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Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
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[Current approaches to the diagnosis and treatment of behavioral insomnia in children]

E S Vasileva1, G V Anisimov1, T P Kalashnikova2

  • 1The first medical and pedagogical center «Lingua Bona», Perm, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|October 20, 2020
PubMed

Insights

Behavioral insomnia in young children impacts families significantly. Behavioral therapy, including sleep hygiene and routines, is key, but "crying it out" has limitations and isn

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Child Psychology

Background:

  • Behavioral insomnia is the most prevalent sleep disorder in young children.
  • It negatively affects parental quality of life and is a frequent reason for pediatric consultations.

Purpose of the Study:

  • To outline the foundational behavioral therapy approaches for childhood insomnia.
  • To discuss the efficacy and limitations of systematic ignoring ('crying it out') as a treatment method.

Main Methods:

  • Behavioral therapy components: sleep hygiene, consistent routines, positive reinforcement, bedtime fading, and scheduled awakenings.
  • Evaluation of systematic ignoring: compliance rates and safety considerations.
  • Complementary treatments: parental support and pharmacotherapy.

Main Results:

  • Systematic ignoring is effective but has low compliance and insufficient safety data.
  • It is not a primary method and is contraindicated in infants under 6 months.

Conclusions:

  • Behavioral therapy is the cornerstone for treating childhood insomnia.
  • Parental education on sleep hygiene is crucial for prevention.
  • Systematic ignoring should be used cautiously and is not recommended for young infants.

Keywords:
behavioral insomnia in childrenbehavioral therapy of childhood insomniadiagnosis of behavioral insomniadrug therapy of childhood insomniahomeostresprevention of behavioral insomnia

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