Multicomponent treatment for child insomnia and its effects on patterns, habits and sleeping routines

Authors

DOI:

https://doi.org/10.15448/1980-8623.2020.4.34034

Keywords:

sleep, children, bedtime routine, behavioral intervention

Abstract

Sleep problems are common in childhood and are associated with behavioral problems. The aim of this study was to evaluate the effect of a multicomponent treatment for childhood insomnia on children’s patterns, routine and sleep habits. 57 children with behavioral problems related to sleep and their mothers participated. The mothers were educated on their child’s sleep, received guidance on the establishment of sleeping schedules and routines and on the use of extinction and positive reinforcement techniques. The data were evaluated before and after the intervention by sleep diaries and by the Escala UNESP de Hábitos e Higiene do Sono – Versão Crianças. Our results showed that children with sleep problems mostly present inadequate habits and routines before bedtime and that an intervention that focused on changing these habits, added to extinction strategies for inappropriate behaviors and positive reinforcement for adequate behaviors at bedtime may have contributed to improved sleep. It is hoped that this work can stimulate the production of national research on the subject, serving as an incentive for the development of preventive and interventional measures for childhood sleep problems. 

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Author Biographies

Renatha El Rafihi-Ferreira, Universidade de São Paulo (USP), São Paulo, SP, Brasil

Doutora em Psicologia Clínica pela Universidade de São Paulo (USP), em São Paulo, SP, Brasil; pesquisadora colaboradora no Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina de São Paulo (IPq-HCFMUSP), em São Paulo, SP, Brasil. Bolsista FAPESP (2019/25537-3).

Maria Laura Nogueira Pires, Universidade Estadual Paulista (UNESP), São Paulo, SP, Brasil.

Doutora em Ciências pela Universidade Federal de São Paulo (UNIFESP), em São Paulo, SP, Brasil; professora universitária aposentada da Universidade Estadual Paulista “Julio de Mesquita Filho” (UNESP), em Assis, SP, Brasil.

Edwiges Ferreira de Mattos Silvares, Universidade de São Paulo (USP), São Paulo, SP, Brasil.

Doutora Livre Docente em Psicologia pela Universidade de São Paulo (USP), em São Paulo, SP, Brasil; professora universitária aposentada da Universidade de São Paulo (USP), em São Paulo, SP, Brasil.

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Published

2020-12-31

How to Cite

Rafihi-Ferreira, R. E., Pires, M. L. N., & Silvares, E. F. de M. (2020). Multicomponent treatment for child insomnia and its effects on patterns, habits and sleeping routines. Psico, 51(4), e34034. https://doi.org/10.15448/1980-8623.2020.4.34034

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