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A randomized controlled trial of an intervention for infants’ behavioral sleep problems
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Anxious Kids How children can turn their anxiety into resili Simplicity Parenting. Both lack of parental blinding and contamination of the control group could potentially have contributed to underestimating the effect size of the outcome. Some parents might prefer one-to-one rather than group formats to assist with problems. We did not compare intervention and control groups for sleep-onset difficulties in our study for several reasons. At baseline, parents were often rocking or feeding their infants to sleep.
Behavioural interventions for children’s sleep problems | Cerebral Palsy Alliance
Thus, the actigraphic mean for sleep onset latency at baseline was 0. Parents often reported settling their infants after they specified sleep onset on written diaries. In other words, infants were asleep when parents placed them in their cribs. Infants are unable to indicate when they try to initiate sleep so we suggest that the standard definition of sleep latency does not apply to this developmental group.
In large multinational studies, neither gender nor breastfeeding status has influenced night waking [ 47 , 48 ]. It has been breastfeeding to sleep that has been associated with sleep problems [ 48 ] and our intervention recommended that parents refrain from feeding infants to sleep. The availability of public health nurses trained in behavioral sleep interventions creates potential for nurses to offer interventions through contact with families attending group postnatal drop-ins. Future studies could incorporate video surveillance of infant sleep, a more valid way of identifying insomnias [ 51 ], indicators of self-soothing, and attachment measures to provide evidence about effects of interventions on infants.
Compared to parents in a control group, parents exposed to a CBGI experienced significantly improved perceptions of infant sleep, sleep cognitions, mood, sleep quality, and fatigue, but not number of wakes measured using actigraphy. Factors associated with fragmented sleep at night across early childhood. Arch Pediatr Adolesc Med. Parent perceptions of child sleep: a study of 10, Swedish children. Acta Paediatr. Early Hum Dev. Infant Child Dev.
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A model for predicting behavioral sleep problems in a random sample of Australian pre-schoolers. Improving infant sleep and maternal mental health: a cluster randomized trial. Arch Dis Child.
The relation between common sleep problems and emotional and behavioral problems among 2- and 3-year-olds in the context of known risk factors for psychopathology. J Sleep Res.
Short night-time sleep-duration and hyperactivity trajectories in early childhood. Postpartum depression symptoms and the combined load of paid and unpaid work: a longitudinal analysis. Int Arch Occup Environ Health. Adverse associations of infant and child sleep problems and parent health: an Australian population study. Severe sleep problems among infants: family and infant characteristics.
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Behav Sleep Med. Effects on parents of an intervention to resolve infant behavioural sleep problems. Pediatr Nurs. Tse L, Hall WA. Child Care Health Dev.
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Accessed 27 Mar American Academy of Sleep Medicine. International classification of sleep disorders, revised diagnostic and coding manual. Sleep Med Rev. Parenting and infant sleep. Infant sleep and parental sleep-related cognitions.
Behavioural interventions for children’s sleep problems
J Fam Psychol. Tikotzky L, Shaashua L. Infant sleep and early parental sleep-related cognitions predict sleep in pre-school children. Sleep Med. Hiscock H, Wake M. Randomized controlled trial of a behavioural sleep intervention to improve infant sleep and maternal mood. Br Med J. Sleep duration and body mass index in 0—7-year olds.
Outcomes of child sleep problems over the school-transition period: Australian population longitudinal study. Ambulatory Monitoring. Ardsley, NY: Ambulatory Monitoring; Monitoring A.
Use of actigraphy for assessment in pediatric sleep research. Actigraphy correctly predicts sleep behaviour in infants who are younger than 6 months when compared with polysomnograpy. Pediatr Res. Actigraphic home-monitoring sleep-disturbed and control infants and young children: a new method for pediatric assessment of sleep-wake patterns. Correlates of fatigue in older adults with rheumatoid arthritis. Nurs Res. Radloff LS. The CES-D: a self-report depression scale for research in the general population.
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Related Pediatric Sleep Problems: A Clinicians Guide to Behavioral Interventions
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