Randomized Behavioral Sleep Clinical Trial to Improve Outcomes in Children With Down Syndrome.

Randomized Behavioral Sleep Clinical Trial to Improve Outcomes in Children With Down Syndrome.
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DOI:
10.1352/1944-7558-127.2.149
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发表时间:
2022-03-01
期刊:
American journal on intellectual and developmental disabilities
影响因子:
--
通讯作者:
Johnson C
Johnson C
中科院分区:
其他
文献类型:
--
作者:
Esbensen AJ;Hoffman EK;Beebe DW;Byars K;Carle AC;Epstein JN;Johnson C

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30名唐氏综合症学龄儿童的父母参加了一项专门为唐氏综合症儿童设计的行为睡眠治疗的小规模随机临床试验。其目的是改善儿童睡眠、儿童日间行为问题、照顾者睡眠和照顾者压力。干预时间为5-8周,采用双盲设计,在治疗前、治疗后立即和治疗后3个月进行评估。积极治疗和照常治疗的注意力控制对照组在儿童睡眠的活动记录和父母报告测量、父母报告的儿童内化行为和父母睡眠的活动记录测量方面都显示出改善。行为睡眠治疗与通常的治疗方法加上非睡眠特定的行为或教育课程相比,没有产生明显不同的结果。讨论了对研究结果的可能解释。
Parents of 30 school-age children with Down syndrome participated in a small-scale randomized clinical trial of a behavioral sleep treatment designed specifically for children with Down syndrome. The aim was to improve child sleep, child daytime behavior problems, caregiver sleep, and caregiver stress. The intervention spanned 5–8 weeks, and assessments occurred pre-treatment, immediately post-treatment, and three months post-treatment using a double-blinded design. Both the active treatment and a treatment-as-usual attention-controlled comparison group showed improvements in actigraphy and parent-report measures of child sleep, parent-reported child internalizing behaviors, and actigraphy measures of parent-sleep. The behavioral sleep treatment did not yield significantly different outcomes than a treatment-as-usual approach supplemented with non-sleep-specific behavioral or education sessions. Possible interpretations of study findings are discussed.
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