Pediatrics in Review
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(Pediatrics in Review. 1988;10:17-24.)
© 1988 American Academy of Pediatrics
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Sleep Problems in Children

Betsy Lozoff MD, MS1
Barry Zuckerman MD2
 1 Associate Professor of Pediatrics, Case Western Reserve University School of Medicine, Rainbow Babies and Chlldrens Hospital, Cleveland
2 Associate Professor of Pediatrics, Boston University School of Medicine; Director, Division of Developmental and Behavioral Pediatrics, Boston City Hospital, Boston

Sleep problems, such as night waking and bedtime struggles, occur in 20% to 30% of toddlers and preschool-aged children. The management of disturbing sleep behavior is optimized by understanding the physiology of sleep, developmental considerations, and the care-giving environment. Recent research indicates the availability of a variety of effective interventions other than letting children "cry it out." A sleep record is an invaluable tool in designing and implementing an individualized treatment program. Such a program often entails using behavioral techniques in conjunction with understanding normal sleep patterns, parental responses that inadvertently reinforce an undesired sleep behavior, temperamental characteristics of the child, separation and autonomy issues, and parental anxieties. The studies reviewed suggest that effectve intervention is feasible within the constraints of pediatric practice.




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[Abstract] [Full Text]


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