Screening and Evaluation of Sleep Disturbances and Sleep Disorders in Children and Adolescents
We present specific, validated screening and evaluation tools to identify sleep disturbances and sleep disorders in children/adolescents. We offer guidance related to the use of consumer wearables for sleep assessments and use of sleep telemedicine in pediatric mental health and primary care clinics. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Suman K.R. Baddam, Craig A. Canapari, Jenna Van de Grift, Christopher McGirr, Alexandra Y. Nasser, Michael J. Crowley Source Type: research

Medications Used for Pediatric Insomnia
Pediatric insomnia can affect physical and mental health and cause cognitive deficits, social deficits and decrease quality of life. There are no Food and Drug Administration approved medications approved for pediatric insomnia. Pharmacologic interventions derive mostly from adult data or pediatric case reports. This review focuses on Food and Drug Administration approved prescription drugs (in adults), over-the-counter drugs, and off-label pediatric insomnia drugs. This review helps the clinician learn general principles, practice guidelines, and pharmacologic considerations for medication selection in the pediatric popul...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Vijayabharathi Ekambaram, Judith Owens Source Type: research

Behavioral Treatment of Insomnia and Sleep Disturbances in School-Aged Children and Adolescents
Insomnia and related sleep disturbances are prevalent among youth and are associated with adverse consequences, including poorer psychiatric functioning. Behavioral sleep interventions, ranging from brief educational interventions to behavioral therapies (cognitive behavior therapy –insomnia), are associated with positive outcomes for pediatric sleep health. In addition, sleep interventions may improve psychiatric health for children and adolescents with neurodevelopmental and internalizing disorders. Additional research is necessary to clarify the efficacy of these interven tions over the long-term and across demographi...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Jessica R. Lunsford-Avery, Tatyana Bidopia, Leah Jackson, Jessica Solis Sloan Source Type: research

Pediatric Insomnia
This article is the result of a comprehensive literature review and serves as a guide to the disorder and how it presents differently across child development. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Madeline Himelfarb, Jess P. Shatkin Source Type: research

The Parasomnias
Parasomnias usually present in childhood and resolve spontaneously. The diagnosis of non –rapid eye movement–related parasomnias is mainly based on clinical descriptors and can be challenging. Rapid eye movement–related parasomnias may index an underlying psychiatric disorder. Even if benign, parasomnias can affect quality of life. Pediatricians and child psychiatrists should be f amiliarized with these sleep disorders and suggest adequate sleep hygiene, avoidance of sleep deprivation, and regular bedtimes even on weekends as the first step in management of these disorders. Clinicians should pursue the opportunity fo...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Oliviero Bruni, Lourdes M. DelRosso, Maria Grazia Melegari, Raffaele Ferri Source Type: research

Restless Legs Syndrome in Children and Adolescents
This article reviews the presentation of RLS and restless sleep, the association with psychiatric comorbidities, and treatment options. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Lourdes M. DelRosso, Maria Paola Mogavero, Argelinda Baroni, Oliviero Bruni, Raffaele Ferri Source Type: research

Just Let Me Sleep in
Individuals with delayed sleep phase disorder (DSPD) are unable to naturally fall asleep and awake at conventional times; for this reason, DSPD is often mistaken for insomnia. However, unlike many patients with insomnia, those with DSPD struggle to get up at appropriate times. DSPD is associated with school refusal, academic difficulties, and lower employment rate. DSPD in youth has prevalence as high as 16%, and is often comorbid with other psychiatric disorders. Treatments include appropriate light exposure during the day, melatonin use, developing an evening routine that minimizes arousal-increasing activities, and grad...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Michael A. Feder, Argelinda Baroni Source Type: research

The Associations Between Sleep and Externalizing and Internalizing Problems in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder
Sleep problems are common in youth with attention-deficit/hyperactivity disorder (ADHD). Externalizing and internalizing problems contribute to dysfunction in youth with ADHD and are amplified by disrupted sleep. This objective of this article is to synthesize empirical studies that examined the associations between sleep and internalizing or externalizing problems in individuals with ADHD. The main findings are that sleep problems precede, predict, and significantly contribute to the manifestation of internalizing and externalizing behavior problems among children and adolescents with ADHD. Clinicians should assess sleep ...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Jenny Dimakos, Gabrielle Gauthier-Gagn é, Lanyi Lin, Samantha Scholes, Reut Gruber Source Type: research

Autism Spectrum Disorder and Sleep
Children and adolescents with autism spectrum disorder (ASD) experience sleep disturbances, particularly insomnia, at rates much higher than the general population. Daytime behavioral problems and parental stress are associated with the resultant sleep deprivation. Behavioral interventions, parental education, and melatonin are effective treatments. The epidemiology of sleep disturbances in youth with ASD is reviewed in this article as well as the latest in treatments. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Kyle P. Johnson, Paria Zarrinnegar Source Type: research

Sleep-Related Problems and Pediatric Anxiety Disorders
The objective of this review was to summarize the relevant clinical research literature as it pertains to the nature of the association between sleep-related problems and youth anxiety, developmental factors relevant to this association, and intervention efforts to target comorbid sleep challenges and anxiety. Limitations of the literature and future directions are discussed. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Katherine Crowe, Carolyn Spiro-Levitt Source Type: research

Afraid and Awake
Traumatic experiences and sleep disturbances are both common in children and adolescents. Because of the reciprocal relationship between sleep complaints and trauma, a mental health evaluation should include not only an assessment of posttraumatic stress disorder and other trauma symptoms but also a specific evaluation of sleep-related complaints. Similarly, if a history of both trauma and sleep complaints is identified, an effective trauma-informed intervention, whether psychological, psychopharmacologic, or a combination of the two, should directly address sleep issues. (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Veronica Fellman, Patrick J. Heppell, Suchet Rao Source Type: research

Sleep and Mood Disorders Among Youth
This article reviews the literature on mood disorders and sleep disorders among children and adolescents. Research suggests that sleep plays an important role in the development, progression, and maintenance of mood disorder symptoms among children and adolescents. Sleep problems as early as maternal perinatal insomnia may predict and predate depression among youth. Children and adolescents who develop comorbid mood disorders and sleep problems represent a particularly high-risk group with more severe mood episode symptoms, higher rates of self-harm and suicidality, and less responsivity to treatment. Treatment research su...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Lauren D. Asarnow, Riya Mirchandaney Source Type: research

When Night Falls Fast
Sleep disturbances have been linked to suicidal ideation and behaviors in adolescents. Specifically, insomnia and nightmares are associated with current suicide risk and predict future ideation. Associations between hypersomnia, sleep apnea, and suicide remain inconclusive. Potential biological mechanisms underlying these relationships include executive functioning deficits and hyperarousal. Related psychological factors may include thwarted belongingness, perceived burdensomeness, and negative appraisals. Assessing suicide risk in patients with sleep disturbances, and vice versa, is needed. Therapeutic interventions such ...
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Sara N. Fernandes, Emily Zuckerman, Regina Miranda, Argelinda Baroni Source Type: research

Sleep Disorders In Children And Adolescents
PSYCHIATRIC CLINICS OF NORTH AMERICA (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Authors: Argelinda Baroni, Jessica R. Lunsford-Avery Source Type: research

Copyright
Elsevier (Source: The Psychiatric Clinics of North America)
Source: The Psychiatric Clinics of North America - January 31, 2024 Category: Psychiatry Source Type: research