Chronobiology in Paediatric Neurological and Neuropsychiatric Disorders: Harmonizing Care with Biological Clocks
2024

Chronobiology in Pediatric Neurological and Neuropsychiatric Disorders

Sample size: 87 publication Evidence: moderate

Author Information

Author(s): Gabriele Giannotta, Marta Ruggiero, Antonio Trabacca

Primary Institution: Associazione “La Nostra Famiglia”, IRCCS “E. Medea”

Hypothesis

Chronobiology-based therapeutic approaches can improve symptoms in pediatric neurological and neuropsychiatric disorders.

Conclusion

Chronobiology-based interventions, such as melatonin therapy and light exposure, can significantly improve symptoms and overall functioning in children with neurological and neuropsychiatric disorders.

Supporting Evidence

  • Chronobiology has gained attention in pediatric neurological and neuropsychiatric disorders.
  • Dysregulation of melatonin and cortisol secretion is observed in children with ASD, ADHD, and PTSD.
  • Chronotherapy approaches showed promise in managing circadian rhythm disruptions.
  • Melatonin supplementation improved sleep quality and reduced ADHD symptoms in some children.
  • Light therapy proved effective in stabilizing sleep–wake cycles in ASD and ADHD patients.
  • Behaviour-based interventions improved circadian alignment in children with ASD.

Takeaway

This study shows that our body's internal clock affects how kids with certain brain disorders feel and behave, and fixing these rhythms can help them feel better.

Methodology

This narrative review used a systematic approach to identify relevant studies from major scientific databases, focusing on circadian rhythms in pediatric populations.

Potential Biases

Variability in study quality and potential biases inherent in individual studies were not systematically evaluated.

Limitations

The review did not perform a formal qualitative appraisal of the included studies, which may affect the reliability of the conclusions.

Digital Object Identifier (DOI)

10.3390/jcm13247737

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