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TITLE Melatonin in Children and Adolescents with Insomnia A Retrospective Study Ivanenko A Crabtree VM Tauman R Gozal D PURPOSE A similar study done by Smits showed that doses of melatonin demonstrated its effectiveness on wise healthy children with chronic insomnia Therefore Ivanenko conducted a retrospective study to examine the potential benefits of melatonin in adolescents and children with chronic sleep onset and maintenance insomnia HYPOTHESIS Ivanenko et al predicted there would be positive results with controlled dosages of melatonin in children and adolescents with chronic sleep initiation and sleep maintenance problems METHOD The experimental group consisted of 32 children and adolescents receiving clinical care in the Kosair Childrens Hospital Pediatric Sleep Medicine and Apnea Center in Louisville Kentucky The average age of the sample ranged from 2 to 18 years of age with 24 girls and 8 boys Melatonin a neurohormone that is secreted from the pineal gland and is usually secreted during times of nocturnal sleep will be administered to the experimental group The average dose of melatonin given to the group was between 03 to 6 milligrams and was routinely administered 1 hour before bedtime All children and families received tips on sleep hygiene These children went thru a thorough clinical evaluation by a sleep medicine specialist consisting of interviews with the parents and the child In all patients the parents and caregivers were asked to keep sleep logs in which the bedtimes rise times and nocturnal awakenings were documented Sleep logs were kept and analyzed for the primary outcomes of sleep latency night awakenings and sleep duration FINDINGS The results of this study were as follows Twenty-nine children responded favorably to melatonin with improvement of in sleep initiation and sleep continuity symptoms Of the 32 patients 24 suffered from sleep onset insomnia 2 had sleep cycle disruption 8 had sleep maintenance problems and 5 were diagnosed with delayed sleep-phase syndrome The analyses of sleep complaints revealed
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