Behavioral insomnia in a pediatric sleep clinic: retrospective study

Detalhes bibliográficos
Autor(a) principal: Martins, Rosa Araújo
Data de Publicação: 2020
Outros Autores: Oliveira, Lia, Ferreira, Rosário
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/2431
Resumo: Background/Objective: Behavioral insomnia is a common sleep disorder among children, with potentially negative impact on health, behavior, and cognition. This study aimed to characterize a pediatric population referred to a Sleep Disorder Clinic of a tertiary hospital due to behavioral insomnia. Methods: Retrospective and descriptive study based on the review of medical records of patients with insomnia over an eight-year period (2008−2016). Results are presented as median (minimum-maximum), mean (standard deviation), and percentage. Results: A total of 964 children attended the Sleep Disorder Clinic in the considered time period, 162 (16.8%) of which due to insomnia and 137 (14.2%) to behavioral insomnia. Most children (58.4%) were male and the median age at referral was 45 months (5 months–18 years). The median bedtime was 10 pm (8 pm−4 am) and nocturnal awakenings were frequent, particularly in pre-school aged children. Regarding bedtime routines, 62% of children were not able to fall asleep alone, 48.9% had television in the bedroom, 43.1% (11.9% of which, teenagers) required an object to fall asleep, and 42.3% required lights on. Most patients (62%) had a routine to fall asleep, which was dependent on the caregiver in younger children and on television and reading in teenagers. The most frequent daytime symptoms were sleepiness in older children and irritability in younger children. Regarding treatment, 29.9% were taking drugs before referral. Conclusions: Most children in this study were preschoolers, an important age window. Later sleep time, TV in the bedroom, and parental dependence to fall asleep were frequent, revealing a broad area for intervention. The authors propose greater investment in training health professionals and caregivers working in the area, in order to promote the adoption of adequate sleep hygiene as a form of prevention.
id RCAP_9c5cbe0947be970de6cf75ed60e45528
oai_identifier_str oai:repositorio.chporto.pt:10400.16/2431
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Behavioral insomnia in a pediatric sleep clinic: retrospective studyInsónia comportamental numa consulta de sono pediátrica: estudo retrospetivobehavioral insomniachildren;sleepBackground/Objective: Behavioral insomnia is a common sleep disorder among children, with potentially negative impact on health, behavior, and cognition. This study aimed to characterize a pediatric population referred to a Sleep Disorder Clinic of a tertiary hospital due to behavioral insomnia. Methods: Retrospective and descriptive study based on the review of medical records of patients with insomnia over an eight-year period (2008−2016). Results are presented as median (minimum-maximum), mean (standard deviation), and percentage. Results: A total of 964 children attended the Sleep Disorder Clinic in the considered time period, 162 (16.8%) of which due to insomnia and 137 (14.2%) to behavioral insomnia. Most children (58.4%) were male and the median age at referral was 45 months (5 months–18 years). The median bedtime was 10 pm (8 pm−4 am) and nocturnal awakenings were frequent, particularly in pre-school aged children. Regarding bedtime routines, 62% of children were not able to fall asleep alone, 48.9% had television in the bedroom, 43.1% (11.9% of which, teenagers) required an object to fall asleep, and 42.3% required lights on. Most patients (62%) had a routine to fall asleep, which was dependent on the caregiver in younger children and on television and reading in teenagers. The most frequent daytime symptoms were sleepiness in older children and irritability in younger children. Regarding treatment, 29.9% were taking drugs before referral. Conclusions: Most children in this study were preschoolers, an important age window. Later sleep time, TV in the bedroom, and parental dependence to fall asleep were frequent, revealing a broad area for intervention. The authors propose greater investment in training health professionals and caregivers working in the area, in order to promote the adoption of adequate sleep hygiene as a form of prevention.Introdução/Objetivo: A insónia comportamental é um distúrbio do sono frequente em idade pediátrica, com repercussões potencialmente negativas na saúde, comportamento e capacidade cognitiva das crianças. O objetivo deste estudo foi caracterizar a população referenciada a uma consulta pediátrica do sono de um hospital terciário por insónia comportamental. Métodos: Estudo retrospetivo e descritivo baseado na revisão de processos clínicos de doentes seguidos por insónia na referida consulta especializada durante um período de oito anos (2008−2016). Os resultados são apresentados como mediana (mínimo–máximo), média (desvio padrão) e percentagem. Resultados: No total, 964 crianças foram referenciadas à consulta de sono, 162 (16.8%) das quais por insónia e 137 (14.2%) por insónia comportamental. A maioria (58.4%) era do sexo masculino e a mediana de idades aquando da referenciação foi de 45 meses (5 meses–18 anos). A mediana da hora de deitar foi 22:00 (20:00–4:00), tendo sido frequentes os despertares noturnos, sobretudo em idade pré-escolar. Relativamente às rotinas na hora de deitar, 62% das crianças não adormeciam sozinhas, 48.9% tinham televisão no quarto e 43.1% (11.9% das quais, adolescentes) precisavam de um objeto e 42.3% de luz acesa para adormecer. A maioria (62%) das crianças tinha uma rotina para adormecer, dependente do cuidador em crianças mais novas e de televisão e leitura nos adolescentes. Os sintomas diários mais frequentemente referidos foram sonolência em crianças mais velhas e irritabilidade em crianças mais novas. Relativamente ao tratamento, 29.9% encontrava-se a receber tratamento farmacológico antes da referenciação. Conclusão: A maioria das crianças neste estudo encontrava-se em idade pré-escolar, a qual constitui uma importante janela de atuação. A hora de deitar tardia, presença de televisão no quarto e dependência dos pais para adormecer foram frequentes, o que revela a necessidade de intervenção na área. Os autores propõem um maior investimento na formação dos profissionais de saúde e cuidadores, de modo a promover a adoção de medidas de higiene do sono adequadas como forma de prevenção.Centro Hospitalar Universitário do PortoRepositório Científico do Centro Hospitalar Universitário de Santo AntónioMartins, Rosa AraújoOliveira, LiaFerreira, Rosário2020-07-28T14:19:11Z2020-03-152020-03-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2431engNascer e Crescer - Birth and Growth Medical Journal 2020;29(1): 9-16. doi:10.25753/BirthGrowthMJ.v29.i1.1508110.25753/BirthGrowthMJ.v29.i1.150812183-9417info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:00:41Zoai:repositorio.chporto.pt:10400.16/2431Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:37.607662Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Behavioral insomnia in a pediatric sleep clinic: retrospective study
Insónia comportamental numa consulta de sono pediátrica: estudo retrospetivo
title Behavioral insomnia in a pediatric sleep clinic: retrospective study
spellingShingle Behavioral insomnia in a pediatric sleep clinic: retrospective study
Martins, Rosa Araújo
behavioral insomnia
children;
sleep
title_short Behavioral insomnia in a pediatric sleep clinic: retrospective study
title_full Behavioral insomnia in a pediatric sleep clinic: retrospective study
title_fullStr Behavioral insomnia in a pediatric sleep clinic: retrospective study
title_full_unstemmed Behavioral insomnia in a pediatric sleep clinic: retrospective study
title_sort Behavioral insomnia in a pediatric sleep clinic: retrospective study
author Martins, Rosa Araújo
author_facet Martins, Rosa Araújo
Oliveira, Lia
Ferreira, Rosário
author_role author
author2 Oliveira, Lia
Ferreira, Rosário
author2_role author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Martins, Rosa Araújo
Oliveira, Lia
Ferreira, Rosário
dc.subject.por.fl_str_mv behavioral insomnia
children;
sleep
topic behavioral insomnia
children;
sleep
description Background/Objective: Behavioral insomnia is a common sleep disorder among children, with potentially negative impact on health, behavior, and cognition. This study aimed to characterize a pediatric population referred to a Sleep Disorder Clinic of a tertiary hospital due to behavioral insomnia. Methods: Retrospective and descriptive study based on the review of medical records of patients with insomnia over an eight-year period (2008−2016). Results are presented as median (minimum-maximum), mean (standard deviation), and percentage. Results: A total of 964 children attended the Sleep Disorder Clinic in the considered time period, 162 (16.8%) of which due to insomnia and 137 (14.2%) to behavioral insomnia. Most children (58.4%) were male and the median age at referral was 45 months (5 months–18 years). The median bedtime was 10 pm (8 pm−4 am) and nocturnal awakenings were frequent, particularly in pre-school aged children. Regarding bedtime routines, 62% of children were not able to fall asleep alone, 48.9% had television in the bedroom, 43.1% (11.9% of which, teenagers) required an object to fall asleep, and 42.3% required lights on. Most patients (62%) had a routine to fall asleep, which was dependent on the caregiver in younger children and on television and reading in teenagers. The most frequent daytime symptoms were sleepiness in older children and irritability in younger children. Regarding treatment, 29.9% were taking drugs before referral. Conclusions: Most children in this study were preschoolers, an important age window. Later sleep time, TV in the bedroom, and parental dependence to fall asleep were frequent, revealing a broad area for intervention. The authors propose greater investment in training health professionals and caregivers working in the area, in order to promote the adoption of adequate sleep hygiene as a form of prevention.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-28T14:19:11Z
2020-03-15
2020-03-15T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/2431
url http://hdl.handle.net/10400.16/2431
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Nascer e Crescer - Birth and Growth Medical Journal 2020;29(1): 9-16. doi:10.25753/BirthGrowthMJ.v29.i1.15081
10.25753/BirthGrowthMJ.v29.i1.15081
2183-9417
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
publisher.none.fl_str_mv Centro Hospitalar Universitário do Porto
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799133647100444672