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Published on: October 2, 2019
Clinical management of behavioral insomnia of childhood
Jennifer Vriend1, Penny Corkum
1Clinical Psychology PhD Program, Dalhousie University, Halifax, Nova Scotia, Canada.
Insights
Behavioral insomnia affects 25% of children, causing sleep problems and negative effects. This paper reviews evidence-based behavioral interventions for childhood insomnia and discusses access barriers.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Behavioral Health
Background:
- Behavioral insomnia is common in children, affecting about 25%.
- It leads to sleep difficulties and adverse outcomes for children and families.
- Developmental changes influence sleep and intervention effectiveness.
Purpose of the Study:
- To review empirically supported behavioral interventions for childhood insomnia.
- To explore developmental factors influencing behavioral insomnia.
- To identify barriers to accessing these interventions.
Main Methods:
- Literature review of empirically supported behavioral interventions.
- Analysis of developmental influences on sleep and treatment.
- Discussion of barriers to intervention access.
Main Results:
- A range of behavioral interventions are effective for infant, child, and adolescent insomnia.
- Biological, cognitive, and psychosocial factors impact sleep and treatment.
- Healthcare providers often overlook effective behavioral interventions, hindering family access.
Conclusions:
- Evidence-based behavioral interventions exist for childhood insomnia.
- Understanding developmental changes is key to effective treatment.
- Addressing access barriers is crucial for improving pediatric sleep health.
Abstract:
Behavioral insomnia is highly prevalent, affecting approximately 25% of children. It involves difficulties initiating and maintaining sleep and frequently results in inadequate sleep, leading to an array of negative effects for both the child and the child's family. In this paper, we describe a variety of empirically supported behavioral interventions for insomnia from infancy through adolescence. We explore how biological, cognitive, and psychosocial developmental changes contribute to behavioral insomnia and how these changes may affect sleep and behavioral interventions. We also discuss barriers that prevent families from accessing interventions, including why many empirically-supported behavioral interventions are overlooked by health care providers.
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