Direct assessment of overnight parent-child proximity in children with behavioral insomnia: Extending models of operant and classical conditioning.
Direct assessment of overnight parent-child proximity in children with behavioral insomnia: Extending models of operant and classical conditioning.
复制标题
行为失眠儿童夜间亲子亲近度的直接评估：操作性条件反射和经典条件反射的扩展模型。
DOI：
10.1080/15402002.2022.2076681
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发表时间：
2023
影响因子：
3.1
通讯作者：
Agar G
中科院分区：
文献类型：
--
作者：
Agar G
前言行为失眠的解释性模型通常借鉴操作型学习理论和行为技术，专注于改变父母与孩子的相互作用以改善睡眠。然而，除了家长报告之外，没有数据描述一夜之间的亲子互动。在这项研究中，我们使用射频识别技术对行为失眠风险较高的两组儿童--安吉曼综合征(AS)和史密斯-马格尼斯综合征(SMS)--进行了为期一周的家庭睡眠和过夜亲子亲近程度评估。使用飞利浦Actiwatch 2记录睡眠参数，并使用定制的射频识别手表记录接近数据。结果亲子二人一夜之间的接近数据有三种模式：“检查”(6例AS，5例短信)、“共眠”(4例短信)和“不接近”过夜(2例AS，2例短信)。在AS组中，25.45%的动作记录仪定义的觉醒导致了亲子互动。在短信组中，39.34%的唤醒导致了亲子互动。在入睡时与父母互动的儿童在醒来时与父母互动的可能性并不显著。讨论射频识别技术的新应用是研究夜间亲子亲近的一种可行方法。参与者之间的亲近程度与行为失眠的可操作模型并不密切一致，这一点很明显。这些结果对睡眠不良的病因和行为睡眠干预的应用具有重要意义。
IntroductionExplanatory models of behavioral insomnia typically draw on operant learning theory with behavioral techniques focused on altering parent-child interactions to improve sleep. However, there are no data describing parent-child interactions overnight beyond parent report. In this study we used radio frequency identification technology to quantify parent-child proximity overnight in two groups at elevated risk of behavioral insomnia, Angelman syndrome (AS) and Smith-Magenis syndrome (SMS).Materials and MethodsNineteen children aged 4–15 years (8 with AS, 11 with SMS) participated in a week-long at-home assessment of sleep and overnight parent-child proximity. Sleep parameters were recorded using the Philips Actiwatch 2 and proximity data were recorded using custom-built radio frequency identification watches.ResultsThree patterns of proximity data between parent-child dyads overnight were evident: “checking” (six with AS, five with SMS), “co-sleeping” (four with SMS) and those who had “no proximity” overnight (two with AS, two with SMS). In the AS group, 25.45% of actigraphy-defined wakes resulted in a parent-child interaction. In the SMS group, 39.34% of wakes resulted in a parent-child interaction. Children who interacted with their parents when settling to sleep were not significantly more likely to interact at waking.DiscussionThe novel application of radio frequency identification technology is a feasible method for studying overnight parent-child proximity. Profiles of proximity between participants that are not closely aligned with operant models of behavioral insomnia were evident. These results have significant implications for the etiology of poor sleep and the application of behavioral sleep interventions.