Behavioural treatment for sleep problems in children with severe learning disabilities and challenging daytime behaviour: effect on daytime behaviour.
Behavioural treatment for sleep problems in children with severe learning disabilities and challenging daytime behaviour: effect on daytime behaviour.
复制标题
对患有严重学习障碍和具有挑战性的日间行为的儿童睡眠问题的行为治疗：对日间行为的影响。
DOI：
10.1111/1469-7610.00479
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
G. Stores
中科院分区：
文献类型：
--
作者：
L. Wiggs;G. Stores
该研究旨在调查一组患有严重学习障碍，具有挑战性的日间行为和严重睡眠问题的儿童，以了解儿童睡眠问题的成功行为治疗是否会导致母亲和教师报告的日间挑战行为减少。对儿童睡眠问题进行行为干预的随机对照试验（N = 30）。干预组接受了个性化的行为方案，并得到了治疗师的电话支持。使用异常行为检查表对儿童的行为进行基线评估，并在干预开始后1个月和3个月重复评估。治疗组中没有儿童特有的行为变化。然而，在1个月和3个月的评估中，干预组和对照组的一些行为都有所改善，母亲和教师的报告对其中许多变化达成了一致。研究结果表明，参与研究的非特异性影响（包括两组中观察到的睡眠时间增加），而不是解决睡眠问题本身，可能对儿童行为产生有益影响，这些因素需要确定用于治疗。
The study aimed to investigate a group of children with severe learning disabilities, challenging daytime behaviour, and severe sleep problems to see if successful behavioural treatment of the children's sleep problems resulted in reduced daytime challenging behaviour as reported by mothers and teachers. A randomised controlled trial of behavioural interventions for the children's sleep problems was conducted (N = 30). The intervention group received an individually tailored behavioural programme and were supported by telephone calls from the therapist. Baseline assessments of the children's behaviour were made using the Aberrant Behavior Checklist and were repeated 1 month and 3 months after the start of intervention. There were no behavioural changes that were specific to children in the treatment group. However, improvements in some behaviours were seen in both the intervention and the control group at the 1-month and 3-month assessments and there was agreement between mothers' and teachers' reports for many of these changes. The results suggest that nonspecific effects of participating in the study (including an increased sleep duration, which was seen in both groups), rather than resolution of sleep problem per se, may have a beneficial effect on child behaviour and these factors need to be identified for therapeutic use.