移民儿童的创伤暴露:对睡眠的影响和急性治疗干预措施
1Child Psychiatry, Talkiatry, 1400 N Coit Road #302, McKinney, TX 75071, USA.
Child and adolescent psychiatric clinics of North America
|February 23, 2024
概括
创伤严重扰乱了儿童的睡眠,经常导致梦. 虽然疗法是最好的,但本次审查考察了像普拉佐辛和特拉佐这样的药物,因为它们在急性护理环境中的可用性有限.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 创伤心理学 创伤心理学
背景情况:
- 创伤暴露经常导致儿童睡眠障碍,包括梦.
- 目前,没有美国食品和药物管理局 (FDA) 批准的药物专门治疗青年的创伤相关睡眠问题.
- 基于证据的疗法是首选的,但在所有急性护理环境中可能无法获得.
研究的目的:
- 审查现有证据,用于管理创伤后儿童睡眠障碍的各种药物.
- 评估常见的药理干预措施的疗效和安全性.
主要方法:
- 病例报告的文献综述,回顾性图表综述和成人研究.
- 对诸如普拉佐辛,特拉佐,α-2激动剂和奎平等药物的证据分析.
- 对临床意见和非随机数据的评估.
主要成果:
- 在儿科创伤相关睡眠障碍中使用药物的证据基础有限,主要来自非随机来源.
- 审查的药物包括普拉佐辛,特拉佐,α-2激动剂和奎平等.
- 数据主要包括案例系列,专家意见和从成人数据中推断出来的数据.
结论:
- 对于暴露于创伤的年轻人睡眠障碍的基于证据的治疗方法有很大的需求.
- 目前的药物证据不足,这凸显了进一步研究和开发批准的治疗方法的重要性.
- 虽然疗法优越,但由于急性环境中的治疗可访问性挑战,药理选择正在审查.
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