Crichton Georgina E, Symon Brian
*Alliance for Research in Exercise, Nutrition and Activity (ARENA), Sansom Institute for Health Research, University of South Australia, Adelaide, Australia; †Kensington Park Medical Practice, Kensington Park, South Australia, Australia; ‡Faculty of Medicine, University of Adelaide, Adelaide, Australia.
J Dev Behav Pediatr. 2016 Feb-Mar;37(2):164-71. doi: 10.1097/DBP.0000000000000257.
Crying and unsettled behavior in infancy is common. Prolonged disturbed infant sleep can have significant negative effects on the development of the child, and on the psychological well-being of the mother. Compared to studies examining the effects of behavioral sleep programs such as extinction-based techniques in infants over 6 months of age, fewer studies have looked at such strategies in infants under 6 months of age. The aim of this article is to summarize the literature examining the effects of behavioral techniques on infant sleep outcomes in the first 6 months of life and provide evidence based recommendations for the management of infant sleep disturbance.
An electronic search of the literature was performed to identify studies which examined the effects of a behavioral intervention aimed at improving sleep in infants under 6 months of age.
Eleven studies were identified, of which 8 demonstrated improvements in infant sleep outcomes subsequent to the implementation of an educational behavioral program.
Education directed to parents about the use of simple, prescriptive, behavioral techniques is effective in improving infant sleep. Long term follow-up studies have failed to find any negative effects on the child, either from a psychological or physical perspective.
婴儿期哭闹及睡眠不安很常见。婴儿长期睡眠紊乱会对儿童发育以及母亲的心理健康产生重大负面影响。与研究6个月以上婴儿基于消退技术等行为睡眠计划的效果相比，针对6个月以下婴儿此类策略的研究较少。本文旨在总结关于行为技术对出生后头6个月婴儿睡眠结果影响的文献，并为婴儿睡眠障碍的管理提供基于证据的建议。
进行文献电子检索，以确定研究针对6个月以下婴儿改善睡眠的行为干预效果的研究。
共识别出11项研究，其中8项表明实施教育行为计划后婴儿睡眠结果有所改善。
向家长传授简单、规范性的行为技术有效改善婴儿睡眠。长期随访研究未发现对儿童有任何心理或身体方面的负面影响。
