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Anxiety May Contribute to Difficulty of Falling Asleep in Kids

Difficulty of falling asleep in kids
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Written by Andrew Le, MD.
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Last updated June 19, 2024

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A National Survey Unveils Bedtime Struggles Affecting Kids and Parents Alike

Getting young children into bed and assuring they stay asleep can be a challenging nightly routine for many parents, a new national poll from the C.S. Mott Children’s Hospital reveals. The poll engaged parents of children aged 1-6 years to highlight the common hurdles and habits encompassing bedtime routines.

Predictable Patterns and Nighttime Rituals

According to the survey, 90% of parents have established a bedtime routine for their little ones. Toothbrushing comes out on top, with 90% consistency, followed by reading bedtime stories (67%), bathing (54%), with other elements like snacks, prayers, talks about the day, and tech turn-offs also featuring. Comfort items like blankets, stuffed animals, and pacifiers are a fixture in the sleep rituals for many.

Children’s sleeping arrangements vary, with almost half sleeping in their own rooms, while others share with siblings, a mix of their room and the parents’ bed, or exclusively the latter. Keeping the lights on, using night lights, or maintaining total darkness are strategies employed by parents to ease their children into sleep. A quiet room is preferred by 39%, while others rely on background noise such as white noise (33%) or soft music (15%).

The Bedtime Battle: A Common Challenge

A significant portion of parents, one in four, report difficulties in getting their child to bed. Those struggling often lack a solid bedtime routine, play videos or TV shows for their children, and frequently stay in the room until sleep comes. Playtime procrastination, noise disruptions, and anxiety-ridden kids contribute to troubles in transitioning to sleep. Once asleep, disturbances include waking up distressed, midnight migrations to parents' beds, or calls for parents to accompany them.

Melatonin and Medical Consultations

A startling one in five parents administers melatonin to aid their child's sleep, and 15% have sought medical advice for sleep-related issues.

Expert Insights and Advice

Sleep is paramount for children's development, and deficient sleep quality can echo onto parents' well-being. Children's sleep needs evolve, impacted by various changes in routine and environment. A consistent bedtime ritual and discouraging screen time before sleep are recommended. For a conducive sleep environment, a quiet, dark room is ideal, and for parents who offer white noise, careful placement and volume control are advised.

Parents considering melatonin supplements are urged to consult with a pediatrician due to the lack of comprehensive testing and unknown long-term consequences of these products.

Coping with the Fears of the Dark and Nightmares

Normal developmental fears can exacerbate bedtime resistance. Engaging the child in discussions about their day can help address specific anxieties. Establishing consistent responses to night wakings and limiting exposure to disturbing content before bedtime are suggested to alleviate bad dreams and sleep disruptions.

Survey Methodology and Credibility

The report boasts a robust methodology, having been conducted by Ipsos Public Affairs, LLC for C.S. Mott Children’s Hospital. With a completion rate of 61% among surveyed panel members and a marginal error range of ±2 to 4 percentage points, the survey's findings carry weight. It was administered to a nationally representative group of parents, weighted to mirror the U.S. population demographics.

For detailed findings, interested readers can follow this link.

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Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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References

C.S. Mott Children's Hospital. (2024, June 17). Getting Young Children to Bed: Sweet Dreams or Nightmare? [Report on Children's Health]. University of Michigan Department of Pediatrics and Susan B. Meister Child Health Evaluation and Research (CHEAR) Center, Vol. 45(Issue 4). Retrieved from http://mottpoll.org