Schlarb Angelika A
Fakultät für Psychologie und Sportwissenschaft Abteilung für Psychologie Postfach 10 01 31 33501 Bielefeld Fakultät für Psychologie und Sportwissenschaft.
Prax Kinderpsychol Kinderpsychiatr. 2019 Feb;68(2):93-109. doi: 10.13109/prkk.2019.68.2.93.
Learning how to Sleep: Principles and Guidelines for Diagnostics and Treatment for Insomnia and Nightmares in Childhood and Adolescence Impaired sleep, short sleep duration and sleep disorders appears also in early life. The most frequent sleep disorders are insomnia and nightmares. Risk of chronification is high and daytime impairments are extensively from emotion regulation problems, impaired performance, and aggression up to suicidality. Therefore, early diagnostic and treatment is necessary. As symptoms vary according to age, treatment should be strictly age-dependent. Various guideline-oriented and age-dependent treatments will be presented. Beyond, parents often have daytime impairments due to the child's sleep problem and therefore report an improvement of their own sleep after treatment. However, more studies are necessary and randomized controlled and age-oriented studies are necessary with inclusion of comorbid disorders or address sleep disorders in the context of mental disorders. In addition, efficacy of sleep treatment in mental disorders should be studied.
儿童及青少年失眠与噩梦诊断和治疗的原则与指南 睡眠受损、睡眠时间短及睡眠障碍在生命早期也会出现。最常见的睡眠障碍是失眠和噩梦。慢性化风险很高，日间功能损害广泛，从情绪调节问题、表现受损、攻击行为直至自杀倾向。因此，早期诊断和治疗很有必要。由于症状因年龄而异，治疗应严格依年龄而定。将介绍各种以指南为导向且依年龄而定的治疗方法。此外，父母常因孩子的睡眠问题而出现日间功能损害，因此报告称治疗后他们自己的睡眠有所改善。然而，还需要更多研究，有必要开展随机对照且针对年龄的研究，纳入共病障碍或在精神障碍背景下处理睡眠障碍。此外，应研究睡眠治疗在精神障碍中的疗效。
