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Non-pharmacological and melatonin interventions for pediatric sleep initiation and maintenance problems: A systematic

Samantha Mombelli1, Valeria Bacaro2, Sara Curati3

  • 1Department of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Sleep Medicine Reviews
|July 5, 2023
PubMed

Insights

Non-pharmacological treatments and melatonin show varied effectiveness for pediatric sleep issues. Light therapy and melatonin improved sleep onset, while psychological interventions and light therapy best reduced nighttime awakenings and increased total sleep time.

Area of Science:

  • Pediatric Sleep Medicine
  • Behavioral Sleep Science

Background:

  • Sleep initiation and maintenance problems are prevalent in children.
  • Behavioral interventions are recommended but require robust clinical trial evaluation.

Conclusions:

  • High variability in study protocols may impact meta-analysis results.
  • Further randomized controlled trials stratified by pediatric age are needed for clear clinical guidance.

Keywords:
Behavioral therapyCognitive behavioral therapy for insomniaLightMelatoninNetwork meta-analysisPediatric populationSleep problemsTreatments

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