Bedtime Problems and Night Wakings in Young Children: An Update of the Evidence

Honaker, Sarah Morsbach; Meltzer, Lisa J.

doi:10.1016/j.prrv.2014.04.011

Cited by 39 publications

(31 citation statements)

References 47 publications

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“…Prevention is the best treatment for insomnia of childhood but, unfortunately, most parents are referred when the disorder has become chronic. Although we will focus on drug treatment, we should emphasize that when there is a decision to start a pharmacologic intervention, behavioral interventions should be always associated ; good sleep practices and behavioral interventions are the first recommended treatments for pediatric insomnia in either healthy or NDDs children (Honaker & Meltzer, 2014). The first line of treatment is the promotion of better sleep habits that need to be modified and adapted to these children.…”

Section: Nonpharmacological Treatmentmentioning

confidence: 99%

Practitioner Review: Treatment of chronic insomnia in children and adolescents with neurodevelopmental disabilities

Bruni

Angriman

Calisti

et al. 2017

Child Psychology Psychiatry

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Section: Nonpharmacological Treatmentmentioning

confidence: 99%

Practitioner Review: Treatment of chronic insomnia in children and adolescents with neurodevelopmental disabilities

Bruni

Angriman

Calisti

et al. 2017

Child Psychology Psychiatry

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“…This is particularly targeted at infants after 6 months as prior to 6 months evidence suggests that decreasing assistance does not decrease crying . As discussed above, in most standard definitions of Camping Out in the academic literature, even if parents can respond minimally, periodic ignoring is usually included . In RwDA, the parent is not instructed to ignore but to gradually reduce interaction so this is a compromise and integration between the theoretical models of extinction and attachment and more to the point, makes an attempt to systematically define the differences and or similarities of these two similar approaches.…”

Section: Plan Bmentioning

confidence: 99%

Behavioural sleep interventions in infants: Plan B – Combining models of responsiveness to increase parental choice

Blunden

Dawson

2020

J Paediatrics Child Health

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In families with infants between the ages of 6 and 18 months, sleep disruption can be significant, often putting parents at risk of a range of negative psychological and psychosocial consequences. Commonly prescribed sleep interventions typically involve 'extinction' methods, which require parents to completely or periodically ignore their infant's overnight cries. These methods can be effective in many, but not all cases. For over 40 years 30-40% of parents have consistently reported difficulty ignoring their child. For this group, ignoring their child is behaviourally and/or ideologically difficult with attrition often leading to a perceived sense of failure. For these parents the treatment may be worse than the problem. On the other hand, there is emerging evidence to support the use of more responsive methods for those who find extinction approaches behaviourally or ideologically challenging. In this paper we propose an integrated, less polarised approach to infant behavioural sleep interventions that better caters to those who have difficulty with extinction methodsour so-called 'Plan B'. This approach potentially resolves the often opposing ideological and theoretical perspectives of extinction versus responsiveness into a practical, complementary and pragmatic treatment framework. Recommendations on how best to implement Plan B are also presented. In our view, Plan B could provide practitioners with a logically integrated well-targeted suite of clinical interventions that could potentially improve compliance, reduce attrition and ultimately benefit the sleep and well-being of all infants and their parents, especially those who struggle with traditional extinction methodologies.

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“…For example, the parent may enter the room for 15 s and say, BIt's time to go back to bed.^The parent will repeat this process on day 1 until the child is asleep (e.g., from 5 to 7 min on day 2, 7 to 9 min on day 3, 9-11 min on day 5) until the parent eventually does not enter the room when the child wakes or cries. It is worth noting that the waiting time can be fixed (e.g., every 10 min), variable, or progressive based on the child's individual needs (Honaker & Meltzer, 2014).…”

Section: Behavioral Treatments For Sleep Onset Insomniamentioning

confidence: 99%

Recommendations for Identifying Sleep Problems and Treatment Resources for Children with Autism Spectrum Disorder

Abel

Kim

Kellerman

et al. 2016

Behav Analysis Practice

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Many young children experience sleep problems that may influence their daytime functioning. These sleep problems are especially prevalent in young children with autism spectrum disorder (ASD). Therefore, general recommendations for identifying and treating sleep problems in children with ASD are needed for behavior analysts to identify potential sleep problems and make empirically informed decisions regarding treatment options. The current paper seeks to provide behavior analysts, who work with children with ASD, with informative research on pediatric sleep problems, sleep measures, and options for behavioral sleep treatment.

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Bedtime Problems and Night Wakings in Young Children: An Update of the Evidence

Cited by 39 publications

References 47 publications

Practitioner Review: Treatment of chronic insomnia in children and adolescents with neurodevelopmental disabilities

Practitioner Review: Treatment of chronic insomnia in children and adolescents with neurodevelopmental disabilities

Behavioural sleep interventions in infants: Plan B – Combining models of responsiveness to increase parental choice

Recommendations for Identifying Sleep Problems and Treatment Resources for Children with Autism Spectrum Disorder

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