儿童多种睡眠障碍的行为治疗。对儿童及其家庭的影响。

Behavioral treatment of multiple childhood sleep disorders. Effects on child and family.

作者信息

Durand V M, Mindell J A

机构信息

Department of Psychology, State University of New York, Albany 12222.

出版信息

Behav Modif. 1990 Jan;14(1):37-49. doi: 10.1177/01454455900141003.

DOI:10.1177/01454455900141003

PMID:2294900

Abstract

Sleep disorders are highly prevalent among otherwise healthy young children and can be extremely disruptive to family life. Treatment was initiated in a multiple baseline fashion for the chronic night waking and nighttime disturbance exhibited by a 14-month-old girl. We found that "graduated extinction" (gradually increasing the time before attending to the child's crying) resulted in rapid reductions in these sleep disorders. Additionally, data on parental depression and marital satisfaction showed general improvement as a function of improved child sleep patterns. These results are discussed as they relate to the treatment of common childhood behavior disorders and their role in family satisfaction.

摘要

睡眠障碍在其他方面健康的幼儿中非常普遍，并且可能对家庭生活造成极大干扰。针对一名14个月大女孩表现出的慢性夜间醒来和夜间干扰问题，采用多基线方式启动了治疗。我们发现，“渐进式消退法”（逐渐增加回应孩子哭声前的时间）使这些睡眠障碍迅速减少。此外，关于父母抑郁和婚姻满意度的数据显示，随着孩子睡眠模式的改善总体有所提升。将对这些结果进行讨论，探讨其与常见儿童行为障碍治疗的关系以及它们在家庭满意度中的作用。