Systematic Review and Meta-Analysis of Behavioral Interventions for Pediatric Insomnia
To evaluate and quantify the evidence for behavioral interventions for pediatric insomnia. Meta-analysis of 16 controlled trials and qualitative analysis of 12 within-subject studies were conducted (total n = 2,560). Meta-analysis found significant effects for four specified sleep outcomes: sleep-on...
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| Published in | Journal of pediatric psychology Vol. 39; no. 8; pp. 932 - 948 |
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| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
United States
01.09.2014
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| Subjects | |
| Online Access | Get full text |
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| Abstract | To evaluate and quantify the evidence for behavioral interventions for pediatric insomnia.
Meta-analysis of 16 controlled trials and qualitative analysis of 12 within-subject studies were conducted (total n = 2,560).
Meta-analysis found significant effects for four specified sleep outcomes: sleep-onset latency, number of night wakings, and duration of night wakings, and sleep efficiency, with small to large effect sizes across the controlled clinical trials involving typical children. No significant effects were found for the two studies conducted with special needs populations. Finally, within-subjects studies demonstrated significant effects for all sleep outcomes with large effect sizes. Risk of bias assessment and GRADE ratings of the quality of the evidence are described.
Moderate-level evidence supports behavioral interventions for pediatric insomnia in young children. However, low evidence for children, adolescents, and those with special needs (due to a lack of studies that met inclusion criteria) highlights the need for future research. |
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| AbstractList | To evaluate and quantify the evidence for behavioral interventions for pediatric insomnia.OBJECTIVETo evaluate and quantify the evidence for behavioral interventions for pediatric insomnia.Meta-analysis of 16 controlled trials and qualitative analysis of 12 within-subject studies were conducted (total n = 2,560).METHODSMeta-analysis of 16 controlled trials and qualitative analysis of 12 within-subject studies were conducted (total n = 2,560).Meta-analysis found significant effects for four specified sleep outcomes: sleep-onset latency, number of night wakings, and duration of night wakings, and sleep efficiency, with small to large effect sizes across the controlled clinical trials involving typical children. No significant effects were found for the two studies conducted with special needs populations. Finally, within-subjects studies demonstrated significant effects for all sleep outcomes with large effect sizes. Risk of bias assessment and GRADE ratings of the quality of the evidence are described.RESULTSMeta-analysis found significant effects for four specified sleep outcomes: sleep-onset latency, number of night wakings, and duration of night wakings, and sleep efficiency, with small to large effect sizes across the controlled clinical trials involving typical children. No significant effects were found for the two studies conducted with special needs populations. Finally, within-subjects studies demonstrated significant effects for all sleep outcomes with large effect sizes. Risk of bias assessment and GRADE ratings of the quality of the evidence are described.Moderate-level evidence supports behavioral interventions for pediatric insomnia in young children. However, low evidence for children, adolescents, and those with special needs (due to a lack of studies that met inclusion criteria) highlights the need for future research.CONCLUSIONModerate-level evidence supports behavioral interventions for pediatric insomnia in young children. However, low evidence for children, adolescents, and those with special needs (due to a lack of studies that met inclusion criteria) highlights the need for future research. To evaluate and quantify the evidence for behavioral interventions for pediatric insomnia. Meta-analysis of 16 controlled trials and qualitative analysis of 12 within-subject studies were conducted (total n = 2,560). Meta-analysis found significant effects for four specified sleep outcomes: sleep-onset latency, number of night wakings, and duration of night wakings, and sleep efficiency, with small to large effect sizes across the controlled clinical trials involving typical children. No significant effects were found for the two studies conducted with special needs populations. Finally, within-subjects studies demonstrated significant effects for all sleep outcomes with large effect sizes. Risk of bias assessment and GRADE ratings of the quality of the evidence are described. Moderate-level evidence supports behavioral interventions for pediatric insomnia in young children. However, low evidence for children, adolescents, and those with special needs (due to a lack of studies that met inclusion criteria) highlights the need for future research. |
| Author | Mindell, Jodi A. Meltzer, Lisa J. |
| Author_xml | – sequence: 1 givenname: Lisa J. surname: Meltzer fullname: Meltzer, Lisa J. – sequence: 2 givenname: Jodi A. surname: Mindell fullname: Mindell, Jodi A. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24947271$$D View this record in MEDLINE/PubMed |
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| Copyright | The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. |
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| ISSN | 0146-8693 1465-735X |
| IngestDate | Fri Jul 11 11:35:10 EDT 2025 Wed Jul 30 01:46:48 EDT 2025 Thu Apr 24 23:06:21 EDT 2025 Tue Jul 01 01:52:36 EDT 2025 |
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| Issue | 8 |
| Keywords | treatment night wakings pediatric insomnia behavioral insomnia of childhood behavioral treatment bedtime problems insomnia |
| Language | English |
| License | The Author 2014. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. |
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| PublicationDate | 2014-09-01 |
| PublicationDateYYYYMMDD | 2014-09-01 |
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| PublicationPlace | United States |
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| PublicationTitle | Journal of pediatric psychology |
| PublicationTitleAlternate | J Pediatr Psychol |
| PublicationYear | 2014 |
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Meta-analysis of 16 controlled trials and qualitative analysis of 12... To evaluate and quantify the evidence for behavioral interventions for pediatric insomnia.OBJECTIVETo evaluate and quantify the evidence for behavioral... |
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| SubjectTerms | Adolescent Behavior Therapy - methods Child Female Humans Male Sleep Initiation and Maintenance Disorders - psychology Sleep Initiation and Maintenance Disorders - therapy Treatment Outcome |
| Title | Systematic Review and Meta-Analysis of Behavioral Interventions for Pediatric Insomnia |
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