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Published on: October 2, 2019
The role of cognitive-behavioral therapy in behavioral childhood insomnia
1Department of Psychology, Ben Gurion University of the Negev, Israel.
Insights
Cognitive-behavioral therapy (CBT) effectively treats childhood behavioral insomnia in young children by modifying parental actions. However, research on CBT for older children remains limited, hindering understanding of its efficacy.
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Behavioral Therapy
Background:
- Behavioral insomnia is a prevalent childhood issue impacting children and families.
- Untreated insomnia can persist for years, necessitating effective interventions.
- Current interventions often focus on parental behavior modification and child self-soothing.
Purpose of the Study:
- To review the efficacy of cognitive-behavioral therapy (CBT) for childhood behavioral insomnia.
- To differentiate intervention strategies for young children versus older children and adolescents.
- To identify research gaps in the treatment of insomnia in older children.
Main Methods:
- Review of existing research on behavioral interventions for childhood insomnia.
- Analysis of CBT principles applied to different age groups.
- Examination of parental behavior training and child-focused techniques.
Main Results:
- Cognitive-behavioral therapy (CBT) is established as effective for behavioral insomnia in early childhood.
- Interventions for younger children primarily involve parental training and behavior modification.
- Interventions for older children incorporate broader CBT techniques like relaxation and cognitive restructuring, but research is limited.
Conclusions:
- Behavioral interventions, particularly CBT, are effective for young children with insomnia.
- There is a significant need for more research into the efficacy of specific CBT techniques for older children and adolescents with insomnia.
Abstract:
Behavioral insomnia is a very common problem throughout childhood. It has negative impact on children and their families and can persist for many years if not treated. Interventions based on cognitive-behavioral therapy (CBT) principles have mainly focused on withdrawing excessive parental bedtime involvement and helping children develop self-soothing strategies for falling asleep and resuming sleep during the night. With young children, these interventions are mostly based on training and modifying parental behaviors. Changing parental sleep-related expectations, beliefs and perceptions is an important component in these interventions. With older children and adolescents, more versatile interventions exist and they include additional components of CBT including relaxation and stress reduction techniques, modifying cognitive processes related to worrying and anxiety, positive imagery training and others. Extensive research has established the efficacy of behavioral interventions in early childhood. However, research on interventions for older children has been very limited and has failed to provide sufficient information on the efficacy of specific CBT techniques for childhood insomnia.
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