Flashcards in Melatonin for the management of sleep disorders in children and adolescents Deck (10):
What is the prevalence of difficulties in initiating and maintaining sleep?
15-25% of children and adolescents
What is the definition of insomnia?
Loss of daytime function resulting from unsatisfactory sleep
What are the symptoms of insomnia?
4. Lack of energy
7. Learning difficulties
8. Poor school performance
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
What is behavioral insomnia - sleep onset type?
Special conditions are required of caregivers before the child goes, or returns, to sleep at night
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
What medical issues can lead to insomnia?
1. Sleep apnea
4. Inappropriate use of media at bedtime
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
What is the dosing of melatonin?
Melationin 3-10mg PO 30-60min prior to bedtime