INTRODUCTION: Sleep disorders may affect between 20% and 30% of young children, and include problems getting to sleep (dyssomnias), or undesirable phenomena during sleep (parasomnias), such as sleep terrors and sleepwalking. Children with physical or learning disabilities are at increased risk of sleep disorders. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for dyssomnias in children? What are the effects of treatments for parasomnias in children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to September 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 28 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: antihistamines; behavioural therapy plus antihistamines, plus benzodiazepines, or plus chloral and derivatives; benzodiazepines alone; exercise; extinction and graduated extinction; 5-hydroxytryptophan; light therapy; melatonin; safety/protective interventions for parasomnias; scheduled waking (for parasomnias); sleep hygiene; and sleep restriction.
INTRODUCTION:Sleep disorders may affect between 20% and 30% of young children, and include problems getting to sleep (dyssomnias), or undesirable phenomena during sleep (parasomnias), such as sleep terrors and sleepwalking. Children with physical or learning disabilities are at increased risk of sleep disorders. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of treatments for dyssomnias in children? What are the effects of treatments for parasomnias in children? We searched: Medline, Embase, The Cochrane Library, and other important databases up to September 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA). RESULTS: We found 28 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions. CONCLUSIONS: In this systematic review we present information relating to the effectiveness and safety of the following interventions: antihistamines; behavioural therapy plus antihistamines, plus benzodiazepines, or plus chloral and derivatives; benzodiazepines alone; exercise; extinction and graduated extinction; 5-hydroxytryptophan; light therapy; melatonin; safety/protective interventions for parasomnias; scheduled waking (for parasomnias); sleep hygiene; and sleep restriction.
Authors: Roxanne Carr; Michael B Wasdell; Donald Hamilton; Margaret D Weiss; Roger D Freeman; Joseph Tai; Wop J Rietveld; James E Jan Journal: J Pineal Res Date: 2007-11 Impact factor: 13.007
Authors: Michael B Wasdell; James E Jan; Melissa M Bomben; Roger D Freeman; Wop J Rietveld; Joseph Tai; Donald Hamilton; Margaret D Weiss Journal: J Pineal Res Date: 2008-01 Impact factor: 13.007
Authors: Amy Lynn Meolie; Carol Rosen; David Kristo; Michael Kohrman; Nalaka Gooneratne; Robert Neal Aguillard; Robert Fayle; Robert Troell; Don Townsend; David Claman; Timothy Hoban; Mark Mahowald Journal: J Clin Sleep Med Date: 2005-04-15 Impact factor: 4.062
Authors: Alessia Scialpi; Ester Mignolli; Corrado De Vito; Anna Berardi; Marco Tofani; Donatella Valente; Giovanni Galeoto Journal: Int J Environ Res Public Health Date: 2022-07-26 Impact factor: 4.614