title: [Insomnia in children and adolescents. A consensus document].
abstract: Insomnia is very common during childhood (30% of children under 5), and causes a serious cognitive and emotional consequence in learning, as well as significant medical comorbidity. It also affects the quality of life, not only of the child, but also of the whole family. Paediatrician training in its diagnosis and treatment is usually poor. For this reason a consensus document is presented on the management of insomnia in children and adolescents. This has been developed by members of the Spanish Paediatrics Association, the Spanish Sleep Society, the Spanish Society of Paediatric Outpatient and Primary Care, the Spanish Adolescent Medicine Society, the Spanish Child and Adolescent Society, and the Spanish Paediatric Neurology Society. The group suggests that diagnosis must be clinical and complementary tests will only be required in doubtful cases or when a differential diagnosis is needed. Likewise, treatment should be mainly based on cognitive-behavioural therapy and the modification of sleeping habits. Using medicines and other substances to make the sleep easier is currently quite common, even although there are no clinical guidelines to support this.
authors.affiliation: Asociación Española de Pediatría (AEP). Electronic address: pinarboledasgonzalo@gmail.com.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Pin Arboledas
authors.affiliation: Sociedad Española de Neuropediatría (SENP).
authors.forename: Víctor
authors.initials: V
authors.lastname: Soto Insuga
authors.affiliation: Sociedad Española de Sueño (SES).
authors.forename: María José
authors.initials: MJ
authors.lastname: Jurado Luque
authors.affiliation: Fundación Prandi, Sociedad Española de Pediatría Extrahospitalaria y Atención Primaria (SEPEAP).
authors.forename: Cleofe
authors.initials: C
authors.lastname: Fernandez Gomariz
authors.affiliation: Sociedad Española de Medicina de la Adolescencia (SEMA).
authors.forename: Inés
authors.initials: I
authors.lastname: Hidalgo Vicario
authors.affiliation: Sociedad Española de Pediatría Extrahospitalaria y Atención Primaria (SEPEAP).
authors.forename: Amalia
authors.initials: A
authors.lastname: Lluch Rosello
authors.affiliation: Sociedad Española de Psiquiatría Infantil (SPI).
authors.forename: Pedro José
authors.initials: PJ
authors.lastname: Rodríguez Hernández
authors.affiliation: Laboratorio de Cronobiología, Universidad de Murcia, Murcia, España.
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Madrid
mesh_terms: D000293:Adolescent; D002648:Child; D003663:Decision Trees; D006801:Humans; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000628:therapy*
keywords: Antihistaminic; Antihistamínico; Cognitive-behavioural; Cognitivo-conductual; Insomnia; Insomnio; Melatonin; Melatonina