自闭症谱系障碍儿童睡眠障碍行为干预的结果。

Outcomes of a Behavioral Intervention for Sleep Disturbances in Children with Autism Spectrum Disorder.

机构信息

Department of Psychology, Munroe-Meyer Institute, University of Nebraska Medical Center (UNMC), 985450 Nebraska Medical Center, Omaha, NE, 68198-5450, USA.

Department of Psychology, Western Michigan University, 1903 W. Michigan Ave., Kalamazoo, MI, 49008-5439, USA.

出版信息

J Autism Dev Disord. 2018 Dec;48(12):4250-4277. doi: 10.1007/s10803-018-3644-4.

Abstract

This study evaluated the effectiveness of Bedtime Fading with Response Cost (BFRC) in decreasing sleep disturbances in children with Autism Spectrum Disorder (ASD) using parents as change agents by implementing treatment in the home environment. A non-concurrent multiple baseline design across three participants was used. Results indicate that BFRC was effective in eliminating unwanted co-sleeping, frequent night awakenings, and dependent sleep onset. Secondary improvements include reducing sleep onset latency, bedtime resistance, and disruptive sleep-related behaviors. Follow-up data demonstrate gains were maintained. Parents reported high satisfaction with BFRC and sleep outcomes for their children. This study extends both the practice and science of parent-implemented behavioral interventions as treatment options for children with ASD and co-occurring sleep disturbances.

摘要

本研究通过让家长在家庭环境中实施治疗,评估了 Bedtime Fading with Response Cost(BFRC)作为一种改变手段,对自闭症谱系障碍(ASD)儿童睡眠障碍的有效性。采用三个参与者的非同期多个基线设计。结果表明,BFRC 有效消除了不必要的同睡、频繁夜间醒来和依赖的入睡。次要改善包括减少入睡潜伏期、就寝时间抵抗和睡眠相关行为障碍。随访数据表明疗效得到了维持。家长对 BFRC 和他们孩子的睡眠结果非常满意。这项研究既扩展了行为干预的实践,也扩展了针对 ASD 儿童和共病睡眠障碍的家长实施干预的科学。

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