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Seeing the Whole Elephant: a scoping review of behavioral treatments for pediatric insomnia
Lisa J Meltzer1, Allison Wainer2, Erin Engstrom2
1National Jewish Health, 1400 Jackson Street, G311, Denver, CO 80206, USA.
Insights
Pediatric insomnia affects many children. This review highlights research gaps and calls for broader studies on behavioral interventions, including diverse populations and non-sleep outcomes.
Area of Science:
- Pediatrics
- Sleep Medicine
- Behavioral Science
Background:
- Pediatric insomnia is highly prevalent, affecting healthy children and those with chronic conditions.
- Existing reviews on behavioral interventions for pediatric insomnia are limited in scope.
- Few reviews consider non-sleep outcomes for both children and parents.
Purpose of the Study:
- To provide a comprehensive overview of behavioral interventions for pediatric insomnia.
- To identify gaps in the current research literature.
- To inform future research directions.
Main Methods:
- This study conducted a scoping review of existing literature.
- Studies were included regardless of research design or specific population.
- Both sleep and non-sleep outcomes were considered.
Main Results:
- Significant gaps exist in the research on pediatric insomnia interventions.
- Need for research in diverse populations, including school-age children, adolescents, and those with medical/psychiatric disorders.
- Further investigation is required on treatment delivery, family involvement, non-sleep outcomes, and long-term follow-up.
Conclusions:
- Current research on pediatric insomnia interventions is not comprehensive.
- Additional research is crucial to address identified literature gaps.
- Future studies should focus on broader populations and diverse outcome measures.
Abstract:
Pediatric insomnia is common, impacting up to a third of typically-developing, healthy children, and over 80% of children with neurodevelopmental disorders or chronic medical conditions. Previous reviews of behavioral interventions for pediatric insomnia have had a limited focus on a single age group, a specific population, and/or only randomized controlled trials. Furthermore, few reviews have considered non-sleep outcomes of both children and their parents. This scoping review provides a broader context, including studies regardless of research design or population, along with sleep and non-sleep study outcomes. Clear gaps in the literature were identified, highlighting the need for additional research in different populations, including school-age children and adolescents, racial/ethnic groups around the world, as well as youth with medical or psychiatric disorders. In addition, more research is needed on different features of treatment, including the delivery mode, involvement of all family members, non-sleep outcomes, and long-term follow-up.
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