Difficulties initiating and maintaining sleep may be transient or persistent. In practice, children and adolescents should be included in the diagnostic and therapeutic process.

Biodiversity monitoring is important as it allows to prioritize research into the causes of declines and assessing the efficacy of conservation measures. Regional assessments are valuable, because conservation policies and management are often implemented on national and sub-national level. We analyzed data from the German Common Bird Monitoring for 1990–2018. We derived indices of population size using standard log-linear models, based on point counts and route territory mapping at up to 1200 plots annually. We summarized species trends by ecological trait groups. Among the 93 common breeding birds, farmland birds declined strongly, birds of settlements declined. Forest birds initially declined, but recovered after ca. 2010. Wetland birds increased strongly, albeit the number of species with data was low. Consistent declines were found in ground-nesting birds, granivorous and invertebrate (other than insect)-feeding birds. Trends of insectivorous birds were stable on average, but farmland insectivores declined strongly since the year 2000. Long-distance migrants showed more negative trends compared to short-distance migrants and resident species. Species with narrow habitat niche declined disproportionally. Trends over the entire period were more negative in common species in the dataset (with a German breeding population of > 50 K and < 1 M pairs). On the opposite, short-term trends were more negative in less common species (< 50 K pairs). Cold-adapted species showed largely negative, warm-adapted largely positive trends. Multi-species indicators showed no directional change (i.e., a change from decline to increase or vice versa) conditional on the inclusion or omission of single species, but the magnitude of change was affected in groups with low sample size. This suggests that efforts should be made to develop robust monitoring schemes for rarer species that are not covered by the analyses here. We conclude that conservation policies in Germany should aim at halting the worrying declines in ground-nesting, often insectivorous, farmland birds. The recovery of forest and wetland birds is encouraging, but future trends need to be monitored. Ongoing climate change will affect species directly (via their thermal niche) and indirectly (e.g., through more forest disturbance). Conservation strategies will, therefore, need to consider species adaptation to environmental and climate change, e.g., in better protected area connectivity and management.

Nightmares are defined as dreams with strong negative emotions which awaken the dreamer and are common during childhood: cross-sectional data shows the highest prevalence rates between the ages of five and ten. The present longitudinal study was designed to study the stability of nightmares over the course of 2 years. Sleep questionnaires and Strengths and Difficulties Questionnaires were completed by 851 10-years-old children and their parents, separately. In the total sample, nightmares occurred often in 2.5% (parental estimates) to 3.5% (self estimates of the children). The findings indicate that nightmare stability is considerably high, i.e., nightmare occurrence was predicted by the prevalence the year before (in addition to the concurrent amount of emotional symptoms). Children with 'chronic' nightmares showed more psychopathological symptoms. It would be interesting to follow-up these children in order to investigate whether childhood nightmares are also predictive for adult psychopathology.

Sleep disorders increase the risk of daytime fatigue and of psychological problems in general, including both hyperactivity and excessive emotional stress. These results imply that sleep problems and emotional disturbances are intimately connected and underscore the importance of diagnosing sleep problems in young children.

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