Sleep and psychological disturbance in nocturnal asthma
a University of Oxford Section of Child and Adolescent
Psychiatry, Park Hospital for Children, Old Road, Headington, Oxford
OX3 7LQ, UK, b Department of Paediatrics, John Radcliffe
Hospital, Headington, Oxford OX3 9DU, UK
Correspondence to: Professor Stores.
Accepted 24 December 1997
Subjective and objective sleep disturbance was studied in
children with nocturnal asthma. Relations between such disturbance and
daytime psychological function were also explored, including possible
changes in learning and behaviour associated with improvements in
nocturnal asthma and sleep. Assessments included home polysomnography, parental questionnaires concerning sleep disturbance, behaviour, and
mood and cognitive testing. Compared with matched controls, children
with asthma had significantly more disturbed sleep, tended to have more
psychological problems, and they performed less well on some tests of
memory and concentration. In general, improvement of nocturnal asthma
symptoms by changes in treatment was followed by improvement in sleep
and psychological function in subsequent weeks. The effects of asthma
on sleep and the possible psychological consequences are important
aspects of overall care.
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© 1998 by Archives of Disease in Childhood
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