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March 1996, Vol 150, No. 3 >
Article | March 1996

Neurobiology of Sleep Disturbances in Children With Atopic Dermatitis FREE

Ernest H. Friedman, MD
Arch Pediatr Adolesc Med. 1996;150(3):329. doi:10.1001/archpedi.1996.02170280099022.
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In their recent article, Dahl et al1 state that 24 female subjects with atopic dermatitis had more difficulty falling asleep (P=.02) than did 35 male subjects with the same skin inflammation. The neurobiologic manifestations are suggested by reports linking immune function and wakefulness to dopamine lateralized to the right hemisphere, in which the metabolic rate is higher in females.2 The fact that delay-dependent speeding of reaction time, indicating motor readiness, is abolished by depletion of dopamine subserving mood prompts neurochemical and pharmacotherapeutic investigation3,4 of disruption of family activities because of aggressive behavior1 by monitoring speech hesitation and switching pauses, reflecting properties of neuronal activity and firing.3 This method is supported by anger attacks reflecting central hyposerotonergic function,5 serotonergic-mediated inhibition of dopamine, optimal response organization at intermediate dopamine tone in a medial-frontal-striatal activation system,2 and deactivation of the right hemisphere, a state marker

REFERENCES

1 +
Dahl TE, Bernhisel-Broadbent J, Scanlon-Holdford S, Sampson HA, Lupo M.  Sleep disturbances in children with atopic dermatitis . Arch Pediatr Adolesc Med . 1995;;149:856-860.
2 +
Friedman EH, Mancini D, Levine S.  Benefit of respiratory muscle training on exercise capacity . Circulation . 1995;;92:1060.
3 +
Friedman EH.  Neurobiology of cingulate cortex in compulsivity and impulsivity . Neuropsychiatry Neuropsychol Behav Neurol . 1995;;8:229.
4 +
Stein EJ, Hollander E.  Neurochemistry of stuttering . Neuropsychiatry Neuropsychol Behav Neurol . 1995;;8:229.
5 +
Fava M, Rappe SM, West J, Herzog DB.  Anger attacks in eating disorders . Psychiatr Res . 1995;;56:205-212.
6 +
King JC, Nixon PGF.  Effects of non–right-handedness on risk for sudden death associated with coronary artery disease . Am J Cardiol . 1995;;75:1187. Letter.
7 +
Haag C, Kathmann N, Hock C, Gunther W, Voderholzer U, Laakmann G.  Lateralization of the Bereitschaftspotential to the left hemisphere in patients with major depression . Biol Psychiatry . 1994;;36:453-457.
8 +
Friedman EH.  Mania and paranoid psychosis . Psychosomatics . 1992;;33:118-119.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Dahl TE, Bernhisel-Broadbent J, Scanlon-Holdford S, Sampson HA, Lupo M.  Sleep disturbances in children with atopic dermatitis . Arch Pediatr Adolesc Med . 1995;;149:856-860.
2 +
Friedman EH, Mancini D, Levine S.  Benefit of respiratory muscle training on exercise capacity . Circulation . 1995;;92:1060.
3 +
Friedman EH.  Neurobiology of cingulate cortex in compulsivity and impulsivity . Neuropsychiatry Neuropsychol Behav Neurol . 1995;;8:229.
4 +
Stein EJ, Hollander E.  Neurochemistry of stuttering . Neuropsychiatry Neuropsychol Behav Neurol . 1995;;8:229.
5 +
Fava M, Rappe SM, West J, Herzog DB.  Anger attacks in eating disorders . Psychiatr Res . 1995;;56:205-212.
6 +
King JC, Nixon PGF.  Effects of non–right-handedness on risk for sudden death associated with coronary artery disease . Am J Cardiol . 1995;;75:1187. Letter.
7 +
Haag C, Kathmann N, Hock C, Gunther W, Voderholzer U, Laakmann G.  Lateralization of the Bereitschaftspotential to the left hemisphere in patients with major depression . Biol Psychiatry . 1994;;36:453-457.
8 +
Friedman EH.  Mania and paranoid psychosis . Psychosomatics . 1992;;33:118-119.

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