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Insomnia in Infants and Young Children
Insights
Behavioral interventions effectively treat childhood insomnia, improving sleep and family well-being without harming social-emotional development. This guide helps pediatric providers manage infant and young child sleep issues.
Area of Science:
- Pediatric sleep medicine
- Child psychology
Background:
- Infant and young child sleep problems are common and often overlooked.
- Chronic sleep disruption negatively impacts children's daytime function and family life.
Purpose of the Study:
- To guide pediatric providers in identifying, evaluating, and treating insomnia in young children.
- To highlight the efficacy of behavioral interventions for childhood insomnia.
Main Methods:
- Review of evidence supporting behavioral interventions for childhood insomnia.
- Guidance for clinical practice in pediatric sleep assessment and management.
Main Results:
- Behavioral strategies yield reliable and lasting improvements in sleep for most young children.
- These interventions can enhance child and family well-being.
- No adverse effects on social-emotional development were observed.
Conclusions:
- Behavioral interventions are a safe and effective first-line treatment for childhood insomnia.
- Pediatric providers play a crucial role in addressing infant and child sleep disorders.
- Early identification and treatment of sleep problems improve overall child and family health.
Abstract:
Sleep problems in infants and young children are common and often underdiagnosed. The potential negative outcomes that chronic disrupted sleep can have on a child's daytime functioning, as well as the adverse impact it can have on the family, are well known. There is considerable evidence to support the use of behavioral interventions to treat childhood insomnia. These strategies not only produce reliable and durable positive changes in sleep in most young children, but may also improve child and family well-being without negative effects on a child's social-emotional development. This article serves as a guide to help the pediatric provider identify, evaluate, and treat insomnia in infants and young children. [Pediatr Ann. 2017;46(9):e321-e326.].
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