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Treating bed time resistance with the bed time pass: a systematic replication and component analysis with 3-year-olds
1Child Development and Rehabilitation Center, Oregon Health & Science University, P.O. Box 574, Portland 97207, USA. freemaku@ohsu.edu
Journal of Applied Behavior Analysis
|January 24, 2007
Summary
Bedtime resistance in children was effectively treated using a bedtime pass system combined with extinction. This approach eliminated resistance without causing extinction bursts, offering a novel behavioral intervention for parents.
Area of Science:
- Pediatric Psychology
- Behavioral Analysis
- Child Sleep Behavior
Background:
- Bedtime resistance is a prevalent issue for young children and their families.
- Existing behavioral interventions for sleep problems sometimes yield extinction bursts.
Purpose of the Study:
- To evaluate the efficacy of a combined bedtime pass and extinction intervention for pediatric bedtime resistance.
- To determine if this combined approach prevents extinction bursts.
Main Methods:
- The study involved 4 children aged 3 years exhibiting bedtime resistance.
- Treatment utilized a bedtime pass system coupled with extinction procedures.
- A component analysis was performed on one participant.
Main Results:
- The combined intervention successfully eliminated bedtime resistance in all 4 children.
- No extinction bursts were observed during the treatment.
- Component analysis indicated the combined intervention yielded the best results.
Conclusions:
- The bedtime pass plus extinction is an effective treatment for pediatric bedtime resistance.
- This behavioral intervention offers a viable alternative to extinction alone, avoiding common side effects.
- Findings support the application of behavior analysis in pediatric care and clinical psychology.
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