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Management of narcolepsy at school: Implications for school psychologists

Published online by Cambridge University Press:  06 October 2022

John R. Burns Open the ORCID record for John R. Burns [Opens in a new window]  and
Kate A. Blundell
John R. Burns*
Affiliation:
Centre for Emotional Health, Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
Kate A. Blundell
Affiliation:
The Mind Clinic, Sydney, New South Wales, Australia
*
*Corresponding author. Email: john.burns@mq.edu.au
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Abstract

Narcolepsy is not a common disorder, with best estimates finding it affects only about .025–.05% of the population. Nonetheless, it is a vital disorder for school psychologists to be familiar with on the basis that its symptoms frequently first occur during childhood and adolescence. If undiagnosed, this disorder causes significant distress and disadvantage to the student as well as frustration and difficulty for school staff. It is surprising that narcolepsy has received almost no attention in the school psychology literature. This article provides school psychologists with an overview of the central features, causes, diagnosis and treatment of narcolepsy in young people. It then outlines school management of the disorder, with specific consideration of the role of the school psychologist.

Keywords

Narcolepsysleep disordersschool managementchild/adolescentcataplexy
Type
Practitioner Paper
Information
Journal of Psychologists and Counsellors in Schools , Volume 33 , Issue 1 , June 2023 , pp. 116 - 123
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

American Academy of Sleep Medicine. (2014). International Classification of Sleep Disorders (3rd ed). American Academy of Sleep Medicine.Google Scholar
Avis, K.T., Shen, J., Weaver, P., & Schwebel, D.C. (2015). Psychosocial characteristics of children with central disorders of hypersomnolence versus matched healthy children. Journal of Clinical Sleep Medicine, 11, 1281–1288. https://doi:10.5664/jcsm.5186 CrossRefGoogle ScholarPubMed
Babiker, M.O., & Prasad, M. (2015). Narcolepsy in children: A diagnostic and management approach. Pediatric Neurology, 52, 557–565. https://doi:10.1016/j.pediatrneurol.2015.02.020 CrossRefGoogle ScholarPubMed
Baumann, C.R., Mignot, E., Lammers, G.J., Overeem, S., Arnulf, I., Rye, D., Dauvilliers, Y., Honda, M., Owens, J.A., Plazzi, G., & Scammell, T.E. (2014). Challenges in diagnosing narcolepsy without cataplexy: A consensus statement. Sleep, 37, 1035–1042. https://doi:10.5665/sleep.3756 CrossRefGoogle ScholarPubMed
Bhattarai, J., & Sumerall, S. (2017). Current and future treatment options for narcolepsy: A review. Sleep Science, 10, 19–27. https://doi:10.5935/1984-0063.20170004 CrossRefGoogle ScholarPubMed
Cain, N.L., & Sakakini, R.J. (2017). School psychological practice with students with sleep problems. In Thielking, M. & Terjesen, M.D. (Eds.), Handbook of Australian school psychology: Integrating international research, practice, and policy (pp. 631–640). Springer International Publishing.10.1007/978-3-319-45166-4_32CrossRefGoogle Scholar
Coelho, F., Aloe, F., Moreira, G., Sander, H., Roitman, I., Prado, L., Pradella-Hallinan, M., Fernandes, R.M.F., & Alves, R. (2012). Narcolepsy in childhood and adolescence. Sleep Science, 5, 139–144.Google Scholar
Dauvilliers, Y., Montplaisir, J., Molinari, N., Carlander, B., Ondze, B., Besset, A., & Billiard, M. (2001). Age at onset of narcolepsy in two large populations of patients in France and Quebec. Neurology, 57, 2029–2033. https://doi:10.1212/wnl.57.11.2029 CrossRefGoogle ScholarPubMed
Dorris, L., Zuberi, S.M., Scott, N., Moffat, C., & McArthur, I. (2008). Psychosocial and intellectual functioning in childhood narcolepsy. Developmental Neurorehabilitation, 11, 187–194. https://doi:10.1080/17518420802011493 CrossRefGoogle ScholarPubMed
Everhart, D.E. (2011). Sleep disorders in children: Collaboration for school-based intervention. Journal of Educational and Psychological Consultation, 21, 133–148. https://doi:10.1080/10474412.2011.571521 CrossRefGoogle Scholar
Filardi, M., Pizza, F., Antelmi, E., Pillastrini, P., Natale, V., & Plazzi, G. (2018). Physical activity and sleep/wake behavior, anthropometric, and metabolic profile in pediatric narcolepsy type 1. Frontiers in Neurology, 9. https://doi:10.3389/fneur.2018.00707 CrossRefGoogle Scholar
Flygare, J. (2016). Succeeding in school and in the workplace with narcolepsy. In Goswami, M., Thorpy, M.J., & Pandi-Perumal, S.R. (Eds.), Narcolepsy: A clinical guide (pp. 395–405). Springer International Publishing.CrossRefGoogle Scholar
Franceschini, C., Pizza, F., Antelmi, E., Folli, M.C., & Plazzi, G. (2020). Narcolepsy treatment: Pharmacological and behavioral strategies in adults and children. Sleep and Breathing, 24, 615–627. https://doi:10.1007/s11325-019-01894-4 CrossRefGoogle ScholarPubMed
Franceschini, C., Pizza, F., Cavalli, F., & Plazzi, G. (2021). A practical guide to the pharmacological and behavioral therapy of narcolepsy. Neurotherapeutics, 18, 6–19. https://doi:10.1007/s13311-021-01051-4 CrossRefGoogle Scholar
Han, F., Lin, L., Warby, S.C., Faraco, J., Li, J., Dong, S.X., An, P., Zhao, L., Wang, L.H., Li, Q.Y., Yan, H., Gao, Z.C., Yuan, Y., Strohl, K.P., & Mignot, E. (2011). Narcolepsy onset is seasonal and increased following the 2009 H1N1 pandemic in China. Annals of Neurology, 70, 410–417. https://doi:10.1002/ana.22587 CrossRefGoogle ScholarPubMed
Inocente, C.O., Gustin, M.-P., Lavault, S., Guignard-Perret, A., Raoux, A., Christol, N., Gerard, D., Dauvilliers, Y., Reimao, R., Bat-Pitault, F., Lin, J.-S., Arnulf, F., Lecendraux, M., & Franco, P. (2014). Depressive feelings in children with narcolepsy. Sleep Medicine, 15, 309–314. https://doi:https://doi.org/10.1016/j.sleep.2013.08.798 CrossRefGoogle ScholarPubMed
Karjalainen, S., Nyrhilä, A.-M., Määttä, K., & Uusiautti, S. (2014). Going to school with narcolepsy – perceptions of families and teachers of children with narcolepsy. Early Child Development and Care, 184, 869–881. https://doi:10.1080/03004430.2013.821984 CrossRefGoogle Scholar
Kavey, N.B. (1992). Psychosocial aspects of narcolepsy in children and adolescents. Loss, Grief and Care, 5, 91–101. https://doi.org/10.1300/J132v05n03_10 Google Scholar
Kornum, B.R. (2016). Precipitants of narcolepsy: Vaccines and infections. In Goswami, M., Thorpy, M.J., & Pandi-Perumal, S.R. (Eds.), Narcolepsy: A clinical guide (pp. 25–33). Springer International Publishing.CrossRefGoogle Scholar
Kotagal, S. (2018). Treatment of narcolepsy and other organic hypersomnias in children. Paediatric Respiratory Reviews, 25, 19–24. https://doi:10.1016/j.prrv.2017.06.012 CrossRefGoogle ScholarPubMed
Kotagal, S., Krahn, L.E., & Slocumb, N. (2004). A putative link between childhood narcolepsy and obesity. Sleep Medicine, 5, 147–150. https://doi:10.1016/j.sleep.2003.10.006 CrossRefGoogle ScholarPubMed
Krahn, L.E., Hershner, S., Loeding, L.D., Maski, K.P., Rifkin, D.I., Selim, B., & Watson, N.F. (2015). Quality measures for the care of patients with narcolepsy. Journal of Clinical Sleep Medicine, 11, 335. https://doi:10.5664/jcsm.4554 CrossRefGoogle ScholarPubMed
Longstreth, W.T., Jr., Koepsell, T.D., Ton, T.G., Hendrickson, A.F., & van Belle, G. (2007). The epidemiology of narcolepsy. Sleep, 30, 13–26. https://doi:10.1093/sleep/30.1.13 CrossRefGoogle ScholarPubMed
Marín Agudelo, H.A., Jiménez Correa, U., Carlos Sierra, J., Pandi-Perumal, S.R., & Schenck, C.H. (2014). Cognitive behavioral treatment for narcolepsy: Can it complement pharmacotherapy? Sleep Science, 7, 30–42. https://doi:10.1016/j.slsci.2014.07.023 CrossRefGoogle ScholarPubMed
Moghadam, K.K., Pizza, F., La Morgia, C., Franceschini, C., Tonon, C., Lodi, R., Barboni, P., Seri, M., Ferrari, S., Liguori, R., Donadio, V., Parchi, P., Cornelio, F., Inzitari, D., Mignarri, A., Capocchi, G., Dotti, M.T., Winkelmann, J., Lin, L., … Plazzi, G. (2014). Narcolepsy is a common phenotype in HSAN IE and ADCA-DN. Brain, 137, 1643–1655. https://doi:10.1093/brain/awu069 CrossRefGoogle ScholarPubMed
Morse, A.M., & Sanjeev, K. (2018). Narcolepsy and psychiatric disorders: Comorbidities or shared pathophysiology? Medical Sciences, 6, 16. https://doi:10.3390/medsci6010016 CrossRefGoogle ScholarPubMed
Narcolepsy Network Inc. (2021, November 11). School accommodations for students with narcolepsy. https://narcolepsynetwork-org.s3.us-east-2.amazonaws.com/wp-content/uploads/2020/06/School-Accommodations-2019.pdf Google Scholar
Naumann, A., Bellebaum, C., & Daum, I. (2006). Cognitive deficits in narcolepsy. Journal of Sleep Research, 15, 329–338. https://doi:10.1111/j.1365-2869.2006.00533.x CrossRefGoogle ScholarPubMed
Pierangelo, R., & Giuliani, G. (2007). Understanding, developing, and writing effective IEPs. Corwin Press.Google Scholar
Pizza, F., Franceschini, C., Peltola, H., Vandi, S., Finotti, E., Ingravallo, F., Nobili, L., Bruni, O., Lin, L., Edwards, M.J., Partinen, M., Dauvilliers, Y., Mignot, E., Bhatia, K.P., & Plazzi, G. (2013). Clinical and polysomnographic course of childhood narcolepsy with cataplexy. Brain, 136, 3787–3795. https://doi:10.1093/brain/awt277 CrossRefGoogle ScholarPubMed
Plazzi, G., Clawges, H.M., & Owens, J.A. (2018). Clinical characteristics and burden of illness in pediatric patients with narcolepsy. Pediatric Neurology, 85, 21–32. https://doi:10.1016/j.pediatrneurol.2018.06.008 CrossRefGoogle ScholarPubMed
Poli, F., Pizza, F., Mignot, E., Ferri, R., Pagotto, U., Taheri, S., Finotti, E., Bernardi, F., Pirazzoli, P., Cicognani, A., Balsamo, A., Nobili, L., Bruni, O., & Plazzi, G. (2013). High prevalence of precocious puberty and obesity in childhood narcolepsy with cataplexy. Sleep, 36, 175–181. https://doi:10.5665/sleep.2366 CrossRefGoogle ScholarPubMed
Posar, A., Pizza, F., Parmeggiani, A., & Plazzi, G. (2014). Neuropsychological findings in childhood narcolepsy. Journal of Child Neurology, 29, 1370–1376. doi: 10.1177/0883073813508315 CrossRefGoogle ScholarPubMed
Quaedackers, L., van Gilst, M.M., van Mierlo, P., Lammers, G.-J., Dhondt, K., Amesz, P., Peeters, E., Hendriks, D., Vandenbussche, N., Pillen, S., & Overeem, S. (2018). Impaired social functioning in children with narcolepsy. Sleep, 42. https://doi:10.1093/sleep/zsy228%JSleep CrossRefGoogle Scholar
Raggi, A., Plazzi, G., & Ferri, R. (2019). Health-related quality of life in patients with narcolepsy: A review of the literature. Journal of Nervous and Mental Disease, 207, 84–99. https://doi:10.1097/nmd.0000000000000918 CrossRefGoogle ScholarPubMed
Roth, T., Dauvilliers, Y., Mignot, E., Montplaisir, J., Paul, J., Swick, T., & Zee, P. (2013). Disrupted nighttime sleep in narcolepsy. Journal of Clinical Sleep Medicine, 9, 955–965. https://doi:10.5664/jcsm.3004 CrossRefGoogle ScholarPubMed
Sarkanen, T., Alakuijala, A.E., Dauvilliers, Y., & Partinen, M. (2018). Incidence of narcolepsy after H1N1 influenza and vaccinations: Systematic review and meta-analysis. Sleep Medicine Reviews, 38, 177–186. https://doi:10.1016/j.smrv.2017.06.006 CrossRefGoogle ScholarPubMed
Serra, L., Montagna, P., Mignot, E., Lugaresi, E., & Plazzi, G. (2008). Cataplexy features in childhood narcolepsy. Movement Disorders, 23, 858–865. https://doi:https://doi.org/10.1002/mds.21965 CrossRefGoogle ScholarPubMed
Shelton, A.R., & Malow, B. (2017). Correlates to problem behaviors in pediatric narcolepsy: A pilot study. Journal of Clinical Sleep Medicine, 13, 1435–1440. https://doi:10.5664/jcsm.6842 CrossRefGoogle ScholarPubMed
Stores, G. (2006). The protean manifestations of childhood narcolepsy and their misinterpretation. Developmental Medicine and Child Neurology, 48, 307–310. https://doi:10.1017/s0012162206000661 CrossRefGoogle ScholarPubMed
Stores, G. (2010). Psychosocial impact of narcolepsy in children and adolescents. In Goswami, M., Pandi-Perumal, S.R., & Thorpy, M.J. (Eds.), Narcolepsy: A clinical guide (pp. 181–187). Springer.CrossRefGoogle Scholar
Stowe, J., Andrews, N., Kosky, C., Dennis, G., Eriksson, S., Hall, A., Leschziner, G., Reading, P., Shneerson, J.M., Donegan, K., & Miller, E. (2016). Risk of narcolepsy after AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine in adults: A case-coverage study in England. Sleep, 39, 1051–1057. https://doi:10.5665/sleep.5752 CrossRefGoogle ScholarPubMed
Szakács, A., Hallböök, T., Tideman, P., Darin, N., & Wentz, E. (2015). Psychiatric comorbidity and cognitive profile in children with narcolepsy with or without association to the H1N1 influenza vaccination. Sleep, 38, 615–621. https://doi:10.5665/sleep.4582 CrossRefGoogle ScholarPubMed
Taheri, S. (2016). The genetics of narcolepsy. In Goswami, M., Thorpy, M.J., & Pandi-Perumal, S.R. (Eds.), Narcolepsy: A clinical guide (pp. 3–10). Springer International Publishing.CrossRefGoogle Scholar
Thieux, M., Zhang, M., Marcastel, A., Herbillon, V., Guignard-Perret, A., Seugnet, L., Lin, J.S., Guyon, A., Plancoulaine, S., & Franco, P. (2020). Intellectual abilities of children with narcolepsy. Journal of Clinical Medicine, 9, 4075. doi: 10.3390/jcm9124075 CrossRefGoogle ScholarPubMed
Thorpy, M.J., & Krieger, A.C. (2014). Delayed diagnosis of narcolepsy: Characterization and impact. Sleep Medicine, 15, 502–507. https://doi:10.1016/j.sleep.2014.01.015 CrossRefGoogle ScholarPubMed
Winkelmann, J., Lin, L., Schormair, B., Kornum, B.R., Faraco, J., Plazzi, G., Melberg, A., Cornelio, F., Urban, A.E., Pizza, F., Poli, F., Grubert, F., Wieland, T., Graf, E., Hallmayer, J., Strom, T.M., & Mignot, E. (2012). Mutations in DNMT1 cause autosomal dominant cerebellar ataxia, deafness and narcolepsy. Human Molecular Genetics, 21, 2205–2210. https://doi:10.1093/hmg/dds035 CrossRefGoogle ScholarPubMed
Zhang, J., Paksarian, D., Lamers, F., Hickie, I.B., He, J., & Merikangas, K.R. (2017). Sleep patterns and mental health correlates in US adolescents. The Journal of Pediatrics, 182, 137–143. https://doi.org/10.1016/j.CrossRefGoogle ScholarPubMed