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Year : 2017  |  Volume : 19  |  Issue : 1  |  Page : 6-10

The effect of sleep disordered breathing on children’s behavior

1 King Faisal University, College of Medicine, Al-Ahsa, Saudi Arabia
2 King Faisal University College of Medicine, Al-Ahsa, Saudi Arabia

Correspondence Address:
Alaa Ali Al Ghanim
PO. Box 36342, Al Ahsa 31982
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.275312

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Objective: To evaluate the effect of adenoton-sillectomy, adenoidectomy, or tonsillectomy on improvement of attention deficit, hyperactivity, conduct, and oppositional defiant disorders in patients with sleep disordered breathing (SDB) secondary to adenotonsillar hypertrophy. Methods: This was a prospective observational study. It was conducted in Al-Ahsa City in Saudi Arabia, from 10 June 2015 until 25 December 2015. A total of 28 children from a tertiary hospital underwent adenotonsillectomy, adenoidectomy, or tonsillectomy for treatment of SDB. The Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating scale was distributed to parents before the surgery and 3 months after the surgery. Data were analyzed with SPSS Mac’s software version 20.0. Results: Of the 28 children, 17 (60.7%) were boys and 11 (39.3%) were girls. The age range was from 3 to 11 years; the mean age ±standard deviation was 6.1±1.97. A statistical significant difference (P<0.05) was found when the mean scores of the T-DSM-IV-S for oppositional-defiant, inattention, and hyperactivity disorders were compared before surgery and three months after surgery, while there was no statistical significant difference in the mean scores of conduct disorder (P=0.805). Conclusion: SDB is shown to be associated with many psychiatric symptoms and illnesses. The presence of SDB may even worsen the already present psychiatric illness. Treatment of pediatric patients with SDB secondary to adenoid and/or tonsillar hypertrophy will improve the severity of these psychiatric symptoms. It will also improve learning, behavior and overall quality of life.

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