Rickert V I, Johnson C M
Kennedy Institute, Baltimore.
Pediatrics. 1988 Feb;81(2):203-12.
Infants and toddlers (N = 33) exhibiting spontaneous awakening and crying episodes during the night were randomly assigned to one of three groups: scheduled awakenings, systematic ignoring or control. Scheduled awakenings consisted of a parent arousing and feeding or consoling the child 15 to 60 minutes before typical spontaneous awakenings. Once spontaneous awakenings were precluded, scheduled awakenings by parents were gradually eliminated. Systematic ignoring consisted of allowing the child to "cry it out" without parental attention except to ensure physical well-being of their child. Children in the scheduled awakening group and the systematic ignoring group awoke and cried less frequently than children in the control group during 8 weeks of treatment and during two follow-up checks, 3 and 6 weeks after treatment. Systematic ignoring was found to be more effective than the scheduled awakenings condition during 1 week of treatment; otherwise effects of the two conditions were similar. Implications of the use of these treatment procedures are discussed.
夜间出现自发觉醒和哭闹发作的婴幼儿（N = 33）被随机分为三组之一：定时唤醒、系统忽视或对照组。定时唤醒包括在典型的自发觉醒前15至60分钟，由家长唤醒并喂养或安抚孩子。一旦排除了自发觉醒，家长的定时唤醒就逐渐取消。系统忽视包括让孩子“哭出来”，除了确保孩子的身体安全外，家长不予关注。在8周的治疗期间以及治疗后3周和6周的两次随访检查中，定时唤醒组和系统忽视组的孩子醒来和哭闹的频率低于对照组。在治疗的第1周，发现系统忽视比定时唤醒更有效；否则，这两种情况的效果相似。讨论了使用这些治疗程序的意义。
