Melatonin for the management of sleep disorders in children and adolescents Flashcards Preview

CPS Statements > Melatonin for the management of sleep disorders in children and adolescents > Flashcards

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

Which types of sleep disorders have melatonin been helpful?

1. Delayed sleep phase type
2. Sleep-onset association type
3. ADHD
4. Austism
Maybe helpful in:
1. Intractable epilepsy
2. Neurodevelopmental disabilities
3. Angelman syndrome

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