Wiggs L
Department of Psychology, Oxford Brookes University, Oxford, UK.
Arch Dis Child. 2009 Jan;94(1):59-62. doi: 10.1136/adc.2007.125278. Epub 2008 Oct 31.
There is good empirical evidence that behavioural factors play a role in the onset/maintenance of many childhood sleeplessness problems and that behaviour therapy can be used as an effective form of management. There is a smaller, but growing, literature supporting the idea that behavioural interventions may also play a significant role in the management of other types of sleep disorder (eg, rhythmic movement disorders, arousal disorders, nightmares and circadian rhythm sleep disorders), and this is an area ripe with research possibilities. This review outlines the nature of behavioural aspects of children's sleep and how these might be addressed by behaviour therapy. Clinical considerations concerned with the use of behavioural therapy are also highlighted (eg, the role of behaviour therapy as an adjunct to other treatments, its use with special populations, and how it might be delivered to families).
有充分的实证证据表明，行为因素在许多儿童睡眠问题的发生/持续中起作用，并且行为疗法可作为一种有效的管理形式。有较少但不断增长的文献支持这样一种观点，即行为干预在其他类型睡眠障碍（如节律性运动障碍、觉醒障碍、噩梦和昼夜节律睡眠障碍）的管理中也可能发挥重要作用，这是一个充满研究可能性的领域。本综述概述了儿童睡眠行为方面的性质以及行为疗法如何解决这些问题。还强调了与行为疗法使用相关的临床考量（如行为疗法作为其他治疗辅助手段的作用、其在特殊人群中的应用以及如何向家庭提供）。
