Sleep characteristics in children, adolescents, and adults with Specific Learning Disorders: a systematic review and a meta-analysis

IF 3.4 2区 医学 Q1 CLINICAL NEUROLOGY
Alice Paggetti , Giulia Lazzaro , Valeria Bacaro , Nicola Vanacore , Stefano Vicari , Deny Menghini
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引用次数: 0

Abstract

Sleep is a fundamental psychophysiological process throughout lifespan, playing a crucial role in memory consolidation and learning. Sleep disturbances are highly prevalent among individuals with neurodevelopmental disorders; however, sleep characteristics and patterns in those with Specific Learning Disorders (SLDs) have been largely overlooked, and a comprehensive systematically synthesis lacks. This systematic review and meta-analysis (PROSPERO ID: CRD42021257350) aims to assess differences in sleep characteristics between individuals with SLDs and controls or individuals with neurodevelopmental disorders other than SLDs. Multiple search strategies identified a total of 13 independent studies, including case-control and cross-sectional designs, with a total sample of 695 children and adolescents and 55 adults with SLDs, and 7459 children and adolescents and 55 adults without SLDs. The risk of bias was evaluated using the Newcastle-Ottawa Scale for Assessing the Quality of Nonrandomized Studies in Meta-Analysis. Findings were synthesized narratively and through meta-analysis for both Objective and Subjective sleep outcomes. Meta-analyses of several Objective sleep macroarchitecture parameters showed no difference between groups. Conversely, children and adolescents with SLDs exhibited a significantly higher prevalence of sleep disturbances measured as Subjective outcomes compared to controls without SLDs. This study identifies gaps in literature and outlines priorities for future research.
患有特殊学习障碍的儿童、青少年和成人的睡眠特征:一项系统综述和荟萃分析
睡眠是人一生中一个基本的心理生理过程,在记忆巩固和学习中起着至关重要的作用。睡眠障碍在神经发育障碍患者中非常普遍;然而,特殊学习障碍(SLDs)患者的睡眠特征和模式在很大程度上被忽视了,缺乏全面系统的综合。本系统综述和荟萃分析(PROSPERO ID: CRD42021257350)旨在评估睡眠障碍患者与对照组或非睡眠障碍患者之间睡眠特征的差异。多种检索策略共确定了13项独立研究,包括病例对照和横断面设计,总样本为695名儿童和青少年和55名患有SLDs的成年人,以及7459名儿童和青少年和55名非SLDs的成年人。偏倚风险采用纽卡斯尔-渥太华量表评估meta分析中非随机研究的质量。通过对客观和主观睡眠结果的荟萃分析,对研究结果进行了叙述和综合。多项客观睡眠宏观结构参数的meta分析显示两组间无差异。相反,与没有睡眠障碍的对照组相比,患有睡眠障碍的儿童和青少年表现出明显更高的主观结果。这项研究确定了文献中的空白,并概述了未来研究的重点。
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来源期刊
Sleep medicine
Sleep medicine 医学-临床神经学
CiteScore
8.40
自引率
6.20%
发文量
1060
审稿时长
49 days
期刊介绍: Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without. A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry. The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.
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