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纵观全局:儿科失眠症行为治疗的范围综述。

Seeing the Whole Elephant: a scoping review of behavioral treatments for pediatric insomnia.

机构信息

National Jewish Health, 1400 Jackson Street, G311, Denver, CO 80206, USA.

University of Colorado Anschutz Medical Campus, 12631 E. 17th Ave, Box F496, Aurora, CO 80045, USA.

出版信息

Sleep Med Rev. 2021 Apr;56:101410. doi: 10.1016/j.smrv.2020.101410. Epub 2020 Dec 4.

Abstract

Pediatric insomnia is common, impacting up to a third of typically-developing, healthy children, and over 80% of children with neurodevelopmental disorders or chronic medical conditions. Previous reviews of behavioral interventions for pediatric insomnia have had a limited focus on a single age group, a specific population, and/or only randomized controlled trials. Furthermore, few reviews have considered non-sleep outcomes of both children and their parents. This scoping review provides a broader context, including studies regardless of research design or population, along with sleep and non-sleep study outcomes. Clear gaps in the literature were identified, highlighting the need for additional research in different populations, including school-age children and adolescents, racial/ethnic groups around the world, as well as youth with medical or psychiatric disorders. In addition, more research is needed on different features of treatment, including the delivery mode, involvement of all family members, non-sleep outcomes, and long-term follow-up.

摘要

儿童失眠症很常见,影响到多达三分之一的正常发育、健康的儿童,以及超过 80%的患有神经发育障碍或慢性疾病的儿童。之前对儿童失眠症的行为干预的综述,其重点仅限于单一的年龄组、特定人群,和/或仅随机对照试验。此外,很少有综述考虑到儿童及其父母的非睡眠结果。本范围综述提供了更广泛的背景,包括无论研究设计或人群如何的研究,以及睡眠和非睡眠研究结果。文献中有明显的空白,突出了在不同人群中进行更多研究的必要性,包括学龄儿童和青少年、世界各地的种族/民族群体,以及患有医疗或精神疾病的年轻人。此外,还需要更多关于治疗不同特征的研究,包括提供模式、所有家庭成员的参与、非睡眠结果和长期随访。

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