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Behavioral treatment of multiple childhood sleep disorders. Effects on child and family
1Department of Psychology, State University of New York, Albany 12222.
Insights
Graduated extinction effectively treated chronic night waking in a young child. Improved child sleep led to better parental mental health and marital satisfaction, enhancing overall family well-being.
Area of Science:
- Pediatrics
- Developmental Psychology
- Family Studies
Background:
- Sleep disorders are common in healthy young children, significantly impacting family dynamics.
- Chronic night waking and nighttime disturbances present challenges for both children and parents.
- Behavioral interventions are crucial for addressing pediatric sleep issues.
Observation:
- A 14-month-old girl experienced chronic night waking and nighttime disturbances.
- A multiple baseline design was used to implement and assess the treatment.
- The intervention focused on graduated extinction, a method of gradually delaying responses to crying.
Findings:
- Graduated extinction rapidly reduced the child's night waking and nighttime disturbances.
- Parental depression scores showed general improvement following the intervention.
- Marital satisfaction levels also improved in correlation with the child's improved sleep.
Implications:
- Graduated extinction is an effective treatment for childhood sleep disorders.
- Addressing pediatric sleep problems can positively influence parental mental health.
- Improved child sleep patterns contribute to enhanced overall family satisfaction and functioning.
Abstract:
Sleep disorders are highly prevalent among otherwise healthy young children and can be extremely disruptive to family life. Treatment was initiated in a multiple baseline fashion for the chronic night waking and nighttime disturbance exhibited by a 14-month-old girl. We found that "graduated extinction" (gradually increasing the time before attending to the child's crying) resulted in rapid reductions in these sleep disorders. Additionally, data on parental depression and marital satisfaction showed general improvement as a function of improved child sleep patterns. These results are discussed as they relate to the treatment of common childhood behavior disorders and their role in family satisfaction.
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