Abstract Introduction Children with overweight/obesity are more likely to have shortened sleep, though little is known about the role of weight status in insomnia severity, sleep quality, and sleep hygiene in clinically referred youth. Methods A total of 1133 children (43.7% female) presented to a Pediatric Behavioral Sleep Medicine Clinic for insomnia. At the initial evaluation, caregivers of children ages 2–10.9 years (N = 744) completed the Pediatric Insomnia Severity Scale (PISI) and the Children’s Sleep Habit…

Abstract Introduction An estimated 25-40% of adolescents endorse symptoms of insomnia. While research has demonstrated that insomnia is associated with impaired functioning, little is known regarding which insomnia symptoms or outcomes are most burdensome for adolescents. Patient-centered outcomes (PCO) are clinical and research questions and outcomes that are meaningful to patients. This study is the first to evaluate PCOs in adolescents with insomnia. Methods We conducted an online survey of adolescents in the U…

Abstract Introduction Approximately 10% of adolescents meet diagnostic criteria for insomnia, which is associated with increased health problems, academic difficulties, and psychological morbidity. Empirical evidence supports cognitive-behavioral treatments for insomnia, yet research suggests adolescent insomnia is undertreated. Thus, the goal of this study was to evaluate adolescent perceptions about insomnia treatment seeking and strategies. Methods Adolescents ages 13-18 years with self-reported insomnia sympto…

Nonadherence to positive airway pressure therapy (PAP) limits treatment effectiveness for obstructive/central sleep apnea (O/CSA). One-third of pediatric patients fail to use PAP as prescribed; children demonstrate variable night-to-night use and inadequate within-night use, often <50% of expected sleep period. We evaluated predictors of PAP adherence and the feasibility/impact of behavioral sleep medicine consultation (BSMC) provided during a multidisciplinary CPAP clinic. Retrospective chart review of 106 patien…

Pediatric Insomnia may co-occur with primary sleep disorders including obstructive sleep apnea (OSA) and/or periodic limb movement disorder (PLMD). Limited research examining comorbidity of pediatric insomnia with other primary sleep disorders has focused on quantifying prevalence of insomnia symptoms in children referred for sleep disordered breathing evaluation and/or with polysomnography (PSG) confirmed OSA. Because PSG has limited utility for evaluation of primary insomnia there are few pediatric studies repor…