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Published on: October 2, 2019
Bedtime problems and night wakings in children
Melisa Moore1, Lisa J Meltzer, Jodi A Mindell
1CHOP Sleep Center, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, USA. jmindell@sju.edu
Insights
Behavioral interventions effectively treat common childhood sleep problems like bedtime resistance and night wakings. These methods improve sleep for children and enhance family well-being and daytime functioning.
Area of Science:
- Pediatrics
- Sleep Medicine
- Child Psychology
Background:
- Bedtime problems and night wakings are prevalent in children.
- Behavioral interventions are empirically supported for treating these sleep issues.
Purpose of the Study:
- To review the presentation of childhood sleep problems.
- To discuss empirically validated behavioral interventions.
- To explore treatment challenges in diverse child populations.
Main Methods:
- Review of existing literature on behavioral interventions for pediatric sleep problems.
- Analysis of treatment efficacy and challenges.
- Inclusion of data on typically developing and special needs populations.
Main Results:
- Behavioral interventions such as extinction, graduated extinction, positive routines, and parental education are effective.
- Most children show significant improvement in sleep with these interventions.
- Benefits extend to improved family sleep and daytime functioning.
Conclusions:
- Behavioral interventions are the gold standard for addressing common childhood sleep disturbances.
- Successful treatment leads to improved child sleep and overall family well-being.
- Understanding challenges is crucial for effective implementation across different populations.
Abstract:
Bedtime problems and night wakings in children are extremely common, and the treatment literature demonstrates strong empirical support for behavioral interventions. Empirically validated interventions for bedtime problems and night wakings include extinction, graduated extinction, positive routines, and parental education. Most children respond to behavioral interventions, resulting not only in better sleep for the child, but also better sleep and improved daytime functioning for the entire family. This article reviews the presentation of bedtime problems and night wakings, empirically validated interventions, and challenges to treatment in both typically developing and special populations of children.
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