S08: New diagnostic tools for sleep disorders in childhood and adolescence

S08: New diagnostic tools for sleep disorders in childhood and adolescence
Saturday, April 28 | 2:15pm-3:45pm | Room 341

Chairs: Angelika Schlarb (Germany), Tamar Shochat (Israel)

The Children’s Sleep Comic: A new self-rating tool for childhood insomnia
Barabara Schwerdtle (Germany)

“How do you sleep?” Sleep as reflected in self-figure drawings of young adolescents living in residential care facilities compared to those living at home
Naama Roth (Israel)

Nightmares effects questionnaire (NEQ): Daytime effects of nightmares
Angelika Schlarb (Germany)

How to annotate videos of voluntary movements
Osman Ipsiroglu (Canada)

Promoting healthy sleep in sleep deprived vulnerable adolescents
Mirja Quante (Germany)

Summary of symposium:
This symposium focus on new diagnostic tools for sleep disorders for various ages and including diverse methods. The first speaker (Dr. Schwerdtle) will present a new diagnostic tool for school-aged children. The children sleep comic (CSC) provides drawn pictures. 393 children between 5 and 10 years and their parents were presented the CSC, the SSR, the CSHQ, and the CBCL. Comparisons between CSC, SSR-DE and CSHQ-DE indicated moderate correlations. The children sleep comic allowed for discrimination between healthy children and children with sleep disorders. Internal consistency was a = 0.83; and convergent and divergent validity were adequate. The second speaker (Ms. Rooth) address sleep evaluation in adolescents living in residential care facilities (RCFs). Purpose was to examine whether these patterns are reflected in their self-figure drawings and accompanying narrative descriptions. This cross-sectional study compared young adolescents (ages 10-12) in RCFs (N=26) and in normative homes (N=33). Participants completed self-reports and actigraphy, and draw themselves sleeping and to describe their drawing. On weekdays, adolescents living in RCFs go to bed and rise earlier, sleep longer and take longer to fall asleep based on actigraphy and self-report. Drawings demonstrated that adolescents in RCFs frame their sleeping figure in a closed boundary, and are more prone to use monochromatic colors. This study offers a unique tool that may complement our understanding of adolescents´ perceptions of their sleep. The third speaker focus on nightmares (Prof. Schlarb). The Nightmare Effects Questionnaire (NEQ) was developed to close the existing gap in measurement possibilities for daytime impairment caused by nightmares in children, adolescents and young adults. The NEQ consists of 35 daytime impairment items caused by nightmares. The factor structure of the NEQ contains the following subscales 1) emotion regulation, 2) stress and aggression, 3) depression, 4) attention/concentration, 5) anxiety, and 6) hyperactivity. The overall reliability of the NEQ scale was high with α = 0.929. Most of the children and adolescents with nightmares had symptoms on the above mentioned subscales. Detailed analysis will be presented. The fourth speaker (Prof. Ipsiroglu) will focus on individuals with neuropsychiatric/neurodevelopmental conditions. They often display movement related disruptive sleep- and wake-behaviors, e.g. RLS and ADHD, respectively. They investigated how to develop a shared, neutral, annotation language for describing and not interpreting voluntary movements, using open-ended and pictogram-based annotations. This speech will focus on the ability to describe in a neutral way and reduce interpretations increased with experience. This study (1) provided feedback to software developers to improve annotation software; (2) created the framework for a neutral annotation language, and (3) was integrated into a Video-Annotation-Training-Module. The fifth speaker (Dr. Quante) focus on deficient sleep in adolescents as a matter of public health and it’s therefore critical to assess countermeasures directed at improving sleep. Based on qualitative research, a list of salient features including an increased awareness of the impact of sleep on specific aspects of health and wellbeing was identified, consistent sleep routines, appropriate use of electronic devices and avoidance of caffeinated beverages that may be important for future interventions.

Learning Objectives:
Upon Completion of this CME activity, participants should be able to:
1 Know more about age-oriented diagnostic instruments
2 Know more about the important of drawings concerning sleep environment and health issues
3 Enhance knowledge about video-assessing of sleep movement disorders
4 Learn to focus more on nightmare effects and daytime impairments in children and adolescents
5 Learn more about salient features of sleep on specific aspects of health and wellbeing, consistent sleep routines, appropriate use of electronic devices and avoidance of caffeinated beverages for adolescents.

Target Audience:
Pediatricians, psychologists, nurses, people related to sleep diagnostics, etc.