Night Waking Disorder_Cheryl Chowning

Chapter 1: Introduction

• Presenter: Cheryl Chowning

• Focus: Night waking disorder (a sleep-wake problem).

• Key Topics:

  • Definition and symptoms of night waking disorder.

  • Screening tool for assessing children's sleep quality.

  • Developmental concerns (e.g., autism, ADHD) that may impact sleep.

  • Statistics and cultural considerations.

  • Interventions and impact on families.

• Night waking disorder characteristics:

  • Frequent behavioral issues in adolescence.

  • Associated with crying and protesting from the child.

  • Can lead to learning difficulties and social-emotional concerns.

Chapter 2: Diagnose Any Sleep

• Screening Tool:

  • 5-item tool for assessing:

    • Bedtime problems

    • Excessive daytime sleepiness

    • Night awakenings

    • Regularity and duration of sleep

    • Sleep-disordered breathing

  • Designed for ages 2 to 12 years (younger children still learning sleep habits).

Chapter 3: Calling Sleep Disturbances

• Connection between developmental delays (autism, ADHD) and sleep disturbances:

  • Circadian phase delay due to developmental delay.

  • Addressing anxiety in children is crucial before solving sleep issues.

• Treatment may include medication (e.g., melatonin) and behavioral strategies (e.g., established bedtime routines).

Chapter 4: Poor Sleep Habits

• Cultural considerations in sleep patterns:

  • Some cultures normalize co-sleeping (e.g., Asian cultures).

  • Environmental factors influencing sleep (shared bedrooms, poverty).

  • Need for support from other agencies if necessary.

Chapter 5: A Developmental Delay

• Establishing baseline sleep patterns:

  • Sleep diary as data collection tool over 2 weeks (recording sleep/wake times and mood).

Chapter 6: Child To Bed

• Treatment approach for typical night waking:

  • Preemptive awakening 15-30 minutes before typical wake time.

  • Soothing responses to help the child return to sleep.

  • For children with autism or ADHD: Adjust bedtime gradually; use melatonin if needed.

Chapter 7: Conclusion

• Family impacts of untreated night waking disorder:

  • Potential parental depression due to sleep deprivation.

  • Strained parent-child relationships from lack of sleep.

• Importance of addressing night waking disorders for overall family well-being.

• References available for further reading and access to tools.