Neuropsychological effects of pediatric obstructive sleep apnea
Abstract
Obstructive sleep apnea (OSA) is a fairly common nocturnal breathing disorder, affecting 2–4% of individuals. Although OSA is associated with medical morbidity, its most functionally disruptive effects in adults appear to be neuropsychological in nature. Research on the neuropsychological effects of pediatric OSA has been limited. This study compared the neuropsychological functioning of school-aged children with OSA to that of healthy children. The primary goal was to clarify the presence and pattern of neuropsychological morbidity associated with pediatric OSA. Sleep was assessed with parent-report questionnaires and laboratory sleep studies. Neuropsychological functioning was assessed by formal tests and parent- and teacher-report questionnaires. Data indicated OSA-related cognitive and behavioral impairment that was particularly marked on measures of behavior regulation and some aspects of attention and executive functioning. Minimal effects were observed on measures of intelligence, verbal memory, or processing speed. Exploratory analyses failed to indicate any clear relationship between neuropsychological functioning and objective indexes of hypoxia or sleep disruption, though the sample was small. These data add to a growing literature which suggests that significant neuropsychological deficits are associated with pediatric OSA. Findings suggest a pattern of neuropsychological morbidity that is similar but not identical to that seen in adult OSA. (JINS, 2004,10, 962–975.)
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Sleep-disordered breathing (SDB) has been consistently associated with neurobehavioral and neurocognitive deficits, including inattentive or ADHD-like symptoms.
“SDB has been consistently associated with neurobehavioral and neurocognitive deficits, including inattentive or ADHD-like symptoms (Beebe 2006; Beebe et al. 2004; Chervin et al. 2002, 2012; Gottlieb et al. 2003; Lal et al. 2012; O’Brien 2009; Owens 2008; Rosen et al. 2004; Soylu et al. 2013; Suratt et al. 2011).”
From Associations of sleep disturbance with ADHD: implications for treatment (2015) · cites this paper as Beebe et al. 2004
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- Authors
- BEEBE, D. W., WELLS, C. T., JEFFRIES, J., CHINI, B., KALRA, M., & AMIN, R.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Venue
- Journal of the International Neuropsychological Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-11
- Volume
- 10
- Issue
- 7
- Pages
- 962-975
- ISSN
- 1355-6177 (ISSN-L)
- 1469-7661
- OpenAlex
- W2038212223
- Cited by
- 209
- References
- 74
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 12 · 2023: 5 · 2022: 5 · 2021: 5 · 2020: 6 · 2019: 7 · 2018: 5 · 2017: 9 · 2016: 16 · 2015: 10 · 2014: 12 · 2013: 14 · 2012: 15
- FWCI
- 4.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the International Neuropsychological Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Cincinnati
- Topics
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- pediatric obstructive sleep apnea, neuropsychological deficits, cognitive impairment, behavioral regulation, attention, executive function, school-aged children, hypoxia, sleep disruption, intelligence, verbal memory, processing speed
- MeSH terms
- Attention, Mental Disorders, Child, Child Behavior, Female, Humans, Intelligence Tests, Male, Memory, Mental Processes, Neuropsychological Tests, Psychomotor Performance, Surveys and Questionnaires, Sleep Apnea Syndromes, Polysomnography
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