Blampied N M, France K G
University of Canterbury, Christchurch, New Zealand.
J Appl Behav Anal. 1993 Winter;26(4):477-92. doi: 10.1901/jaba.1993.26-477.
Chronic sleep disturbance, such as bed refusal, sleep-onset delay, and night waking with crying, affects 15% to 35% of preschool children. Biological factors, particularly arousals associated with recurrent episodes of rapid-eye-movement sleep, render infants vulnerable to repeated awakenings. Parental failure to establish appropriate stimulus control of sleep-related behaviors and parent-mediated contingencies of reinforcement for sleep-incompatible behaviors may shape and maintain infant sleep disturbance. Treatment and prevention strategies are discussed, and research needs are identified.
慢性睡眠障碍,如拒绝上床睡觉、入睡延迟和夜间哭闹醒来,影响着15%至35%的学龄前儿童。生物因素,尤其是与快速眼动睡眠反复发作相关的觉醒,使婴儿容易反复醒来。父母未能对与睡眠相关的行为建立适当的刺激控制,以及父母对与睡眠不相容行为的强化应急措施,可能会形成并维持婴儿的睡眠障碍。文中讨论了治疗和预防策略,并确定了研究需求。