Though highly prevalent, pediatric sleep problems (e.g., snoring, apneas, restless sleep, nighttime awakenings, excessive daytime sleepiness, insomnia, nightmares, night terrors) tend to be under-diagnosed in the primary care setting. Sleep problems may only come to clinical attention if parents notice these symptoms or if these are significant. In addition, beyond the infant and toddler years, many parents don’t think to mention sleep disturbances during office visits.
However, a 2010 study of children 0 to 18 years in a large primary care network found that only 3.7 percent had an ICD-9 diagnosis of a sleep disorder, much lower than the prevalence of sleep disorders suggested by epidemiologic studies. Snoring alone, for example, has a reported prevalence as high as 10 to 15 percent, while insomnia is as high as 5 to 20 percent. …Read More