Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach
Journal Title: Jornal de Pediatria - Year 2015, Vol 91, Issue 0
Abstract
Objectives To review the clinical characteristics, comorbidities, and management of insomnia in childhood and adolescence. Sources This was a non-systematic literature review carried out in the PubMed database, from where articles published in the last five years were selected, using the key word “insomnia” and the pediatric age group filter. Additionally, the study also included articles and classic textbooks of the literature on the subject. Data synthesis During childhood, there is a predominance of behavioral insomnia as a form of sleep-onset association disorder (SOAD) and/or limit-setting sleep disorder. Adolescent insomnia is more associated with sleep hygiene problems and delayed sleep phase. Psychiatric (anxiety, depression) or neurodevelopmental disorders (attention deficit disorder, autism, epilepsy) frequently occur in association with or as a comorbidity of insomnia. Conclusions Insomnia complaints in children and adolescents should be taken into account and appropriately investigated by the pediatrician, considering the association with several comorbidities, which must also be diagnosed. The main causes of insomnia and triggering factors vary according to age and development level. The therapeutic approach must include sleep hygiene and behavioral techniques and, in individual cases, pharmacological treatment.
Authors and Affiliations
Magda Nunes
Keywords
Related Articles
- EP ID EP510704
- DOI 10.1016/j.jped.2015.08.006
- Views 68
- Downloads 0
The TyG index cutoff point and its association with body adiposity and lifestyle in children
Objective To investigate the factors associated with insulin resistance in children aged 4–7 years, and to identify the cutoff point of the triglyceride-glucose index for the prediction of insulin resistance in this popu...
Energy expenditure, growth, and nutritional therapy in appropriate and small for gestational age preterm infants
Objective To evaluate the resting energy expenditure, growth, and quantity of energy and macronutrients intake in a group of preterm newborns. Methods The cohort study was performed with appropriate and small for gestat...
Breastfeeding increases microbial community resilience
Objective Since the present group had already described the composition of the intestinal microbiota of Brazilian infants under low social economic level, the aim of the present study was to analyze the microbial communi...
Therapeutic play to prepare children for invasive procedures: a systematic review
Objective To analyze the available evidence regarding the efficacy of using therapeutic play on behavior and anxiety in children undergoing invasive procedures. Data source The systematic review search was performed in...
Being a mother of preterm multiples in the context of socioeconomic disadvantage: perceived stress and psychological symptoms
Objective This study aimed to examine the differences between mothers of preterm multiples and mothers of preterm singletons regarding perceived stress and maternal psychological symptoms, and to explore the putative adv...