Flashcards in Melatonin for the management of sleep disorders in children and adolescents Deck (10):
1
What is the prevalence of difficulties in initiating and maintaining sleep?
15-25% of children and adolescents
2
What is the definition of insomnia?
Loss of daytime function resulting from unsatisfactory sleep
3
What are the symptoms of insomnia?
1. Fatigue
2. Inattention
3. Irritability
4. Lack of energy
5. Anxiety
6. Depression
7. Learning difficulties
8. Poor school performance
4
What is the delayed sleep phase type of problem?
initiation of sleep significantly later than the desired bedtime. Sleep latency – the amount of time between lying down to sleep and onset of sleep – is increased to longer than the normal 30 mins. The shortened sleep time is often then associated with difficulty awakening in the morning
5
What is behavioral insomnia - sleep onset type?
Special conditions are required of caregivers before the child goes, or returns, to sleep at night
6
What is behavioral insomnia - limit setting type?
Child stalls or refuses to go to bed or to return to bed and the caregiver demonstrates unsuccessful limit-setting behaviours
7
What medical issues can lead to insomnia?
1. Sleep apnea
2. Anxiety
3. Depression
4. Inappropriate use of media at bedtime
8
What are recommendations re: sleep hygiene?
1. Consistent routine
2. Stable bedtime
3. Stable morning wake time
4. Age-appropriate number of hours in bed
5. A dark and quiet sleep space
6. Avoiding hunger (and eating) prior to bedtime
7. Relaxation via strict avoidance of screens and encourage reading prior to bedtime
9
What is the dosing of melatonin?
Melationin 3-10mg PO 30-60min prior to bedtime
10