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.

Sleep Medicine Reviews
|January 2, 2021
PubMed

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.

Related Concept Videos

Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
394
Insomnia01:27

Insomnia

Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
256
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
914
Blind Procedures02:07

Blind Procedures

Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
12.5K
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
337
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
306