Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/s41155-019-0118-3 http://hdl.handle.net/11449/184365 |
Resumo: | Background: Sleep problems are common in children and can have an effect on behavioral and emotional functioning. Despite the importance of sleep for children's health, there is a lack of studies on this topic in Brazil. The aim of this study was to evaluate the efficacy of behavioral intervention for sleep problems in young children and to investigate the effects on their daytime behavior. Methods: Sixty-two children (ages 1-5; M = 2.3, SD = 1.3) with bedtime problems and night waking were randomized to a parent-based intervention or a wait list control group. After the waiting period, the wait list participants were offered treatment. The intervention was composed of five sessions over 2 months, during which the parents were educated on their child's sleep and received guidance on the establishment of sleeping schedules and routines and on the use of extinction and positive reinforcement techniques. Sleep patterns and behavior problems were assessed with parent-report measures. Sleep patterns were also assessed with actigraphy. Assessments were completed at pre-intervention, post-intervention, 1-month follow-up, and 6-month follow-up. Results: Children who received intervention showed greater baseline to post-treatment improvements in sleep latency, night waking, behavior such as resisting going to bed, the desire to sleep with their parents, and daytime behavior than the control group. These improvements were maintained at follow-up. Conclusions: We concluded that behavioral parent-based intervention is effective in improving the quality of sleep and the diurnal behavior of children. This study provides initial support for use of this protocol in psychology clinics/schools. Brazilian clinical trials registration, RBR-4kxxd5. Retrospectively registered on December 13, 2016. |
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Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trialBehavioral interventionSleep problemsBehaviorChildrenSleepBackground: Sleep problems are common in children and can have an effect on behavioral and emotional functioning. Despite the importance of sleep for children's health, there is a lack of studies on this topic in Brazil. The aim of this study was to evaluate the efficacy of behavioral intervention for sleep problems in young children and to investigate the effects on their daytime behavior. Methods: Sixty-two children (ages 1-5; M = 2.3, SD = 1.3) with bedtime problems and night waking were randomized to a parent-based intervention or a wait list control group. After the waiting period, the wait list participants were offered treatment. The intervention was composed of five sessions over 2 months, during which the parents were educated on their child's sleep and received guidance on the establishment of sleeping schedules and routines and on the use of extinction and positive reinforcement techniques. Sleep patterns and behavior problems were assessed with parent-report measures. Sleep patterns were also assessed with actigraphy. Assessments were completed at pre-intervention, post-intervention, 1-month follow-up, and 6-month follow-up. Results: Children who received intervention showed greater baseline to post-treatment improvements in sleep latency, night waking, behavior such as resisting going to bed, the desire to sleep with their parents, and daytime behavior than the control group. These improvements were maintained at follow-up. Conclusions: We concluded that behavioral parent-based intervention is effective in improving the quality of sleep and the diurnal behavior of children. This study provides initial support for use of this protocol in psychology clinics/schools. Brazilian clinical trials registration, RBR-4kxxd5. Retrospectively registered on December 13, 2016.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Univ Sao Paulo, Ave Prof Mello Moraes 1721, BR-05508030 Sao Paulo, SP, BrazilUniv Estadual Paulista, Fac Ciencias & Letras Assis, Ave Dom Antonio 2100,Parque Univ, BR-19806900 Assis, SP, BrazilUniv Estadual Paulista, Fac Ciencias & Letras Assis, Ave Dom Antonio 2100,Parque Univ, BR-19806900 Assis, SP, BrazilFAPESP: 2012/14023-0SpringerUniversidade de São Paulo (USP)Universidade Estadual Paulista (Unesp)El Rafihi-Ferreira, RenathaNogueira Pires, Maria Laura [UNESP]Mattos Silvares, Edwiges Ferreira de2019-10-04T11:57:07Z2019-10-04T11:57:07Z2019-01-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article13application/pdfhttp://dx.doi.org/10.1186/s41155-019-0118-3Psicologia-reflexao E Critica. Cham: Springer International Publishing Ag, v. 32, 13 p., 2019.0102-7972http://hdl.handle.net/11449/18436510.1186/s41155-019-0118-3S0102-79722019000106102WOS:000459280800001S0102-79722019000106102.pdfWeb of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPsicologia-reflexao E Criticainfo:eu-repo/semantics/openAccess2023-10-02T06:07:55Zoai:repositorio.unesp.br:11449/184365Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-02T06:07:55Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
title |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
spellingShingle |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial El Rafihi-Ferreira, Renatha Behavioral intervention Sleep problems Behavior Children Sleep |
title_short |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
title_full |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
title_fullStr |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
title_full_unstemmed |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
title_sort |
Behavioral intervention for sleep problems in childhood: a Brazilian randomized controlled trial |
author |
El Rafihi-Ferreira, Renatha |
author_facet |
El Rafihi-Ferreira, Renatha Nogueira Pires, Maria Laura [UNESP] Mattos Silvares, Edwiges Ferreira de |
author_role |
author |
author2 |
Nogueira Pires, Maria Laura [UNESP] Mattos Silvares, Edwiges Ferreira de |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
El Rafihi-Ferreira, Renatha Nogueira Pires, Maria Laura [UNESP] Mattos Silvares, Edwiges Ferreira de |
dc.subject.por.fl_str_mv |
Behavioral intervention Sleep problems Behavior Children Sleep |
topic |
Behavioral intervention Sleep problems Behavior Children Sleep |
description |
Background: Sleep problems are common in children and can have an effect on behavioral and emotional functioning. Despite the importance of sleep for children's health, there is a lack of studies on this topic in Brazil. The aim of this study was to evaluate the efficacy of behavioral intervention for sleep problems in young children and to investigate the effects on their daytime behavior. Methods: Sixty-two children (ages 1-5; M = 2.3, SD = 1.3) with bedtime problems and night waking were randomized to a parent-based intervention or a wait list control group. After the waiting period, the wait list participants were offered treatment. The intervention was composed of five sessions over 2 months, during which the parents were educated on their child's sleep and received guidance on the establishment of sleeping schedules and routines and on the use of extinction and positive reinforcement techniques. Sleep patterns and behavior problems were assessed with parent-report measures. Sleep patterns were also assessed with actigraphy. Assessments were completed at pre-intervention, post-intervention, 1-month follow-up, and 6-month follow-up. Results: Children who received intervention showed greater baseline to post-treatment improvements in sleep latency, night waking, behavior such as resisting going to bed, the desire to sleep with their parents, and daytime behavior than the control group. These improvements were maintained at follow-up. Conclusions: We concluded that behavioral parent-based intervention is effective in improving the quality of sleep and the diurnal behavior of children. This study provides initial support for use of this protocol in psychology clinics/schools. Brazilian clinical trials registration, RBR-4kxxd5. Retrospectively registered on December 13, 2016. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-10-04T11:57:07Z 2019-10-04T11:57:07Z 2019-01-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/s41155-019-0118-3 Psicologia-reflexao E Critica. Cham: Springer International Publishing Ag, v. 32, 13 p., 2019. 0102-7972 http://hdl.handle.net/11449/184365 10.1186/s41155-019-0118-3 S0102-79722019000106102 WOS:000459280800001 S0102-79722019000106102.pdf |
url |
http://dx.doi.org/10.1186/s41155-019-0118-3 http://hdl.handle.net/11449/184365 |
identifier_str_mv |
Psicologia-reflexao E Critica. Cham: Springer International Publishing Ag, v. 32, 13 p., 2019. 0102-7972 10.1186/s41155-019-0118-3 S0102-79722019000106102 WOS:000459280800001 S0102-79722019000106102.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Psicologia-reflexao E Critica |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
13 application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1799964407645601792 |