TY - JOUR T1 - Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach JO - Jornal de Pediatria (English Edition) T2 - AU - Nunes,Magda Lahorgue AU - Bruni,Oliviero SN - 00217557 M3 - 10.1016/j.jped.2015.08.006 DO - 10.1016/j.jped.2015.08.006 UR - https://jped.elsevier.es/en-insomnia-in-childhood-adolescence-clinical-articulo-S0021755715001308 AB - ObjectivesTo review the clinical characteristics, comorbidities, and management of insomnia in childhood and adolescence. SourcesThis was a non-systematic literature review carried out in the PubMed database, from where articles published in the last five years were selected, using the key word “insomnia” and the pediatric age group filter. Additionally, the study also included articles and classic textbooks of the literature on the subject. Data synthesisDuring childhood, there is a predominance of behavioral insomnia as a form of sleep-onset association disorder (SOAD) and/or limit-setting sleep disorder. Adolescent insomnia is more associated with sleep hygiene problems and delayed sleep phase. Psychiatric (anxiety, depression) or neurodevelopmental disorders (attention deficit disorder, autism, epilepsy) frequently occur in association with or as a comorbidity of insomnia. ConclusionsInsomnia complaints in children and adolescents should be taken into account and appropriately investigated by the pediatrician, considering the association with several comorbidities, which must also be diagnosed. The main causes of insomnia and triggering factors vary according to age and development level. The therapeutic approach must include sleep hygiene and behavioral techniques and, in individual cases, pharmacological treatment. ER -