Dataset Information

A systematic review of treatments for settling problems and night waking in young children.

ABSTRACT:

Objectives

To assess the efficacy of treatments for settling problems and night waking in young children.

Design

A systematic review of randomised controlled trials of interventions for settling problems and night waking in young children.

Setting

Electronic bibliographic databases and references on identified papers, hand searches, and personal contact with specialists.

Subjects

Children aged 5 years or less who had established settling problems or night waking.

Interventions

Interventions had to be described and a placebo, waiting list, or another intervention needed to have been used as a comparison. Interventions comprised drug trials or non-drug trials.

Main outcome measures

Number of wakes at night, time to settle, or number of nights in which these problems occurred.

Results

Drugs seemed to be effective in treating night waking in the short term, but long term efficacy was questionable. In contrast, specific behavioural interventions showed both short term efficacy and possible longer term effects for dealing with settling problems and night waking.

Conclusions

Given the prevalence and persistence of childhood sleep problems and the effects they can have on children and families, treatments that offer long lasting benefits are appealing and these are likely to be behavioural interventions.

SUBMITTER: Ramchandani P

PROVIDER: S-EPMC27265 | biostudies-literature | 2000 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

A systematic review of treatments for settling problems and night waking in young children.

Ramchandani P P Wiggs L L Webb V V Stores G G

BMJ (Clinical research ed.) 20000101 7229

<h4>Objectives</h4>To assess the efficacy of treatments for settling problems and night waking in young children.<h4>Design</h4>A systematic review of randomised controlled trials of interventions for settling problems and night waking in young children.<h4>Setting</h4>Electronic bibliographic databases and references on identified papers, hand searches, and personal contact with specialists.<h4>Subjects</h4>Children aged 5 years or less who had established settling problems or night waking.<h4> ...[more]

PMID: 10642226

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Project description:Early childhood is a critical time for establishing food preferences and dietary habits. In order for appropriate advice to be available to parents and healthcare professionals it is essential for researchers to understand the ways in which children learn about foods. This review summarizes the literature relating to the role played by known developmental learning processes in the establishment of early eating behavior, food preferences and general knowledge about food, and identifies gaps in our knowledge that remain to be explored. A systematic literature search identified 48 papers exploring how young children learn about food from the start of complementary feeding to 36 months of age. The majority of the papers focus on evaluative components of children's learning about food, such as their food preferences, liking and acceptance. A smaller number of papers focus on other aspects of what and how children learn about food, such as a food's origins or appropriate eating contexts. The review identified papers relating to four developmental learning processes: (1) Familiarization to a food through repeated exposure to its taste, texture or appearance. This was found to be an effective technique for learning about foods, especially for children at the younger end of our age range. (2) Observational learning of food choice. Imitation of others' eating behavior was also found to play an important role in the first years of life. (3) Associative learning through flavor-nutrient and flavor-flavor learning (FFL). Although the subject of much investigation, conditioning techniques were not found to play a major role in shaping the food preferences of infants in the post-weaning and toddler periods. (4) Categorization of foods. The direct effects of the ability to categorize foods have been little studied in this age group. However, the literature suggests that what infants are willing to consume depends on their ability to recognize items on their plate as familiar exemplars of that food type.

Dataset Information

A systematic review of treatments for settling problems and night waking in young children.

Objectives

Design

Setting

Subjects

Interventions

Main outcome measures

Results

Conclusions

Publications

A systematic review of treatments for settling problems and night waking in young children.

Similar Datasets

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