Dewald-Kaufmann Julia, de Bruin Ed, Michael Gradisar
Department of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Nussbaumstr. 7, Munich 80336, Germany; Hochschule Fresenius, University of Applied Sciences, Infanteriestr. 11a, Munich 80797, Germany.
Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, Amsterdam 1018 WS, the Netherlands.
Sleep Med Clin. 2019 Jun;14(2):155-165. doi: 10.1016/j.jsmc.2019.02.002. Epub 2019 Apr 1.
Insomnia is one of the most prevalent sleep disorders in school-aged children and adolescents. Although cognitive behavioral therapy for insomnia (CBT-i) is the first-line treatment for adults, and existing studies show promising effects also for children and adolescents, the number of randomized controlled trials in younger age groups is rather small. CBT-i techniques for school-aged children and adolescents include bedtime shifts (including sleep restriction), stimulus control, thought challenging, psychoeducation, and relaxation techniques. The integration of parents, especially in school-aged children with insomnia, is highly recommended. More research is needed to investigate specific characteristics and models of child and adolescent insomnia.
失眠是学龄儿童和青少年中最普遍的睡眠障碍之一。虽然失眠的认知行为疗法(CBT-i)是成人的一线治疗方法,现有研究表明其对儿童和青少年也有显著效果,但针对较年轻年龄组的随机对照试验数量相当少。针对学龄儿童和青少年的CBT-i技术包括就寝时间调整(包括睡眠限制)、刺激控制、思维挑战、心理教育和放松技巧。强烈建议家长参与其中,尤其是对于患有失眠症的学龄儿童。需要更多研究来调查儿童和青少年失眠的具体特征和模式。