Behavioural sleep problems in children

Chun Yi Ting1, Biju Thomas2

  • 1Department of Paediatrics, KK Women's and Children's Hospital, Singapore.

Singapore Medical Journal
|January 25, 2023
PubMed

Insights

Common childhood sleep problems, like behavioral insomnia and parasomnias, require early identification and management. Effective strategies include bedtime routines, behavioral techniques, and parental reassurance to improve child and family well-being.

Area of Science:

  • Pediatric Sleep Medicine
  • Developmental Psychology

Background:

  • Behavioral sleep problems are prevalent in children, causing parental concern.
  • Understanding normal sleep physiology and development is crucial for addressing these issues.

Purpose of the Study:

  • To review normal sleep physiology and development in children.
  • To focus on the clinical features and management of common behavioral sleep problems in childhood.

Main Methods:

  • Literature review of behavioral sleep problems in childhood.
  • Discussion of clinical features and management strategies.

Main Results:

  • Behavioral insomnia of childhood involves learned sleep-onset or sleep-maintenance difficulties, managed with routines and behavioral techniques.
  • Parasomnias (confusional arousals, sleepwalking, sleep terrors, nightmares) typically resolve with time, managed via reassurance and interventions like scheduled awakening.
  • Sleep enuresis management includes behavioral changes, alarms, and desmopressin.
  • Sleep-related movement disorders include bruxism and rhythmic movements (e.g., body rocking).

Conclusions:

  • Early identification and management of behavioral sleep problems are essential.
  • Effective interventions can mitigate negative impacts on children and families.
  • A comprehensive approach addressing specific sleep disorders is recommended.

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