A common disorder in children aged between 6 months and 5 years is childhood insomnia due to disorderly habits. The clinical characteristics of this condition are difficulty in going to sleep on their own and multiple nocturnal wakenings. It occurs in perfectly normal children who are seen to have difficulty in the normalization of their sleep-waking rhythm due to absence or weak application of external synchronizers. The only point on which we can act to enforce synchronization of the sleep-waking circadian rhythm is on the habits related to getting to sleep. To initiate this synchronization of sleep-waking rhythm, it is essential to create a ritual around the action of going to bed. The possibility of the child getting back to sleep during the many physiological wakenings he has during the night depends on this ritual. It is essential that the child be awake when he leaves the bedroom. The child must learn to go to sleep with external elements which are associated with sleep, and during the physiological wakenings during the night, he will reclaim the circumstances which he associates with sleep. If the child goes to sleep on his own, he will go back to sleep on his own when he wakes at night; but if he has gone to sleep in someone’s arms or ‘has been put to sleep’ by rocking, he will want the arms or rocking again. Once the routine is completed, the parents will leave the room and should follow a pattern of waiting time, increasing this progressively, following techniques for the modification of conduct until the child manages to get to sleep on his own.
KeywordsChildrenInsomniaNormalizationSleep-waking circadian rhythmCategoriesNeuropediatríaNeuropsiquiatríaSueño
FULL TEXT(solo disponible en lengua castellana / Only available in Spanish)
Si ya es un usuario registrado en Neurologia, introduzca sus datos de inicio de sesión.
Rellene los campos para registrarse en Neurologia.com y acceder a todos nuestros artículos de forma gratuita
¿Olvidó su contraseña? Introduzca su correo electrónico y le haremos llegar una nueva
¡CONVIÉRTASE EN USUARIO PREMIUM DE NEUROLOGIA.COM!
Al hacerse premium, está apoyándonos para que Revista de Neurología
siga siendo uno de los referentes de habla hispana en la difusión del
conocimiento en neurociencias. ¡Gratuita tanto para autores como para
todos los usuarios de la web!
Además, por convertirte en usuario premium, recibirá las siguientes ventajas:
Plaza asegurada en todos nuestros Másteres (www.ineurocampus.com)
Descuento del 5% en los cursos de “Actualización en Neurología”, la FMC que estará disponible próximamente en la web.
Descarga gratuita en formato PDF dos de las obras con más éxito publicadas por Viguera Editores:
Oromotors Disorders in childhood (M. Roig-Quilis; L. Pennington)
Manual de Neuropsicología 2ª ed. (J. Tirapu-Ustárroz; M. Ríos-Lago; F. Maestú)
El precio para hacerse Premium durante el periodo de un año es de 5€, que podrá pagar a continuación a través de una pasarela de pago seguro con tarjeta de crédito, transferencia bancaria o PayPal: