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REVIEW ARTICLE: Behavioural and cognitive-behavioural interventions for sleep disorders in infants and children: A
Laurence J Owens1, Karyn G France, Luci Wiggs
1Education Department, University of Canterbury, Christchurch, Aotearoa/New Zealand
Insights
Behavioral and cognitive-behavioral interventions show short-term effectiveness for infant and child sleep disturbances, including dyssomnias and parasomnias. Further research is needed to fully understand their long-term impact and efficacy.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Behavioral Therapy
Background:
- Sleep disturbances are common in infants and children, affecting development and family well-being.
- Dyssomnias (e.g., difficulty sleeping) and parasomnias (e.g., sleepwalking) are prevalent pediatric sleep issues.
- Existing literature on treatment efficacy requires synthesis and critical evaluation.
Purpose of the Study:
- To review the literature on behavioral and cognitive-behavioral treatments for sleep problems in children.
- To examine interventions for dyssomnias and parasomnias across different age groups (infants to school-age).
- To assess the effectiveness of interventions targeting infant sleep patterns for prevention.
Main Methods:
- Systematic review of controlled experimental studies.
- Inclusion of case studies and clinical reports for comprehensive analysis.
- Focus on behavioral and cognitive-behavioral treatment modalities.
Main Results:
- Behavioral and cognitive-behavioral interventions demonstrate short-term effectiveness for certain infant and child sleep problems.
- Positive outcomes are observed for families actively engaged in these therapeutic approaches.
- Efficacy varies depending on the specific sleep disorder and age group.
Conclusions:
- Behavioral and cognitive-behavioral therapies offer a viable treatment option for pediatric sleep disturbances.
- Current research provides preliminary evidence of effectiveness, particularly in the short term.
- Further rigorous research is recommended to establish long-term efficacy and optimize treatment strategies.
Abstract:
This review covers the literature on behavioural and cognitive-behavioural treatments for sleep disturbance in infants, pre-school, and school-age children. Treatment areas are dyssomnias (disorders of initiating, maintaining, or excessive sleep) and parasomnias (behaviours which occur predominantly during sleep). Interventions aimed at preventing sleep disorder through targeting infant sleep patterns are also examined. Controlled experimental studies are the main focus of this review but case studies and clinical reports are also included. It is concluded that, for families willing to undertake behavioural and cognitive-behavioural interventions, some treatments appear effective for some infant and child sleep problems, in the short term at least. The adequacy of current research is discussed, and suggestions for future research are given.
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