Related Experiment Video
Updated: Jun 1, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Pediatric insomnia
Judith A Owens1, Jodi A Mindell
1Division of Pulmonary and Sleep Medicine, Children's National Medical Center, Washington, DC 20010, USA. owensleep@gmail.com
Insights
Pediatric insomnia, including bedtime struggles and night wakings, significantly impacts children and families. This review covers causes, diagnosis, and treatments for childhood sleep disorders.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Clinical Neurology
Background:
- Childhood insomnia is highly prevalent, affecting infants, children, and adolescents.
- Sleep disturbances significantly impair the quality of life for both children and their caregivers.
- Common issues include bedtime resistance, delayed sleep onset, and frequent night wakings.
Purpose of the Study:
- To review the current research and clinical understanding of childhood insomnia.
- To discuss the prevalence, causes, and risk factors associated with pediatric sleep problems.
- To outline the evaluation and treatment strategies for common childhood insomnia types.
Main Methods:
- Literature review of existing research on childhood insomnia.
- Analysis of clinical nosology and diagnostic criteria.
- Synthesis of information on behavioral and pharmacologic treatments.
- Discussion of insomnia in special pediatric populations.
Main Results:
- Childhood insomnia encompasses a range of sleep difficulties with significant impact.
- Etiologic factors are diverse, varying across age groups.
- Effective behavioral and pharmacologic treatments are available.
- Special populations, including those with chronic conditions, present unique challenges.
Conclusions:
- Understanding the multifaceted nature of pediatric insomnia is crucial for effective management.
- Comprehensive evaluation and tailored treatment plans are essential.
- Further research is needed to address insomnia in complex pediatric cases and explore future therapeutic avenues.
Abstract:
Bedtime struggles, delayed sleep onset, and problematic night wakings are extremely common in the pediatric population, and have a significant impact on quality of life of both children and caregivers. This article reviews the research and clinical nosology of childhood insomnia, prevalence, and etiologic factors in infants, children, and adolescents. Clinical presentation, evaluation, and treatment, both behavioral and pharmacologic, of the most common types of pediatric insomnia are presented. Insomnia in special populations, particularly children with chronic medical, psychiatric, and neurodevelopmental disorders, is discussed. Future directions in childhood insomnia are presented.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Excretion
Management of Insomnia
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Sedatives and Hypnotics Drugs: Miscellaneous Agents
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Pharmacokinetics in Pediatric Patients: Drug Metabolism
Insomnia
Multiple factors contribute...

