Objectives: The aim of this article is to review and update the knowledge about insomnia in childhood. Source of data:The text was based on a MEDLINE search (publications from 1999 to 2004) using the keywords sleep disorders, insomnia, and childhood. Classic articles and textbooks about the subject were also included. The authors proposed a practical schedule to evaluate and treat insomnia in childhood. Summary of the findings:The article was structured on descriptive topics containing the definition of insomnia, disorder, age-related clinical characteristics and therapeutics.Conclusions: Insomnia is a prevalent sleep disorder in pediatric outpatient clinics and is often misdiagnosed. Defining its etiology is the main goal to establish therapeutic procedures. In most cases, clinical history is sufficient to establish the diagnosis and reassure parents of the benign nature of this condition.
Objectives: The aim of this article is to review and update the knowledge about insomnia in childhood. Source of data:The text was based on a MEDLINE search (publications from 1999 to 2004) using the keywords sleep disorders, insomnia, and childhood. Classic articles and textbooks about the subject were also included. The authors proposed a practical schedule to evaluate and treat insomnia in childhood. Summary of the findings:The article was structured on descriptive topics containing the definition of insomnia, disorder, age-related clinical characteristics and therapeutics.Conclusions: Insomnia is a prevalent sleep disorder in pediatric outpatient clinics and is often misdiagnosed. Defining its etiology is the main goal to establish therapeutic procedures. In most cases, clinical history is sufficient to establish the diagnosis and reassure parents of the benign nature of this condition. ResumoObjetivos: O objetivo deste artigo é revisar as características clínicas, a investigação e o tratamento da insônia na faixa etária pediátrica.Fonte dos dados: Foi realizada pesquisa na MEDLINE, nos últimos 5 anos (1999)(2000)(2001)(2002)(2003)(2004), utilizando os unitermos distúrbios do sono, insônia e infância. Foram incluídos artigos e livros textos clássicos sobre o tema, sendo elaborado um roteiro crítico para avaliação e manejo da insônia em pacientes pediátricos. Síntese dos dados:O artigo foi estruturado em tópicos apresentados de forma descritiva, contendo a definição de insônia, caracterís-ticas clínicas e etiologia, de acordo com a faixa etária e manejo terapêutico.Conclusões: A insônia é uma queixa freqüente no consultório pediátrico, embora muitas vezes subdiagnosticada. A definição da etiologia é fundamental para a escolha da terapêutica mais adequada. Na maioria dos casos, uma boa anamnese é suficiente para estabelecer o diagnóstico e assegurar aos pais a benignidade do problema. IntroduçãoOs distúrbios do sono são freqüentes na população geral e podem ocorrer tanto em adultos como crianças, diferindo somente na sua forma de apresentação. De uma maneira geral, os distúrbios do sono podem ser divididos em três grupos: dificuldade de manter o sono, sonolência excessiva diurna e parassonias 1-3 . Neste artigo, temos como objetivo focalizar a discussão na avaliação clínica e manejo da insônia na faixa etária pediátrica.
Insomnia is a prevalent sleep disorder in pediatric outpatient clinics and is often misdiagnosed. Defining its etiology is the main goal to establish therapeutic procedures. In most cases, clinical history is sufficient to establish the diagnosis and reassure parents of the benign nature of this condition.
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