Pediatric Sleep Questionnaire: Fill & Download for Free

After doing sleep hookups, paperwork & questions to patients ( men, women, some kids ), performing the over night sleep study ( PSG ) , reading it and scoring it, intervening as needed with CPAP, BIPAP, VPAP, ASV, sending a few to ER due to chest pains, sitting national boards for RPSGT; I can say from experience gained from 1985-retirement (30+) yrs as an RPSGT (credentials still current ) and as a former CRTT ( Certified Respiratory Therapy Technician ) working in ICU, CCU, SICU, NICU, floors, Stepdowns, ER’s.NO CHILD SHOULD SNORE !Snoring is caused by airway obstruction that is not yet complete. NO child should ever snore, but if they do it is a clear sign that their airway during sleep is being obstructed.For what ever reason.No snoring of any person’s age is good sleep. Almost with every snore the sleep EEG is getting a greater or lesser disruption call in sleep terms “EEG arousal” and it gets scored on the sleep study just like sleep study EEG ( sleep stages), oxygen, breathing, leg kicks, and so on.A child that snores is getting their sleep interrupted and this can damage the stages of 3 & 4 or slow wave sleep - diminishing or preventing their brain from giving them HGH ( human growth hormone ) this interfere with their growth and development.It could be as simple as adenoids or polyps or too large tonsils, or not simple at all. A Pediatrician needs to refer after diagnosis and questions to the parent.If the pediatrician does not want to follow it up, ask them this; “do I need to find another pediatrician who takes pediatric snoring seriously enough to physically examine my child’s nose, throat, tonsils, and look at this Berlin sleep questionnaire results ?If they will not take you seriously and carefully examine the child and read the Berlin sleep apnea questionnaire - then go find an accredited pediatric(children’s) or adult sleep lab locally, talk to the sleep MD and explain your situation and ask them to refer you to local pediatricians that take pediatric snoring seriously.Then call each one and tell them what’s going on and then if you like what a particular MD says, talk about getting the child examined.https://www.sleepapnea.org/wp-content/uploads/2017/02/berlin-questionnaire.pdfThe Berlin questionnaire screens for obstructive sleep apnea in idiopathic intracranial hypertensionhttps://www.pcofiowa.com/files/8514/6228/9945/Snoring_and_Sleep_Apnea_0416.pdfThe Official STOP-Bang Questionnaire WebsiteUpToDatehttps://www.nationaljewish.org/NJH/media/pdf/Meltzer%20References/Chervin-(2000)-Pediatric-Sleep-Questionnaire-validity-and-reliability.pdfDocument has a list of Pediatric Sleep Specialists Children’s Sleep Apneahttp://sasmhq.org/wp-content/uploads/2017/10/SASM_17AM_Presentation_Raman.pdfClinical Practice Guideline: Diagnosis and Management of Childhood Obstructive Sleep Apnea SyndromePediatric obstructive sleep apneahttps://www.farmington.k12.mn.us/UserFiles/Servers/Server_116048/File/Migration/Services/pediatric_sleep_apnea_screening_questions_5_8_12_2.pdfPediatric Sleep Questionnaire http://www.mcbg.org/internal/services/Sleep_Center/documents/SleepPeds.pdfPaediatric Sleep questionnaire (PSQ)http://www.mcbg.org/internal/services/Sleep_Center/documents/TMCSleepCenterPEDAASMquestionnaire.pdf

Interesting question, with many angles. I'll discuss a study [1] published in 2012 in the journal Pediatrics on how certain cartoons might have affected sleep in children from the Seattle area (USA).Please note that social psychology plays into this, and children of a different culture might be affected differently by the same cartoons.The researchers randomly sampled over 500 families that had children aged 3-5 years. There was a control group and an intervention group, and participating families were monitored over 12 months. Sleep measures were derived from the Child Sleep Habits Questionnaire and were collected at 6, 12, and 18 months after baseline; repeated-measures regression analyses were used. I've cited the study in the sources section, in case anyone is interested in reading it.Of the 565 children who were monitored, the most prevalent sleep problem was delayed sleep-onset latency (38%). The researchers found that cartoons like Bugs Bunny, Spongebob, and Scooby Doo negatively affected sleep. Others -- like Curious George, Sesame Street, and Dora the Explorer -- had a positive impact on sleep.Generally, the study found that more violent cartoons had a seemingly negative impact on sleep. [2] Regarding this, Psychology Today notes:Were parents aware of the violence? In fact, the difference in violence levels caught the parents unawares. After all, to most adults the violence of Bugs seems comic, not serious. Not so for kids, it seems. Children are more concrete, more literal, the authors of the scholarly article suggest. They are prone to seeing comic violence as potentially frightening, anxiety inducing, similar to how actor-mediated violence often impacts on older children and even adults.There's a rich field on how sleep might affect child development. That might be beyond the scope of this post, but anyone has follow-up questions, I can elaborate on the topic.Sources:[1] The Impact of a Healthy Media Use Intervention on Sleep in Preschool Children[2] Cartoon Violence and Children’s Sleep

When my daughter was born, she was very dehydrated, due to being very stuck. I had told my OBGYN that something was happening, possibly labor a few days before my scheduled C section. She informed me “I will not do your C section early, you’re probably just dehydrated” So, I drank water and slept. I fail to dilate, Luckily when she was finally born, a respiratory therapist was at our hospital from another with a NICU, or they would have moved her. My poor baby was so incredibly purple. From her armpits to the top of her head she was bruised. The nurses would come into the room and say “Honey, I need to turn the light on, your baby looks kind of blue”. Duh! Due to the bruising the jaundice was very very high. We even had to take the bilirubin light home for almost two weeks after, with every other day blood checks. Her eyes were so blood shot I was unsure she could see.As things progressed and she got a little older, she just seemed angry, and she could swing, alone, very content. She nursed beautifully. She wasn’t as demanding for attention as my first child. She was just different.I started asking, “Could she be autistic”? Because she continued to meet milestones, started talking, I was always met with ‘No of course not’. I started buying all the books I could find, researching on the internet. All signs pointed to ASD.I gave up asking doctors. I figured that as long as we were running with her strengths, it didn’t matter, and I didn’t want her labeled. She’d been in dance classes since she was 4, continuously.About 6 years ago she was watching a program after school, on TV. It was about an autistic teenager. She came to me after and said “Mom, I think I may have autism”. I said “Oh, why do you think that?” She explained that on the show, there was a friend of the mail characters that had it and she had many of the same characteristics. We discussed that I too had suspected she may have it, but it doesn’t change who she is and even with a diagnosis it doesn’t define her. She asked me to make an appointment to get a diagnosis. I called around and found a pediatric neurologist, he was able to get us in fairly quickly. We had many forms and questionnaires to fill out prior to appointment. My oldest daughter, myself and my daughter in question made lists of quirks. Upon going to the appointment, meeting the neurologist, he went over the documents, and said “This is pretty self explanatory” He was also able to point out some physical attributes that we were unaware of as well. Hypertonia was one. He told us due to her being in dance, it was most likely what kept her so high functioning. We also had her in a performing art school, where music and art were her strong points, playing to her strengths. He explained she also had ADHD which we were unaware. This also explained her anxiety, depression, inability to sleep at night etc. Because she’d met all her milestones, she was technically Asperger's but it’s all part of the ASD (Autism spectrum disorder).My daughter is now 16, still dancing, but now on competition teams. She’s flourishing. She resents the diagnosis. Again, the diagnosis isn’t her, doesn’t define her and isn’t something we readily share with most people. Those that know her have no idea she has it. Girls are much better at socially hiding autism. She regularly sees the same neurologist, we adore him. He takes time, listens to her, speaks to her about her strengths and validates her feelings. She also see’s a pediatrician, and monthly a psychiatrist for her medication needs. (Her Psych is amazing as well). We are blessed to have found such a strong team of “helpers”.In closing, when a parent knows something is off, we are most likely spot on. We know our babies better than anyone. We are their advocates. If you are searching for answers and aren’t finding them, keep looking.