Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial

Keeping Doors Closed as One Reason for Fatigue in Teenagers—A Case Study

“…The younger girl made a more positive assessment, evaluating seven nights as satisfied (4) and one night as very satisfied (5), eight nights categorized as dissatisfied (2), while one night as very dissatisfied (1), and 34 nights as moderate (3). Following the small contribution of very dissatisfied (1) and very satisfied (5) categories, we gathered categories (1) and (2) into one group defined as low sleep satisfaction, in addition to categories (4) and (5) in one group defined as high sleep satisfaction, as presented in Figure 5. Despite the fact that the teenage girl spent an extra 1.5 h in the high and medium quality environment (IEQI and IEQII), this did not correspond to sleep satisfaction.…”

“…They provided a diary in which it was specified whether the windows and doors were closed, ajar, or fully open during the monitored days and nights. Additionally, the girls were asked to evaluate their sleep satisfaction as categorized into five levels [4]: very dissatisfied (1), dissatisfied (2), moderate (3), satisfied (4), and very satisfied (5). However, for the analysis, three levels were used: very dissatisfied and dissatisfied, defined as dissatisfied; moderately satisfied, defined as moderate; and satisfied and very satisfied, defined as satisfied.…”

“…Sleep problems threaten health and quality of life for up to 45% of the world's population, and 35% of individuals feel that they do not get enough sleep, which has negative effects on both physical and mental health [4]. Rafihi-Ferreira et al [5] referenced several studies, in which the association between sleep quality and behavioral problems was investigated, demonstrated a relationship between externalizing and internalizing problems and sleep problems in children. This association becomes even more serious when considering that childhood sleep problems may persist and that they constitute a greater risk for other behavioral problems.…”

“…Low, moderate, and high sleep satisfaction of the teenager and child corresponding to categories: Very dissatisfied and dissatisfied (1) + (2); moderate (3), as well as satisfied and very satisfied (4) +(5).…”

Orientação Parental para Insônia Infantil em Irmãos Gêmeos: Um Relato de Caso

“…Houve redução nas pontuações dos problemas de comportamento externalizante, internalizante, total de problemas de comportamento e problemas de sono, que passaram de clínicos para normais depois da intervenção. A melhora de comportamentos diurnos após intervenção para insônia também já foi observada em outros estudos (Pinilla & Birch, 1993;Rafihi-Ferreira et al, 2019), sem enfoque, contudo, na população de irmãos gêmeos. Mindell et al (2006) indicam que um fator provável para estas melhoras em comportamentos diurnos é o aumento na quantidade e qualidade de sono que as crianças experimentam após um tratamento efetivo.…”