Sleep-promoting medications in children: Physician prescribing habits in Southwestern Ontario, Canada
Autor: | Jamie A. Seabrook, Dirk E. Bock, Elizabeth Roach-Fox, Michael J. Rieder, Doreen Matsui |
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Rok vydání: | 2016 |
Předmět: |
Sleep Wake Disorders
Pediatrics medicine.medical_specialty Insomnia Developmental Disabilities Histamine Antagonists Specialty Sleep disturbance Bedtime Benzodiazepines 03 medical and health sciences 0302 clinical medicine Sleep Initiation and Maintenance Disorders Surveys and Questionnaires 030225 pediatrics Prescription medication medicine Humans Hypnotics and Sedatives Attention deficit hyperactivity disorder Practice Patterns Physicians' Medical prescription Survey Melatonin Ontario Pediatric Sleep disorder Over-the-counter business.industry Off-Label Use General Medicine medicine.disease Antidepressive Agents Cross-Sectional Studies Mood disorders Attention Deficit Disorder with Hyperactivity Sleep onset medicine.symptom business 030217 neurology & neurosurgery |
Zdroj: | Paediatrics Publications |
Popis: | Background Research indicates that physicians may frequently use pharmacotherapy to treat pediatric insomnia despite minimal safety data and very limited indications. Canadian data on the subject are lacking. This study aimed to determine physicians' views on and prescribing habits for sleep-promoting over-the-counter medication (OTCM) and prescription (RXM) medications for children. Methods A modified 26-item version of the ‘Pediatric Sleep Medication Survey’, originally developed by Judith Owens and colleagues, was sent to 100 pediatricians and a random sample of 421 family physicians in Southwestern Ontario, Canada. Results A total of 67 returned surveys were sufficiently complete for analysis. Sixty-one respondents indicated their specialty (28 pediatricians, 33 family physicians). In a typical 6-month period, 89% and 66% of respondents have recommended OTCM and RXM, respectively, for children with sleep problems. Only 20% have received any formal training on pediatric sleep disorders. The most common circumstances and sleep problems for which OTCM or RXM were recommended were mood disorders, developmental delay and attention deficit hyperactivity disorder (ADHD) (56, 40, and 39%, respectively), and insomnia, bedtime struggles/delayed sleep onset and circadian rhythm disorders (52, 48, and 28%, respectively). A total of 30% recommended OTCM or RXM to otherwise healthy children with sleep problems. Melatonin (73%), OTC antihistamines (41%), antidepressants (37%), and benzodiazepines (29%) were the most commonly recommended OTCM and RXM, respectively. Conclusions Respondents in our sample frequently use pharmacotherapy to treat pediatric sleep problems; few have received any training in this area. Our findings indicate the need for evidence-based guidelines and regular physician training in the management of pediatric sleep disorders. |
Databáze: | OpenAIRE |
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