Pharmacologic Treatment of Insomnia in Children and Adolescents with Chronic Pain Conditions

AbstractPurpose of ReviewThe purpose of this chapter is to provide a review and expert opinion supporting pharmacological treatments for insomnia in children and adolescents with chronic pain conditions.Recent FindingsInsomnia as an independent disorder is defined as dissatisfaction with sleep quantity or quality, clinically significant distress or impairment in daytime functioning, and a specific time pattern of occurrence. Independent of the pathological context, insomnia is more frequent in adolescents than in children. The impact of insomnia on pediatric patients is quite profound, especially on those affected by chronic pain, where the prevalence of insomnia is significantly greater than in those without pain. Despite the intense effect of insomnia on physical, emotional, and cognitive health, as well as on the efficacy of interdisciplinary therapy, currently, there are no pharmacological guidelines for this population. Thus, the diagnosis and successful treatment of insomnia in children with chronic pain conditions often represent a significant challenge for clinicians.SummaryThe management of insomnia requires an interdisciplinary team that includes a physician, physiotherapist, and psychologist. Specific therapies for insomnia include sleep hygiene counseling, cognitive behavioral therapy, and pharmacological interventions. This review focuses exclusively on five successful pharmacological treatments for insomnia in children and adolescents with chronic pain condition...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research

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This study is consistent with other research, as well as with reports from physicians who recommend cannabis in their daily practices. What might be behind this trend? A confluence of factors seems to be responsible, including the decrease in stigma associated with cannabis use and the increased interest in the use of medical marijuana by older patients. Stigma is a complicated issue, but most would agree that the stigma associated with cannabis use is lessening, especially for medical cannabis. In a recent poll, 94% of Americans voiced support for legal access to medical marijuana, and most states have approved some form ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Health Healthy Aging Marijuana Pain Management Source Type: blogs
Epidemiological and cross-sectional studies have shown that post-traumatic stress disorder symptoms (PTSS) are common and impairing in youth with chronic pain. Yet, the co-occurrence of PTSS and pediatric chronic pain has not been examined longitudinally, which has limited understanding of theoretically proposed mechanisms (eg, sleep disturbance) underlying the PTSS-pain relationship over time. This longitudinal study aimed to fill this gap. Participants included 138 youth (Mage = 14.29, 75% girls) referred to a tertiary-level outpatient chronic pain program and one of their parents. At baseline, youth reported their pain ...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
Abstract Sleep and opioid medications used to treat insomnia and chronic pain are associated with adverse side effects (falls and cognitive disturbance). Although behavioural treatments such as cognitive behavioral therapy for insomnia (CBT-I) and pain (CBT-P) improve sleep and clinical pain, their effects on sleep and opioid medication use are unclear. In this secondary analysis of published trial data, we investigated whether CBT-I and CBT-P reduced reliance on sleep/opioid medication in patients with fibromyalgia and insomnia (FMI). Patients with FMI (n = 113, Mage  = 53.0, SD = 10...
Source: Journal of Sleep Research - Category: Sleep Medicine Authors: Tags: J Sleep Res Source Type: research
Conditions:   Chronic Pain;   Insomnia Interventions:   Behavioral: Education;   Behavioral: Web-based Cognitive Behavioural Therapy (iCBT) Sponsors:   Helsinki University Central Hospital;   Helsinki University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
(Natural News) Acupuncture has been practiced for thousands of years, and many scientific studies attest to its health benefits. Acupuncture is often used to treat chronic pain and nausea. But recent studies show that it can also be used to help people with insomnia. How does acupuncture work? Acupuncture is a traditional medicine and healing art that originated in China. It was developed around 100...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
By DOUGLAS BRUCE, PhD On January 1, 2020, recreational cannabis use became legal in Illinois. More than 80,000 people in Illinois are registered in the state’s medical cannabis program. Surprisingly, many of their doctors don’t know how to talk with them about their medical cannabis use.  As a health sciences researcher, I have a recommendation that is both practical and profound: Physicians can learn first-hand from their own patients how and why they use medical cannabis, and the legalization of recreational cannabis may make them more comfortable discussing its usage overall. Nationwide, p...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Medical Practice Physicians Cannabis Douglas Bruce marijuana legalization medical cannabis Medical Marijuana Source Type: blogs
Summary: Marijuana generally refers to the dried mixture of leaves and flowers of the cannabis plant, and the term cannabis is a commonly used to refer to products derived from the Cannabis sativa L. plant. There has been an increasing interest in the potential medicinal use of cannabis to treat a variety of diseases and conditions. This review will provide the latest evidence regarding the medical risks and potential therapeutic benefits of cannabis in managing patients with sleep disorders or those with other medical conditions who commonly suffer with sleep disturbance as an associated comorbidity. Published data rega...
Source: Journal of Clinical Neurophysiology - Category: Neurology Tags: Invited Review Source Type: research
Conclusions:We describe data-driven ISI profiles in veterans with OSA. Older age was associated with lower insomnia and daytime symptom complaints whereas psychological comorbidities were related to more severe insomnia. Caution should be used in interpreting the ISI score in individuals with OSA because a subset had elevated total scores without insomnia.Citation:Wallace DM, Wohlgemuth WK. Predictors of Insomnia Severity Index profiles in United States veterans with obstructive sleep apnea.J Clin Sleep Med. 2019;15(12):1827–1837.
Source: Journal of Clinical Sleep Medicine : JCSM - Category: Sleep Medicine Source Type: research
Publication date: June 2020Source: Current Opinion in Behavioral Sciences, Volume 33Author(s): Yishul Wei, Eus JW Van SomerenThe central nervous system senses and responds to afferent signals arising from the body. These interoceptive afferents are essential to physiological homeostatic control and are known to influence an individual’s momentary affect, cognition, motivation, and conscious experiences. Both sleep and interoception are tightly connected to physical and mental well-being. This review outlines the current knowledge about the interactions between interoception and sleep. It is demonstrated that there ar...
Source: Current Opinion in Behavioral Sciences - Category: Psychiatry & Psychology Source Type: research
What are the Signs of Opioid Use? Opioids are a group of drugs derived naturally from the poppy plant, or are man-made in a laboratory, also known as synthetic opioids. Opioids are generally prescribed to individuals suffering from chronic pain, whether from surgery, a major injury or other health issues. Legally prescribed opioids include morphine, codeine, and oxycodone, while illegal opioids include heroin. It is easy to know if an individual is using opioids if they’ve been prescribed, but it is also important to know the signs of opioid use if it has crossed the line into an addiction. Signs and Symptoms There a...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Painkiller opioid opioids prescription drug abuse prescription drug addiction prescription drug detox prescription drugs prescription medication signs of addiction Source Type: blogs
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