Luiselli James K, Harper Jill M, Leach Matthew, Murphy Kerrianne J, Luke Katherine
Clinical Services, Melmark New England, Andover, MA, USA.
Professional Development, Melmark New England, Andover, MA, USA.
Int J Dev Disabil. 2021 Jan 11;68(5):624-632. doi: 10.1080/20473869.2020.1855692. eCollection 2022.
Faded bedtime has been evaluated as a behavioral intervention for delayed sleep-onset principally with children and youth who have intellectual and developmental disabilities in hospital and home settings. The present case report describes behavioral assessment and faded bedtime intervention in a 21-year old adult man with autism spectrum disorder at a community-based group home. The study also documented the effects of family home visits on the man's sleep when he returned to the group home. Compared to a pre-intervention (baseline) phase, faded bedtime was associated with increased intervals of recorded sleep and a decrease in sleep-onset latency over several months of implementation. We discuss clinical implications of the case and generality of findings across populations and settings.
逐渐减少上床时间已被评估为一种行为干预措施，主要用于医院和家庭环境中患有智力和发育障碍的儿童和青少年的睡眠起始延迟问题。本病例报告描述了在一个社区集体家庭中，对一名患有自闭症谱系障碍的21岁成年男性进行行为评估和逐渐减少上床时间干预的情况。该研究还记录了家庭探访对该男子回到集体家庭后的睡眠产生的影响。与干预前（基线）阶段相比，在实施逐渐减少上床时间干预的几个月里，记录的睡眠时间间隔增加，睡眠起始潜伏期缩短。我们讨论了该病例的临床意义以及研究结果在不同人群和环境中的普遍性。
