Research in the 1980s documented the existence of such an insomnia by showing that childhood-onset insomnia was different from adult-onset insomnia on polysomnographic grounds and that it could be distinguished from other types of insomnia in a cluster analysis. It was described as "a sleep-onset and sleep-maintenance insomnia, resulting in daytime symptoms of inadequate sleep, that is characterized by a distinctive history of (unexplained) development before puberty and persistence into adulthood." It was postulated that this new entity represented "a CNS shift or dysfunction of the sleep-arousal equilibrium" ( 06). In the 1979 Sleep Nosology developed by the Association of Sleep Disorders Centers, now the American Academy of Sleep Medicine, a new category titled "childhood onset insomnia" was presented. Benzodiazepine receptor agonists or melatonin, in addition to strict sleep hygiene practices, may be effective in treating idiopathic insomnia patients.Polysomnography offers little diagnostic value in idiopathic insomnia actigraphy might be more helpful. ![]() Its course is chronic and life-long, and there is no clearly identifiable cause.The onset of idiopathic insomnia is usually in childhood, but not every case of childhood-onset insomnia is idiopathic insomnia.The most recent advancement in the treatment of this condition is the demonstration that melatonin not only improves sleep, but also improves overall health status in these patients. It is a chronic and serious inability to initiate and maintain sleep, often observed as early as the first few weeks of life. The following article discusses a rare form of insomnia: idiopathic or childhood-onset insomnia.
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