Use of pharmacotherapy for insomnia in child psychiatry practice: A national survey

Sleep Medicine
Judith A OwensHal L Kirchner

Abstract

To examine clinical practice patterns regarding non-prescription and prescription medication use for insomnia by child and adolescent psychiatrists. Survey mailed to 6018 members of the American Academy of Child and Adolescent Psychiatry. The final sample (N=1273) reported that insomnia was a major problem in almost a third of their school-aged and adolescent patients and endorsed using medication to treat the insomnia in at least a quarter of these patients. Overall, 96% of respondents recommended at least one of the listed prescription medications in a typical month, and 88% recommended an over-the-counter medication. Alpha agonists were the most commonly prescribed insomnia medication for ADHD (81%), significantly higher than in MR/DD (67%), mood (40%), or anxiety disorders (31%). Trazodone was the most commonly prescribed insomnia medication for children with mood (78%) and anxiety disorders (72%). Antidepressants as a class were also commonly used for children in these diagnostic groups. Atypical antipsychotics, anticonvulsants, and short-acting hypnotics were also more likely to be used in children with mood disorders. Melatonin was recommended by more than one-third of respondents. Mitigation of the effects of sleep disr...Continue Reading

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