Benefits of a bedtime routine in young children: Sleep, development, and beyond.

Benefits of a bedtime routine in young children: Sleep, development, and beyond.
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DOI:
10.1016/j.smrv.2017.10.007
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发表时间:
2018-08
影响因子:
10.5
通讯作者:
Williamson AA
Williamson AA
中科院分区:
医学1区
文献类型:
--
作者:
Mindell JA;Williamson AA

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本文提出了一个概念模型,并回顾了经验证据,以支持每晚的就寝时间作为一个关键因素,不仅促进健康的睡眠,而且广泛的发展和福祉在幼儿期。睡前常规体现了养育护理和早期儿童刺激的特点,这被认为是积极成果的关键,特别是对高危儿童。此外,睡前常规的共同适应性成分可以有助于改善睡眠之外的一系列积极发展成果,包括语言发展,识字,儿童情绪和行为调节,亲子依恋和家庭功能等成果。这些睡前常规组成部分包括广泛的营养领域的活动(例如,喂养,健康零食),卫生(例如,洗澡,口腔护理),交流(例如,阅读、唱歌/摇篮曲)和身体接触(例如,按摩、拥抱/摇摆)。在一天中有许多父母与孩子在一起的时候,就寝时间可以为孩子和家庭功能提供多种好处。虽然还需要对假定的与常规有关的儿童结果和行动机制进行更多的研究,但促进睡前常规可能是一种可行的、具有成本效益的方法,可以促进全世界儿童的积极早期发展,特别是对社会经济处境不利的儿童和其他有风险的幼儿。
This paper presents a conceptual model and reviews the empirical evidence to support a nightly bedtime routine as a key factor in the promotion of not only healthy sleep, but also of broad development and wellbeing in early childhood. A bedtime routine embodies the characteristics of nurturing care and early child stimulation, which are deemed to be essential for positive outcomes, especially for at-risk children. Furthermore, common, adaptive components of a bedtime routine can contribute to an array of positive developmental outcomes beyond improved sleep, inclusive of language development, literacy, child emotional and behavioral regulation, parent–child attachment, and family functioning, among other outcomes. These bedtime routine components include activities in the broad domains of nutrition (e.g., feeding, healthy snack), hygiene (e.g., bathing, oral care), communication (e.g., reading, singing/lullabies) and physical contact (e.g., massage, cuddling/rocking). A bedtime routine can provide multiple benefits to child and family functioning at a time of day that many parents are present with their children. Although additional research on hypothesized routine-related child outcomes and mechanisms of action are needed, promoting a bedtime routine may be a feasible and cost-effective method to promote positive early childhood development worldwide, particularly for socioeconomically disadvantaged and other at-risk young children.
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