Behavioral treatment of bedtime problems and night wakings in infants and young children.
Behavioral treatment of bedtime problems and night wakings in infants and young children.
复制标题
婴幼儿就寝问题和夜间醒来的行为治疗。
作者：
J. Mindell;B. Kuhn;D. Lewin;L. Meltzer;A. Sadeh
本文回顾了有关行为治疗对幼儿就寝问题和夜醒的有效性的证据。美国睡眠医学学会（American Academy of Sleep Medicine）任命的一个特别小组对52项治疗研究进行了回顾，该小组的目的是为临床管理幼儿就寝时间问题和夜间醒来制定行为治疗的实践参数。研究结果表明，行为疗法产生了可靠和持久的改变。在所有研究中，94%的报告表明行为干预是有效的，超过80%的接受治疗的儿童表现出临床上显着的改善，并维持了3至6个月。特别是，利用Sackett标准进行循证治疗的对照组研究的经验证据为未经修改的灭绝和预防性父母教育提供了强有力的支持。此外，还提供了渐进式消退、就寝时间消退/积极例程和定时醒来的支持。需要进一步的研究来检查治疗的递送方法、长期疗效和药理学制剂的作用。此外，强烈鼓励儿童睡眠研究人员制定标准化的诊断标准和更客观的测量方法，并在关键的结果变量上达成共识。
This paper reviews the evidence regarding the efficacy of behavioral treatments for bedtime problems and night wakings in young children. It is based on a review of 52 treatment studies by a task force appointed by the American Academy of Sleep Medicine to develop practice parameters on behavioral treatments for the clinical management of bedtime problems and night wakings in young children. The findings indicate that behavioral therapies produce reliable and durable changes. Across all studies, 94% report that behavioral interventions were efficacious, with over 80% of children treated demonstrating clinically significant improvement that was maintained for 3 to 6 months. In particular, empirical evidence from controlled group studies utilizing Sackett criteria for evidence-based treatment provides strong support for unmodified extinction and preventive parent education. In addition, support is provided for graduated extinction, bedtime fading/positive routines, and scheduled awakenings. Additional research is needed to examine delivery methods of treatment, longer-term efficacy, and the role of pharmacological agents. Furthermore, pediatric sleep researchers are strongly encouraged to develop standardized diagnostic criteria and more objective measures, and to come to a consensus on critical outcome variables.
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失眠的非药物干预：治疗效果的荟萃分析。
DOI：
10.1176/ajp.151.8.1172
发表时间：
1994
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Morin,CM;Culbert,JP;Schwartz,SM
通讯作者：
Schwartz,SM
儿科护士对常见儿童就寝问题的管理。
影响因子：
3.6
作者：
Rapoff,MA;Christophersen,ER;Rapoff,KE
通讯作者：
Rapoff,KE
儿科实践中常见的睡眠问题。
影响因子：
8
作者：
Lozoff,B;Wolf,AW;Davis,NS
通讯作者：
Davis,NS
DOI：
10.1097/00004583-200208000-00015
发表时间：
2002-08-01
影响因子：
13.3
作者：
Gregory, AM;O'Connor, TG
通讯作者：
O'Connor, TG