{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:02:35Z","timestamp":1785160955187,"version":"3.55.0"},"reference-count":73,"publisher":"Akademiai Kiado Zrt.","issue":"36","license":[{"start":{"date-parts":[[2024,9,8]],"date-time":"2024-09-08T00:00:00Z","timestamp":1725753600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,9,8]]},"abstract":"A szakirodalmi adatok \u00e9s sz\u00fcl\u0151k besz\u00e1mol\u00f3i alapj\u00e1n a kr\u00f3nikus betegs\u00e9ggel \u00e9l\u0151,\n illetve fogyat\u00e9koss\u00e1gban \u00e9rintett \u2013 \u00e9s k\u00fcl\u00f6n\u00f6sen az idegrendszer fejl\u0151d\u00e9si\n zavar\u00e1val diagnosztiz\u00e1lt \u2013 kisgyermekek k\u00f6r\u00e9ben jelent\u0151sen nagyobb az\n alv\u00e1sprobl\u00e9m\u00e1k el\u0151fordul\u00e1s\u00e1nak gyakoris\u00e1ga, hasonl\u00f3 kor\u00fa, tipikus fejl\u0151d\u00e9smenet\u0171\n gyermekcsoportokkal \u00f6sszehasonl\u00edtva. A t\u00fcnetek az esetek t\u00f6bbs\u00e9g\u00e9ben\n multifaktori\u00e1lis etiol\u00f3gia talaj\u00e1n bontakoznak ki, megjelen\u00e9s\u00fcket a gyermek\n szomatikus \u00e1llapota, a t\u00e1rsul\u00f3 neurol\u00f3giai \u00e9s pszichi\u00e1triai zavarok, valamint a\n kapcsolati jellemz\u0151k \u00e9s a k\u00f6rnyezeti k\u00f6r\u00fclm\u00e9nyek egy\u00fcttesen befoly\u00e1solj\u00e1k.\n Kr\u00f3nikus betegs\u00e9ggel k\u00fczd\u0151, atipikus fejl\u0151d\u00e9smenet\u0171, saj\u00e1tos idegrendszeri\n m\u0171k\u00f6d\u00e9ssel \u00e9s viselked\u00e9si fenot\u00edpussal jellemezhet\u0151 gyermekcsoportokban az\n alv\u00e1szavar aluldiagnosztiz\u00e1lt jelens\u00e9g, mivel a komplex t\u00fcneti k\u00e9pben nehezen\n k\u00fcl\u00f6n\u00edthet\u0151 el a gyermek \u00e1llapot\u00e1nak, valamint az alv\u00e1st\u00fcnetek\n jellegzetess\u00e9geinek \u00e9s k\u00f6vetkezm\u00e9nyeinek megjelen\u00e9se. A kr\u00f3nikus betegs\u00e9ggel \u00e9l\u0151\n vagy fogyat\u00e9koss\u00e1gban \u00e9rintett gyermeket nevel\u0151 csal\u00e1dok eset\u00e9ben a fokozott\n kih\u00edv\u00e1st jelent\u0151 \u00e9lethelyzetekhez val\u00f3 alkalmazkod\u00e1st tov\u00e1bb nehez\u00edtheti az\n alv\u00e1szavarok megjelen\u00e9se, melyek jelent\u0151s hat\u00e1st gyakorolhatnak a csal\u00e1dtagok\n j\u00f3ll\u00e9t\u00e9re \u00e9s \u00e9letmin\u0151s\u00e9g\u00e9re. A Down-szindr\u00f3m\u00e1ban \u00e9rintett gyermekek a\n tanulm\u00e1nyunk f\u00f3kusz\u00e1ban \u00e1ll\u00f3 speci\u00e1lis sz\u00fcks\u00e9glet\u0171 gyermekcsoportok kih\u00edv\u00e1saival\n egyszerre tal\u00e1lkoznak, eset\u00fckben az egyes szindr\u00f3maspecifikus jellemz\u0151k, a\n kr\u00f3nikus szomatikus \u00e1llapotok, valamint az idegrendszer struktur\u00e1lis \u00e9s\n funkcion\u00e1lis elv\u00e1ltoz\u00e1sai komplex m\u00f3don j\u00e1rulnak hozz\u00e1 az alv\u00e1ssal \u00f6sszef\u00fcgg\u0151\n probl\u00e9m\u00e1k gyakoribb el\u0151fordul\u00e1s\u00e1hoz. A gyakorlatban alkalmazott prevenci\u00f3s \u00e9s\n intervenci\u00f3s szeml\u00e9let\u0171 kezdem\u00e9nyez\u00e9sek az alv\u00e1sprobl\u00e9m\u00e1k korai azonos\u00edt\u00e1sa\n mellett sz\u00e1mos r\u00f6vid \u00e9s hossz\u00fa t\u00e1v\u00fa negat\u00edv fejl\u0151d\u00e9si, illetve viselked\u00e9si\n k\u00f6vetkezm\u00e9ny megel\u0151z\u00e9s\u00e9t \u00e9s kezel\u00e9s\u00e9t, enyh\u00edt\u00e9s\u00e9t teszik lehet\u0151v\u00e9, hozz\u00e1j\u00e1rulva\n az \u00e9rintett gyermekek \u00e9s csal\u00e1dtagjaik kapcsolati jellemz\u0151inek \u00e9s\n \u00e9letmin\u0151s\u00e9g\u00e9nek jav\u00edt\u00e1s\u00e1hoz. Orv Hetil. 2024; 165(36): 1411\u20131422.<\/jats:p>","DOI":"10.1556\/650.2024.33041","type":"journal-article","created":{"date-parts":[[2024,9,8]],"date-time":"2024-09-08T10:39:43Z","timestamp":1725791983000},"page":"1411-1422","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Alv\u00e1szavarok kora gyermekkorban kr\u00f3nikus szomatikus \u00e1llapotok \u00e9s atipikus fejl\u0151d\u00e9s eset\u00e9n \u2013 k\u00fcl\u00f6n\u00f6s tekintettel a Down-szindr\u00f3m\u00e1ra"],"prefix":"10.1556","volume":"165","author":[{"given":"No\u00e9mi","family":"Napravszky","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Doktori Iskola, Ment\u00e1lis Eg\u00e9szs\u00e9gtudom\u00e1nyok Tagozat \u2013 Interdiszciplin\u00e1ris T\u00e1rsadalomtudom\u00e1nyok Program Budapest Magyarorsz\u00e1g"},{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, B\u00e1rczi Guszt\u00e1v Gy\u00f3gypedag\u00f3giai Kar Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Gul\u00e1csi","sequence":"additional","affiliation":[{"name":"Heim P\u00e1l Orsz\u00e1gos Gyermekgy\u00f3gy\u00e1szati Int\u00e9zet Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1ria","family":"Alkonyi","sequence":"additional","affiliation":[{"name":"E\u00f6tv\u00f6s Lor\u00e1nd Tudom\u00e1nyegyetem, Gyakorl\u00f3 \u00d3voda \u00e9s Egys\u00e9ges Gy\u00f3gypedag\u00f3giai M\u00f3dszertani Int\u00e9zm\u00e9ny Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ildik\u00f3","family":"Danis","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Eg\u00e9szs\u00e9g\u00fcgyi K\u00f6zszolg\u00e1lati Kar, Ment\u00e1lhigi\u00e9n\u00e9 Int\u00e9zet Budapest, \u00dcll\u0151i \u00fat 26., 1085 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","unstructured":"Purebl Gy. 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