En systematisk oversikt over behandling av søvnproblemer hos små barn

A systematic review of treatments for settling problems and night waking in young children

Ramchandani, P. Wiggs, L. Webb, V. Stores, G.
OBJECTIVES: To assess the efficacy of treatments for settling problems and night waking in young children. DESIGN: A systematic review of randomised controlled trials of interventions for settling problems and night waking in young children. SETTING: Electronic bibliographic databases and references on identified papers, hand searches, and personal contact with specialists. SUBJECTS: Children aged 5 years or less who had established settling problems or night waking. INTERVENTIONS: Interventions had to be described and a placebo, waiting list, or another intervention needed to have been used as a comparison. Interventions comprised drug trials or non-drug trials. MAIN OUTCOME MEASURES: Number of wakes at night, time to settle, or number of nights in which these problems occurred. RESULTS: Drugs seemed to be effective in treating night waking in the short term, but long term efficacy was questionable. In contrast, specific behavioural interventions showed both short term efficacy and possible longer term effects for dealing with settling problems and night waking. CONCLUSIONS: Given the prevalence and persistence of childhood sleep problems and the effects they can have on children and families, treatments that offer long lasting benefits are appealing and these are likely to be behavioural interventions.

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Type of intervention

Treatment and Child Welfare Interventions


Mental Health Problems and Disorders

Other Problems

Sleep Disorders


Psychological Treatments

Parent Guidance / Therapy

Pharmacological Treatment


Age group

Infants and Toddlers (0-2 years)

Preschool Aged Children (3-5 years)

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