Children's night-time fears: an overview

Abstract

Night-time fears are a normal developmental occurrence for most children. However, a small proportion of children may experience severe night-time fears of much greater intensity and duration, and typically meet diagnostic criteria for an anxiety or phobic disorder diagnosis. The content and developmental features of children's night-time fears are explored, highlighting the heterogeneous nature of nocturnal fears. Fears of this nature are probably due to an interaction of biological, environmental and cognitive-mediational factors, together with the involvement of family and operant learning processes. Clinical assessment procedures are briefly outlined, including the behavioural interview, the diagnostic interview, self-report inventories and home-monitoring on the part of parents. Family-based cognitive-behavioural treatment strategies are described. Although research findings are encouraging for the efficacy of these interventions, future studies need to utilize methodologies that allow for the identification of the specific mechanisms responsible for treatment, and improved diagnostic assessment of night fearful children.