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L-Tryptophan As Treatment for Pediatric Non-Rapid Eye Movement Parasomnia
Louis T van Zyl1, Sharon A Chung2, Azmeh Shahid1,2,3
11 Youthdale Child and Adolescent Sleep Centre , Toronto, Canada .
Journal of Child and Adolescent Psychopharmacology
|May 10, 2018
Summary
L-tryptophan significantly improved parasomnia symptoms in children. This study highlights that childhood parasomnias are serious, impacting sleep architecture and mental well-being, and supports L-tryptophan as a treatment.
Area of Science:
- Pediatric Sleep Medicine
- Neuroscience
- Clinical Psychology
Background:
- Parasomnias are prevalent in childhood, yet established treatments are lacking.
- Childhood parasomnias can significantly affect a child's sleep quality and psychological well-being.
- Understanding the impact of parasomnias on sleep architecture is crucial for effective management.
Purpose of the Study:
- To evaluate the efficacy of L-tryptophan in managing childhood parasomnias.
- To investigate the effects of parasomnia on children's sleep architecture.
- To assess subjective psychological and sleep-related symptoms in children with parasomnia.
Main Methods:
- Retrospective chart analysis of 165 children (3-18 years) diagnosed with primary parasomnia.
- Comparison of outcomes between children treated with L-tryptophan and an untreated group.
- Utilized polysomnography and validated questionnaires for symptom and sleep assessment.
Main Results:
- 84% of children treated with L-tryptophan showed symptom improvement, versus 47% in the untreated group (p < 0.001).
- Children with parasomnia exhibited altered sleep architecture compared to age-related norms.
- Subjective reports indicated increased fatigue and depressive symptoms in children with parasomnia.
Conclusions:
- L-tryptophan treatment offers a favorable outcome for childhood parasomnias.
- Childhood parasomnias are not benign, affecting sleep architecture and mental health.
- Diagnosis and treatment of pediatric parasomnias are essential for improving patient outcomes.
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