
Contents
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Introduction Introduction
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Preschoolers (Ages 1 to 5) Preschoolers (Ages 1 to 5)
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Behavioral Treatments for Children Ages 1 Through 5 Behavioral Treatments for Children Ages 1 Through 5
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Parent Education and Prevention Parent Education and Prevention
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Unmodified Extinction Unmodified Extinction
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Graduated Extinction Graduated Extinction
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Extinction with Parental Presence Extinction with Parental Presence
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The Bedtime Pass The Bedtime Pass
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Positive Routines Positive Routines
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Bedtime Fading and Bedtime Fading with Response Cost Bedtime Fading and Bedtime Fading with Response Cost
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Scheduled Awakenings Scheduled Awakenings
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Comorbid Conditions and Considerations Comorbid Conditions and Considerations
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Middle Childhood (Ages 6 to 10) Middle Childhood (Ages 6 to 10)
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Comorbid Conditions and Considerations Comorbid Conditions and Considerations
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Adolescence (Ages 10 to 18) Adolescence (Ages 10 to 18)
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Behavioral Treatments for Insomnia in Older Children and Adolescents Behavioral Treatments for Insomnia in Older Children and Adolescents
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Cognitive and Behavioral Therapies for Insomnia (CBTi) Cognitive and Behavioral Therapies for Insomnia (CBTi)
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Stimulus Control Therapy Stimulus Control Therapy
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Sleep Restriction Therapy Sleep Restriction Therapy
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Sleep Compression Therapy Sleep Compression Therapy
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Relaxation Therapy Relaxation Therapy
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Cognitive Therapy Cognitive Therapy
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Sleep Hygiene Education Sleep Hygiene Education
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Bright Light Therapy Bright Light Therapy
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Comorbid Conditions and Considerations Comorbid Conditions and Considerations
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Pharmacological Treatment for Pediatric Insomnia Pharmacological Treatment for Pediatric Insomnia
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Conclusions Conclusions
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Future Directions Future Directions
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References References
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22 Pediatric Insomnia
Get accessBrandy M. Roane, Alpert Medical School of Brown University, Sleep for Science Research Laboratory of Brown University, E. P. Bradley Hospital, Providence, RI
Daniel J. Taylor, Department of Psychology, University of North Texas, Denton, TX
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Published:16 December 2013
Cite
Abstract
Across the life span the presentation of disordered sleep varies greatly, but probably never more so than the changes that occur from infancy to adolescence. A major factor in this distinction is who reports the complaint. For infants and young children, parents are more likely to initiate contact with a professional with reports of insomnia that resembles limit setting, sleep onset association, or a combination of these two types. Conversely, older children and adolescents more often self-report difficulties, and their presentations typically consist of difficulties falling asleep and staying asleep. Children and their families experience adverse effects such as daytime sleepiness, depressed mood, and attention/concentration difficulties as a result of the child’s sleep disturbance. Across the ages, behavioral interventions are the treatment of choice with the addition of cognitive therapy for adolescents. The current chapter highlights the distinctions in presentation of pediatric insomnia from early childhood to adolescence and discusses the empirically validated treatments in each age group.
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