Therapie von Insomnien und Albträumen im Kindes- und Jugendalter
Abstract
Zusammenfassung. Schlafprobleme und Schlafstörungen sind im Kindes- und Jugendalter weitverbreitet. Im Allgemeinen legen sich solcherlei Schlafbeschwerden jedoch nicht, sondern neigen zur Chronifizierung. Die Auswirkungen von Schlafstörungen sind dabei umfassend, so zeigen sich oft Leistungseinschränkungen, mangelnde physische Gesundheit sowie psychische Auffälligkeiten bis hin zum erhöhten Risiko bezüglich Suizidalitätsentwicklung. Aus diesen Gründen ist eine frühzeitige und effektive Therapie sinnvoll und notwendig. Die Schlafprobleme unterscheiden sich in ihrem Erscheinungsbild je nach Alter, daher sollte die Therapie dem angepasst sein. Diverse altersorientierte Verfahren für das Vorschulalter, Grundschulalter sowie Jugendalter werden vorgestellt. Die Evidenz dieser Verfahren ist in unterschiedlichen Studien überprüft worden. Insgesamt muss jedoch festgestellt werden, dass die Studienlage noch deutlich verbesserungsfähig ist. So fehlen meist umfangreiche randomisiert kontrollierte Studien sowie Studien, die komorbide Störungen oder Schlafstörungen im Rahmen von anderen psychischen Störungen adressieren.
Abstract. Sleep problems and sleep disorders have a high prevalence in childhood and adolescence. Normally, such conditions persist and often become chronic. Daytime impairments are widespread with concentration deficits, mental problems, and also a higher suicide risk. Therefore, early and effective interventions are necessary. As symptoms change with age, therapy should be adjusted accordingly. Various strategies for infants and toddlers, schoolchildren, and adolescents will be named. In addition, evidence of these therapy strategies will be shown. All in all, more randomized controlled studies addressing children and adolescents are needed. Furthermore, studies with children and adolescents suffering from comorbid disorders or mental disorders and sleep problems should be conducted.
Literatur
1991). Integrative Guide to the 1991 CBCL/4–18, YSR, and TRF Profiles. Burlington: University of Vermont, Department of Psychology.
(1978). Sleep habits of children and the identification of pathologically sleepy children. Child Psychiatry and Human Development, 9, 53–63.
(1971). A manual of standardized terminology, techniques and criteria for scoring of states of sleep and wakefulness in newborn infants. Los Angeles, CA: UCLA Brain Information Service, NINDS Neurological Information Network.
(2011). Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. Pediatric Clinics of North America, 58, 649–665.
(2010). Shortened nighttime sleep duration in early life and subsequent childhood obesity. Archives of Pediatrics & Adolescent Medicine, 164, 840–845.
(2017). A cognitive-behavioral and mindfulness-based group sleep intervention improves behavior problems in at-risk adolescents by improving perceived sleep quality. Behaviour Research and Therapy, 99, 147–156.
(2017). Morning bright light therapy: a helpful tool for reducing comorbid symptoms of affective and behavioral dysregulation in juvenile depressed inpatients? A pilot trial. Zeitschrift für Kinder-und Jugendpsychiatrie und Psychotherapie, 45, 34–41.
(2017). Die Cortisol-Aufwachreaktion bei Müttern junger Kinder mit Schlafproblemen – Effekte eines internetbasierten Behandlungsprogramms (Mini-KiSS Online). Somnologie, 21, 53–66.
(2013). Verhaltensbedingte Schlafprobleme in den ersten 4 Lebensjahren. Diagnostik und Therapie. Pädiatrische Praxis, 80, 15–29.
(2000). Clinical and historical predictors of sleep disturbances in school-age children. Sleep and Hypnosis, 4, 147–151.
(2012). Prevalence, patterns, and persistence of sleep problems in the first 3 years of life. Pediatrics, 129, e276–e284.
(2007). Schlafstörungen – Leitfaden Kinder- und Jugendpsychotherapie. Göttingen: Hogrefe.
(2017). Medienkonsum und Schlafqualität in der frühen Kindheit – Ergebnisse der Ulmer SPATZ Gesundheitsstudie. Das Gesundheitswesen, 79, 656–804.
(2016). Behavioral interventions for infant sleep problems: a randomized controlled trial. Pediatrics, 137, e20151486.
(2015). A randomized controlled trial of an intervention for infants’ behavioral sleep problems. BMC Pediatrics, 15, 181.
(2014). Trying to fall asleep while catastrophising: what sleep-disordered adolescents think and feel. Sleep Medicine, 15, 96–103.
(2002). Randomised controlled trial of behavioural infant sleep intervention to improve infant sleep and maternal mood. BMJ, 324, 1062.
(2003). Sleep duration from infancy to adolescence: reference values and generational trends. Pediatrics, 111, 302–307.
(2005). A longitudinal study of bed sharing and sleep problems among Swiss children in the first 10 years of life. Pediatrics, 115, 233–240.
(2006). Epidemiology of DSM-IV insomnia in adolescence: lifetime prevalence, chronicity, and an emergent gender difference. Pediatrics, 117, e247–e256.
(1989). Sleep problems in healthy preadolescents. Pediatrics, 84, 542–546.
(2003). Schlafprobleme bei Schulanfängern. Erste Ergebnisse der Studie „Gesunder Schlaf für Kölner Kinder“. Kinder- und Jugendarzt, 34, 562–569.
(1998). Diagnostik und Differentialdiagnostik von Schlafstörungen im Kindesalter. Fortschritte in Neurologie und Psychiatrie, 66, 553–569.
(2008). Depressive Störungen im Kindes- und Jugendalter. Bundesgesundheitsblatt – Gesundheitsforschung – Gesundheitsschutz, 51, 399–405.
(2004). Stresserleben und Stresssymptomatik bei Kindern und Jugendlichen. Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie, 36, 38–46.
(2012). Longitudinal associations between sleep duration and subsequent eight gain: a systematic review. Sleep Medicine Reviews, 16, 231–241.
(2007). Relationship between child sleep disturbances and maternal sleep, mood, and parenting stress: a pilot study. Journal of Family Psychology, 21, 67–73.
(2014). Systematic review and meta-analysis of behavioral interventions for pediatric insomnia. Journal of Pediatric Psychology, 39, 932–948.
(2014). Sleep problems and sleep disorders in pediatric primary care: treatment recommendations, persistence, and health care utilization. Journal of Clinical Sleep Medicine, 10, 421–426.
(2006). Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep, 29, 1263–1276.
(2009). A nightly bedtime routine: impact on sleep in young children and maternal mood. Sleep, 32, 599–606.
(2000). Prevalence and patterns of problematic sleep among older adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 1549–1556.
(2017). Insomnia in infants and young children. Pediatric Annals, 46, e321–e326.
(2011). A randomised controlled trial of cognitive-behaviour therapy for behavioural insomnia of childhood in school-aged children. Behaviour Research and Therapy, 49, 379–388.
(1992). Predictors and longterm associations of reported sleeping difficulties in infancy. Journal of Reproductive and Infant Psychology, 10, 151–168.
(submitted). Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie.
et al. (2012). Five-year follow-up of harms and benefits of behavioral infant sleep intervention: randomized trial. Pediatrics, 130, 643–651.
(2017). S3-Leitlinie Nicht erholsamer Schlaf/Schlafstörungen. Somnologie, 21, 2–44.
(2008). Chronic insomnia and its negative consequences for health and functioning of adolescents: a 12-month prospective study. Journal of Adolescent Health, 42, 294–302.
(2009). Sleepless in adolescence: prospective data on sleep deprivation, health and functioning. Journal of Adolescence, 32, 1045–1057.
(2016). Further evidence for the JuSt program as treatment for insomnia in adolescents: results from a 1-year follow-up study. Jorunal of Clinical Sleep Medicine, 12, 257–262.
(1966). Ontogenetic developement of the human sleep-dream cycle. Science, 152, 604–619
(2016). A reiview of interventions for adolescents with insomnia and the role of the educational and child psychologist: when sleep does not come easily. Educational Psychology in Practice, 32, 24–37.
(1993). Infant sleep problems: origins, assessment, interventions. Infant Mental Health Journal, 14, 17–34.
(1993).
(Schlaf bei Kindern . In K. Meier-Ewert & E. Rüther (Hrsg.). Schlafmedizin (S. 63–65). Stuttgart: Gustav Fischer.2013a). Mini-KiSS – Therapeutenmanual. Das Elterntraining für Kinder bis 4 Jahre mit Schlafstörungen. Stuttgart: Kohlhammer.
(2013b). Mini-KiSS – Begleit- und Arbeitsbuch für Eltern. Das Elterntraining für Kinder bis 4 Jahre mit Schlafstörungen. Stuttgart: Kohlhammer.
(2014). KiSS – Therapeutenmanual. Das Training für Kinder von 5–10 Jahren mit Schlafstörungen. Stuttgart: Kohlhammer.
(2015). JuSt – Therapeutenmanual. Das Training für Jugendliche ab 11 Jahren mit Schlafstörungen. Stuttgart: Kohlhammer.
(2012). Mini-KiSS Online: an Internet-based intervention program for parents of young children with sleep problems; influence on parental behavior and children’s sleep. Nature and Science of Sleep, 4, 41–52.
(2011). Wenn der Sandmann kommt – wirkt Hypnotherapie bei Kindern mit Schlafstörungen? Hypnose, 1+2, 189–198.
(2015). Sleep duration and sleep problems in a representative sample of German children and adolescents. Health, 7, 1397–1408.
(2011). JuSt – a multimodal program for treatment of insomnia in adolescents: a pilot study. Nature and Science of Sleep, 3, 13–20.
(2010). Validation and psychometric properties of the German version of the Children’s Sleep Habits Questionnaire (CSHQ-DE). Somnologie, 4, 260–266.
(2017).
(Schlafstörungen im Kindesalter . In B. A. Stuck, J. T. Maurer, A. Schlarb, M. Schredl, M. & H.-G. Weeß, Praxis der Schlafmedizin (S. 275–316). Berlin: Springer.2011). First effects of a multicomponent treatment for sleep disorders in children. Nature and Science of Sleep, 3, 1–11.
(2017). Schlaf im ersten Lebensjahr. Monatsschrift Kinderheilkunde, 165, 301–307.
(2000). Nightmares in children: influencing factors. Somnologie, 4, 145–149.
(2012). Children’s Sleep Comic: development of a new diagnostic tool for children with sleep disorders. Nature and Science of Sleep, 4, 97–102.
(2014). The children sleep comic – a new self-rating tool for childhood insomnia. Journal of Sleep Research, 23, 315.
(2016). The Children’s Sleep Comic: psychometrics of a self-rating instrument for childhood insomnia. Child Psychiatry & Human Development, 47, 53–63.
(2016). Erfassung von Schlafstörungen im Kindesalter. Pädiatrische Praxis, 85, 389–400.
(in press). External validity of the multicomponent group treatment KiSS for school-aged children with insomnia. Behavioral Sleep Medicine.
(2010). Validierung und psychometrische Eigenschaften der deutschen Version des Sleep Self Report (SSR-DE). Somnologie, 4, 267–274.
(2011). Time for bed: parent-set bedtimes associated with improved sleep and daytime functioning in adolescents. Sleep, 34, 797–800.
(2001). Sleep disturbances in children and adolescents with disorders of development: its significance and mangement. London: Mac Keith Press.
(2005). Sleep disorders and behavioural problems among 8- to 11-year-old children. Somnologie, 9, 210–214.
(2011). Sleep problems and poor academic performance in primary school children. Somnologie, 15, 243–248.
(1994). Häufigkeit und Persistenz von Ein- und Durchschlafstörungen im Vorschulalter: Ergebnisse einer prospektiven Untersuchung an einer repräsentativen Stichprobe in Bayern. Praxis der Kinderpsychologie und Kinderpsychiatrie, 43, 331–339.
(2010). Roles of parental sleep/wake patterns, socioeconomic status, and daytime activities in the sleep/wake patterns of children. Journal of Pediatrics, 156, 606–612.
(2015). Is there an association between insomnia symptoms, aggressive behavior, and suicidality in adolescents? Adolescent Health, Medicine and Therapeutics, 6, 29–36.
(