使用清醒时间衰退对自闭症患者睡眠问题的行为治疗:简要报告。

IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY Developmental Neurorehabilitation Pub Date : 2023-02-01 DOI:10.1080/17518423.2022.2152119
Nicole L Hausman, John M Falligant, Molly K Bednar, Ashley N Carver, Kaitlyn Connaughton
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引用次数: 0

摘要

睡眠困难,如延迟发作、夜醒和早醒,在发育障碍和自闭症患者中普遍存在。当这些人经历了长期的住院治疗,低活动水平和减少的光-暗周期暴露维持或增加了睡眠模式的干扰时,寻求改善睡眠结果的干预措施尤其有用。目前的研究考察了醒时阶段对一名16岁的男性和一名17岁的女性睡眠模式的影响,这两名男性和17岁的女性在医院里都表现出严重的睡眠障碍、自闭症、发育迟缓和严重的问题行为。对于这两个人来说,在他们入院的整个过程中,由于清醒时间阶段的进展,观察到适当睡眠的临床显着增加和睡眠潜伏期的减少。总之,这些结果通过使用行为干预来减少住院患者睡眠中断,复制并扩展了该领域有限的研究。
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Behavioral Treatment of Sleep Problems using Wake-Time Fading with Individuals with Autism: A Brief Report.

Difficulties with sleep, such as delayed onset, night waking, and early waking, are pervasive among individuals with developmental disabilities and autism. Interventions that seek to improve sleep outcomes are particularly useful when these individuals have experienced extended hospitalizations where low activity levels and decreased exposure to light-dark cycles maintain or increase disturbance in sleep patterns. The current study examines the effects of wake-time phase advances on the sleep patterns of a 16-year-old male and 17-year-old female, both of whom presented with significant sleep disturbance, autism, developmental delays, and severe problem behavior in a hospital-based setting. For both individuals, clinically significant increases in appropriate sleep and decreases in latency to sleep were observed throughout the course of their admission as a result of wake-time phase advances. Together, these results replicate and extend limited research in this area by using behavioral interventions to decrease disrupted sleep in inpatient contexts.

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来源期刊
Developmental Neurorehabilitation
Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS
CiteScore
3.10
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.
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