Piazza C C, Hagopian L P, Hughes C R, Fisher W W
John Hopkins University School of Medicine, USA.
Am J Ment Retard. 1998 Jan;102(4):358-66. doi: 10.1352/0895-8017(1998)102<0358:ucttss>2.0.co;2.
Chronotherapy was used to treat severe sleep problems (irregular sleep onset times, frequent night and early wakings, and short total sleep times) in a girl with mental retardation. Chronotherapy involved systematically delaying the child's bedtime each night while maintaining a regular schedule during waking hours until an age-appropriate bedtime was achieved. Immediate improvements in the child's sleep pattern were observed with the introduction of treatment, and an age-appropriate bedtime was achieved in 11 days. Four months of follow-up data indicated that improvements maintained in the home. Although chronotherapy was developed specifically for adults with delayed sleep phase insomnia, the current results suggest that the treatment may be useful for other populations and problems.
时间疗法被用于治疗一名患有智力障碍女孩的严重睡眠问题（入睡时间不规律、频繁夜间醒来和早醒，以及总睡眠时间短）。时间疗法包括每晚系统地推迟孩子的就寝时间，同时在清醒时间保持规律的作息时间表，直到达到适合其年龄的就寝时间。在引入治疗后，观察到孩子的睡眠模式立即得到改善，并在11天内达到了适合其年龄的就寝时间。四个月的随访数据表明，在家中睡眠改善情况得以维持。尽管时间疗法是专门为患有延迟睡眠时相失眠的成年人开发的，但目前的结果表明，该疗法可能对其他人群和睡眠问题也有用。
