Myths and Evidence Regarding Melatonin Supplementation for Occasional Sleeplessness in the Pediatric Population
Occasional sleeplessness in children is common, with as many as 25% of all healthy children experiencing a problem sleeping at some point over the course of their childhood. Occasional sleeplessness is poorly understood, has a significant impact on quality of life in children and their families, and is often challenging to manage. There is substantial evidence supporting the safe and effective use of the widely available dietary supplement melatonin for children with chronic conditions. This article summarizes the views expressed in a recent Consensus Panel meeting convened to evaluate the use of melatonin in children, as well as the published scientific literature related to the effectiveness and safety of melatonin, with a focus on occasional sleeplessness in healthy children. We provide an evidence-based framework for the implementation of a standard process to effectively manage occasional sleeplessness in children and adolescents. Unsubstantiated concerns in the past may have limited melatonin's use in children with conditions for which the supplement may support a better sleep pattern and, by doing so, may help to improve quality of life. Melatonin dietary supplements using high quality standards may be provided to children together with cognitive-behavioral therapy after proper sleep evaluation and after improved sleep hygiene, family education, and sleep diary activities have failed to resolve sleep difficulties. [Pediatr Ann. 2021;50(9):e391-e395.].
Increasing Access for the Treatment of Eating Disorders Among College Students
MEANINGFUL CHANGE: APPROACHING PHYSICIAN TRAINEE WELL-BEING THROUGH EVIDENCE-BASED INDIVIDUAL, STRUCTURAL, AND SYSTEMS-LEVEL INITIATIVES [Meeting Abstract]
COGNITIVE-BEHAVIORAL THERAPY FOR INSOMNIA [Meeting Abstract]
BOOKENDS AND NEW BEGINNINGS: AN ANALYSIS OF CHILDREN'S BOOKS ABOUT PARENTAL MENTAL ILLNESS [Meeting Abstract]
THE RHYTHMS OF WELL-BEING: TREATMENT OF INSOMNIA AND CIRCADIAN RHYTHM DISTURBANCES IN YOUTH WITH MENTAL HEALTH DISORDERS [Meeting Abstract]
Preventing Child and Adolescent Mental Illness - We Got This [Review]
Sleep and consciousness
New York, NY, US: Oxford University Press, 2020
Mental Health Promotion and Disease Prevention: It's About Time [Editorial]
Over the past decade, our field has observed rapidly rising rates of mental illness in children and adolescents. The numbers are sobering. Nearly 50% of teens 13 to 18 years of age meet DSM criteria for at least 1 disorder and 27.6% meet criteria for a "severe disorder."1 Adverse childhood experiences affect more than 50% of children and predispose these individuals to not only academic and behavioral problems throughout their youth, but also future physical disability, such as obesity, hypertension, and diabetes, as adults.2 By 14 years of age, accidents, suicide, and homicide assert themselves as the leading causes of death among our youth, accounting for more than 85% of the mortality among teens and young adults and holding fast to that ranking until 35 years of age.3 Most addictive behavior starts in adolescence, accounting for the 3 greatest causes of preventable death-smoking, obesity, and alcohol abuse-that take the lives of approximately 1 million adults in the United States annually.4 In addition, if there were ever a statistic to be held on the tip of every psychiatrist's tongue, it would be that 50% of all mental illnesses begin by 14 years of age and 75% begin by 24 years.5.
Cham, Switzerland: Springer Nature Switzerland AG; Switzerland, 2019