家长实施的自闭症谱系障碍儿童睡前消退和积极常规
Parent-Implemented Bedtime Fading and Positive Routines for Children with Autism Spectrum Disorders.
机构信息
School of Social Sciences, Education & Social Work, Queen's University Belfast, 69-71 University Street, Belfast, BT7 1HL, Northern Ireland, UK.
出版信息
J Autism Dev Disord. 2018 Apr;48(4):1002-1019. doi: 10.1007/s10803-017-3398-4.
Sleep disorders affect a large portion of those with autism spectrum disorder. Behavioural interventions have been found to increase appropriate sleep behaviours. This study sought to examine the efficacy of two stimulus control interventions (bedtime fading and positive routines) on total sleep duration, sleep onset latency and frequency and duration of night wakings for children with autism using two multiple baseline designs. Secondary dependent variables, namely, educational opportunities, challenging behaviours, parent acceptance and social validity were also analysed. Results suggest some efficacy for both interventions. Increased total sleep duration and decreased sleep onset latency were achieved with bedtime fading. Positive routines showed mixed results with decreased sleep onset latency and increased total sleep duration for two of three participants.
睡眠障碍影响了很大一部分自闭症谱系障碍患者。行为干预已被发现可以增加适当的睡眠行为。本研究旨在使用两个多项基线设计来检查两种刺激控制干预(睡前渐弱和积极常规)对自闭症儿童总睡眠时间、入睡潜伏期以及夜间觉醒频率和持续时间的疗效。次要的因变量,即教育机会、挑战性行为、家长接受度和社会有效性也进行了分析。结果表明这两种干预都有一定的效果。睡前渐弱可以增加总睡眠时间并减少入睡潜伏期。对于三个参与者中的两个,积极常规显示出混合结果,即入睡潜伏期减少和总睡眠时间增加。