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Sleep problems in pre-school children: a review of the literature

S Kerr1, S Jowett

  • 1Department of Nursing Studies, University of Glasgow, UK.

Child: Care, Health and Development
|November 1, 1994
PubMed

Insights

This review highlights common sleep problems in preschool children, particularly difficulties initiating and maintaining sleep. Effective treatments may include behavioral modification or psychodynamic approaches, rather than medication.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Child Psychology

Background:

  • Sleep problems are prevalent in preschool children, significantly impacting families.
  • Disorders of initiating and maintaining sleep (DIMS) are the most common issues.
  • Parental distress and need for external support are frequently associated with childhood sleep disturbances.

Purpose of the Study:

  • To review current literature on sleep problems in preschool children.
  • To raise awareness of the prevalence, effects, causes, and treatments of these issues.
  • To identify effective strategies and areas for future research.

Main Methods:

  • Comprehensive literature review of studies on preschool sleep problems.
  • Analysis of research on the prevalence, etiology, and impact of sleep disturbances.
  • Evaluation of various treatment modalities, including behavioral, psychodynamic, and pharmacological approaches.

Main Results:

  • Disorders of initiating and maintaining sleep (DIMS) are the most common sleep problems in this age group.
  • Parental coping strategies are often insufficient, leading to desperation.
  • Medication shows limited benefit, while behavioral and psychodynamic therapies appear more successful.
  • Self-help resources can be beneficial for parents.

Conclusions:

  • Behavioral and psychodynamic interventions show promise for treating preschool sleep problems.
  • Contradictory advice and limited efficacy of medication necessitate a re-evaluation of treatment strategies.
  • Further research is crucial for developing effective preventative measures and interventions.

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