Pediatric Insomnia

Insomnia in children is complex and frequently multifactorial. This review discusses the major categories of insomnia as well as common causes. The consequences of insomnia, including issues with mood, behavior, and cognition, are discussed. Sleep disorders are much more prevalent in certain pediatr...

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Veröffentlicht in:	Chest 2016-05, Vol.149 (5), p.1332-1339
Hauptverfasser:	Brown, Kelly M., MD, Malow, Beth A., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Actigraphy Adolescent Amines - therapeutic use Anti-Anxiety Agents - therapeutic use Autism Spectrum Disorder - epidemiology Central Nervous System Depressants - therapeutic use Child cognitive behavioral therapy Cognitive Therapy - methods Comorbidity Cyclohexanecarboxylic Acids - therapeutic use gamma-Aminobutyric Acid - therapeutic use Humans melatonin Melatonin - therapeutic use obstructive sleep apnea Polysomnography Pulmonary/Respiratory Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Sleep Apnea, Obstructive - therapy Sleep Initiation and Maintenance Disorders - diagnosis Sleep Initiation and Maintenance Disorders - epidemiology Sleep Initiation and Maintenance Disorders - psychology Sleep Initiation and Maintenance Disorders - therapy
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Beschreibung
Zusammenfassung:	Insomnia in children is complex and frequently multifactorial. This review discusses the major categories of insomnia as well as common causes. The consequences of insomnia, including issues with mood, behavior, and cognition, are discussed. Sleep disorders are much more prevalent in certain pediatric populations, such as children with autism spectrum disorders. The evaluation of insomnia in children includes a focused history and examination and occasionally actigraphy or polysomnography. Behavioral and pharmacological therapies are discussed, as are future directions for research and clinical practice.
ISSN:	0012-3692 1931-3543
DOI:	10.1378/chest.15-0605