The complaint of insomnia or refusal to initiate sleep is usually brought dramatically by parents who always give greater emphasis to the worst night, and not to the routine of the night. It is essential to establish the diagnosis as is the routine of the child within 24 hours, including all parents of activities and interventions or, if applicable, the nanny. Pediatricians should be careful not to overestimate the complaint of the parents, as this often results in unnecessary exams and medications (Neurol Clin. 1996. p. 493-511).
The most common causes of childhood insomnia is mentioned in Table 1, in order of occurrence according to each age group (Blum NJ, Carey WB. 1996. p. 89-93; Ferber R. 1995. p. 179-189)
Medical problems: often cause insomnia acutely, but time-limited to the duration of the disease. Among the physical problems, there are the respiratory diseases, fever, ear infections, trauma, early teething, milk allergy, gastro esophageal reflux disease, among others.
Fear and anxiety: in infants from 10 months, there may be separation anxiety; the infant may have varying degrees of stress after separation from their mothers, causing difficulty in falling asleep. In children between 2-3 years is more common fear. Fear of being alone can be associated with movies or stories, the fact witness fights between parents, or any other frightening event, or less frequently, a psychosocial deterioration problem of the child. In adolescents and pre-adolescents, depression and anxiety are frequent causes of insomnia (Ferber ...
... middle of paper ...
...not interacting with the child and leave, taking at least another 20 minutes to return to the room. The scheduled awakening is to agree on the child prior to its spontaneous awakening, and check if it is well, leaving her sleeping spontaneously again.
Drug treatment of childhood insomnia is quite restricted. It should always be used in combination with any of the behavioral techniques. The drugs of choice are antihistamines and, in more severe cases, it is possible to use 10% chloral hydrate at a dose of 0.4-0.5 ml / kg. The use of medications in childhood insomnia should always take place on a temporary basis, as an adjuvant, the first three weeks of treatment (Ferber R. 1995. p.79-89). In a recent study, melatonin at a dose of 5 mg / day was effective in reducing symptoms of insomnia in children aged between six and twelve (Wigs L. Ramchandani P. 2000. p. 209-213).
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- Causes, Diagnosis, Treatment, and Prevention of Insomnia Insomnia means having trouble with the quality or quantity of sleep. It can be caused by difficulties in either falling asleep or staying asleep. Self-reported sleeping problems, hating the sleep quality and day time tiredness are the only defining characteristics of insomnia because it is such an individual experience. The concept of good sleep is different from person to person. While the average night's sleep for an adult is around seven or eight hours, some people only need four, while others like up to 10 hours or more.... [tags: Sleep Disorders]
2454 words (7 pages)
- ... It can help even more if you treat it just as soon as it starts. If you keep on taking caffeine your insomnia is not going to go away. So if you stop taking it, this may help with your problem. You can change your sleep habits. Also your may recommend medicines or cognitive-behavioral therapy. Sleep apnea is another common sleep disorder. While you are sleeping your breathing stops. This happens because your upper airways block. This causes for you to wake up each hour, interrupting your sleep.... [tags: Insomnia, Apnea]
949 words (2.7 pages)
- While the pervasiveness of depression in modern American Culture is apparent, the relationships between the factors that cause it are often debated. Depression, according to David Myers, is the most common disorder that causes patients to seek treatment and 17 percent of adults in the United States face depression at some point during their lifetime (Myers 621, 2013). According to the DSM-IV-Tr, as cited by Myers, a depressive episode occurs when someone shows five characteristics of depression for a period of two or more weeks.... [tags: Major depressive disorder]
1103 words (3.2 pages)
- Childhood Allergies: Symptoms and Treatments Childhood allergy is an exaggerated reaction by the immune system in response to certain foreign substances. These foreign objects may not be really harmful thus it is called an exaggerated response. In an attempt to protect the body, the immune system produce antibodies called immunoglobulin that causes the mast cells and allergy cells to release chemicals, including histamine resulting in allergic reactions. In most people, allergies appear during infancy and childhood.... [tags: immune system reaction to foreign substances]
789 words (2.3 pages)
- Childhood Onset Bipolar Disorder Childhood Onset Bipolar Disorder (COBPD) is one of the most debilitating mental disorders affecting children today. Bipolar Disorder is a mood disorder usually affecting adults that causes sometimes severe changes in mood. Childhood Onset Bipolar disorder is just what it sounds like, a bipolar disorder that occurs during childhood. Persons suffering from a bipolar disorder experience mood swings ranging from depression to mania. During a depressive episode patients can experience feelings of extreme hopelessness or sadness, inability to concentrate and trouble sleeping.... [tags: Papers]
2390 words (6.8 pages)
- It’s no secret that child abuse causes long-lasting effects, but can any of the effects turn out to be positive. According to research, the chance of there being positive impacts of childhood abuse is extremely small. The list of possible negative impacts of childhood abuse is a long one, and they can last a lifetime if not properly treated. Though it is very possible to recover from the negative impacts of childhood abuse, the chance of them turning positive is slim to none. Childhood abuse not only affects future relationships and self-esteem, but it can also cause basic day-to-day activities to become extremely difficult.... [tags: Abuse, Child abuse, Physical abuse]
1006 words (2.9 pages)
- Did you know that in America alone, roughly around 36 million people suffered from migraine attacks. Migraines are one of the most common diseases, but the trickiest when finding the source. Women are three times more likely to experience a migraine rather than a male. The prevalence of migraines between male to female is; males are 6.5% and 18.2% in women. That’s a huge difference in percentages if the whole United States is put in perspective. According to (Dr. Karin Johnson a neurologist of Bay State medical center’s sleep center) a migraine is a very common disorder and about 20% of people have migraines.... [tags: health, common disease]
961 words (2.7 pages)
- Bulimia Nervosa Within developmental lifespan psychology, eating disorders are often categorised under the heading of 'adolescence problems' along with suicide, delinquency, substance misuse and pregnancy. They are particularly associated with females, especially during the development stage of adolescence when one's physical, cognitive and social development leaves childhood and enters adulthood (Seifert et al, 1997: 333). It appears that young women are more dissatisfied with weight than women at any other stage of the female lifespan.... [tags: Causes of Anorexia, Bulimia Nervosa]
3151 words (9 pages)
- Insomnia is formally defined as the inability to get the standard amount of sleep. This disease affects 1 in 3 adults every year in the United States (Insomnia). Insomnia is a growing problem that we are learning more about everyday, insomnia makes life very hard for those who are inflicted by it. Prevention of insomnia is rather simple if you learn simple techniques. If you are afflicted by insomnia than cure is rather simple if you are in the care of a good health care provider Insomnia is most commonly found in women and older adults.... [tags: essays research papers]
1035 words (3 pages)
- Insomnia Insomnia is a common sleep disorder that plagues millions of people around the globe by not allowing them to sleep. Its severity can range between a couple of days to a couple of months, and is curable in most cases. In any given year, about one-third of all adults suffer from insomnia (Hendrickson 1). Insomnia itself is not a disease, but a symptom of an underlying mental or physical condition of the person. There is not a strict definition for insomnia, but it could be narrowed down to: a person not being able to sleep, having difficulty falling to sleep, or having trouble staying asleep.... [tags: Papers]
1360 words (3.9 pages)