we propose strategies to address and mitigate these gaps. Summary Sleep disorders are common, yet frequently ignored in adults with intellectual disabilities. To address sleep health inequality gaps, future research should adopt tailored approaches, considering the heterogeneity within the intellectual disability population, including stratification by aetiology and health comorbidities. This is essential to improve the diagnostic accuracy and treatment of sleep disorders in adults with intellectual disability.

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The Treatment of Dually Diagnosed Individuals with Sleep Disturbances and Intellectual Disabilities

Cited by 5 publications

References 201 publications

A literature review of sleep problems and neurodevelopment disorders

A literature review of sleep problems and neurodevelopment disorders

Medical Home for Children with Autism Spectrum Disorder and Other Developmental Disabilities

Sleep Disorders in Adults with Intellectual Disability: Current Status and Future Directions

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