Piazza C C, Fisher W, Moser H
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD.
Brain Dev. 1991 Jul;13(4):232-7. doi: 10.1016/s0387-7604(12)80055-6.
Aberrant sleep patterns are commonly experienced by girls with the Rett syndrome. In this investigation, the problematic sleep of three girls with the Rett syndrome was regulated using a bedtime fading procedure with response cost. The treatment involved systematically delaying the bedtime and utilized a response cost component, removing the child from bed for one hour, when the child did not experience short latency to sleep onset. Daytime sleep was interrupted, except during regularly scheduled naps. A fading procedure was then successfully utilized to advance the bedtimes. This treatment resulted in more regular sleep patterns for the girls by increasing appropriate nighttime sleep, reducing inappropriate daytime sleep and reducing problematic nighttime behaviors (e.g., night wakings). These preliminary findings are important because they suggest that the dysfunctional sleep patterns of girls with the Rett syndrome may be amenable to behavioral treatments.
雷特综合征女孩通常会出现异常的睡眠模式。在这项调查中，采用带有反应代价的就寝时间渐减法对三名雷特综合征女孩的睡眠问题进行了调节。治疗包括系统地推迟就寝时间，并采用反应代价成分，即当孩子入睡潜伏期不长时，将其从床上抱走一小时。白天的睡眠会被打断，定期安排的小睡除外。然后成功地采用渐减法提前了就寝时间。这种治疗通过增加适当的夜间睡眠、减少不适当的白天睡眠以及减少夜间问题行为（如夜间醒来），使女孩们的睡眠模式更加规律。这些初步发现很重要，因为它们表明雷特综合征女孩的功能失调睡眠模式可能适合行为治疗。
