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与睡眠相关的拔毛癖和食毛癖的远程治疗。

Remote treatment of sleep-related trichotillomania and trichophagia.

作者信息

Lichtblau Katherine R, Romani Patrick W, Greer Brian D, Fisher Wayne W, Bragdon Allie K

机构信息

University of Nebraska Medical Center's Munroe-Meyer Institute.

出版信息

J Appl Behav Anal. 2018 Apr;51(2):255-262. doi: 10.1002/jaba.442. Epub 2018 Feb 21.

DOI:10.1002/jaba.442
PMID:29468679
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5996980/
Abstract

We used a biobehavioral treatment consisting of melatonin and a standardized bed and wake time to decrease one girl's head and mouth touches associated with sleep-related trichotillomania and trichophagia. We remotely coached the girl's caregiver to implement all procedures and monitored response to treatment using a DropCam Pro video camera equipped with night-vision capabilities. Head and mouth touches decreased, and her sleep pattern improved with the combination of treatment strategies. We discuss our use of a novel mode of service delivery to treat sleep-related problem behavior.

摘要

我们采用了一种生物行为疗法,包括褪黑素以及标准化的上床和起床时间,以减少一名女孩与睡眠相关的拔毛癖和噬毛症相关的头部和口腔触摸行为。我们远程指导女孩的照顾者实施所有程序,并使用配备夜视功能的DropCam Pro摄像机监测治疗反应。通过综合治疗策略,头部和口腔触摸行为减少了,她的睡眠模式也得到了改善。我们讨论了使用一种新型服务提供模式来治疗与睡眠相关的问题行为。

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本文引用的文献

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Telehealth and Autism: Treating Challenging Behavior at Lower Cost.远程医疗与自闭症:以更低成本治疗具有挑战性的行为。
Pediatrics. 2016 Feb;137 Suppl 2(Suppl 2):S167-75. doi: 10.1542/peds.2015-2851O.
2
Meta-analysis: melatonin for the treatment of primary sleep disorders.Meta 分析:褪黑素治疗原发性睡眠障碍。
PLoS One. 2013 May 17;8(5):e63773. doi: 10.1371/journal.pone.0063773. Print 2013.
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Never enough sleep: a brief history of sleep recommendations for children.睡眠不足:儿童睡眠建议简史。
Pediatrics. 2012 Mar;129(3):548-56. doi: 10.1542/peds.2011-2039. Epub 2012 Feb 13.
4
Behavior therapy for pediatric trichotillomania: Exploring the effects of age on treatment outcome.儿童拔毛癖的行为治疗:探究年龄对治疗效果的影响。
Child Adolesc Psychiatry Ment Health. 2010 Jun 28;4:18. doi: 10.1186/1753-2000-4-18.
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Trichotillomania: an NREM sleep parasomnia?
Neurology. 2006 Apr 25;66(8):1276. doi: 10.1212/01.wnl.0000208516.19583.ad.
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A faded bedtime with response cost protocol for treatment of multiple sleep problems in children.一种用于治疗儿童多种睡眠问题的带有反应代价方案的消退式就寝时间干预措施。
J Appl Behav Anal. 1991 Spring;24(1):129-40. doi: 10.1901/jaba.1991.24-129.