Insomnia Disorder in Children
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | Not established diagnostic prevalence; insomnia estimates ~20–31% in children, often symptom-based |
| Is it more common among children? | Pediatric sleep problems common; developmental causes important |
| Are children at higher risk? | #N/A |
| How much higher is the risk? | NE |
| How often can it be missed? | Very High |
| Does it show up differently among children? | Strong Yes |
| How might it look different? | Bedtime resistance, night waking, dependency on caregiver, behavioural sleep patterns; developmental sleep needs differ |
| What commonly occurs alongside it? | ADHD; anxiety; neurodevelopmental conditions |
| What can it be confused with? | Behavioural insomnia; sleep apnea; RLS; circadian issues |
| Common screening tool | Pediatric ISI / PISI — Pediatric Insomnia Severity Index |
| Separate screening tool for children | PISI — Pediatric Insomnia Severity Index |
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