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Sleep Related Problems: Chapter 23, p.392

Nightmares are common bad dreams that children can recall after waking up. They rarely require professional help unless they occur frequently or involve disturbing themes. Reassuring the child is usually sufficient. Night terrors involve the child waking up screaming and appearing frightened during slow-wave sleep between midnight and 2 AM. The child may have a rapid heartbeat and fast breathing but settles back to sleep within a few minutes without remembering it. Night terrors are common in boys aged 5 to 7 years old. An emotional disorder should be investigated if night terrors persist over a long period of time.

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47 views5 pages

Sleep Related Problems: Chapter 23, p.392

Nightmares are common bad dreams that children can recall after waking up. They rarely require professional help unless they occur frequently or involve disturbing themes. Reassuring the child is usually sufficient. Night terrors involve the child waking up screaming and appearing frightened during slow-wave sleep between midnight and 2 AM. The child may have a rapid heartbeat and fast breathing but settles back to sleep within a few minutes without remembering it. Night terrors are common in boys aged 5 to 7 years old. An emotional disorder should be investigated if night terrors persist over a long period of time.

Uploaded by

Firyal Balushi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Chapter 23, p.

392

Sleep Related problems


Chapter 23, Page 395

Firyal Abdulaziz Al-Baloushi


OMCF-05-035
Nightmares.
• Bad dreams which can be recalled by the child.
• They are common, rarely requiring professional
attention unless they occur frequently or are
stereotyped in content, indicating a morbid
preoccupation.
• Reassuring the child will usually suffice.
Night (sleep) terrors.
• A parasomnia, a disturbance of the structure of sleep wherein
a very rapid emergence from the first period of deep slow-wave
sleep produces a state of high arousal and confusion.
• A sudden onset, usually between midnight and 2 A.M. During
stage 3 or 4 of slow-wave sleep
• Child screams and appears frightened, with dilated pupils,
tachycardia, and hyperventilation.
• Common, particularly in boys between 5 and 7 yr of age
Night (sleep) terrors.
• Child presentation:
▫ Sitting up in bed, eyes open
▫ Seemingly awake but disorientated
▫ Confused and unresponsive to questions and assurances
▫ child settles back to sleep after a few minutes
▫ no recollection of the episode in the morning.
• An underlying emotional disorder should be explored in
children with persistent and prolonged night terrors.

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