Behavioral treatment of bedtime problems and night wakings in infants and young children

Jodi A. Mindell, Brett R Kuhn, Daniel S. Lewin, Lisa J. Meltzer, Avi Sadeh

Research output: Contribution to journalReview article

439 Citations (Scopus)

Abstract

This paper reviews the evidence regarding the efficacy of behavioral treatments for bedtime problems and night wakings in young children. It is based on a review of 52 treatment studies by a task force appointed by the American Academy of Sleep Medicine to develop practice parameters on behavioral treatments for the clinical management of bedtime problems and night wakings in young children. The findings indicate that behavioral therapies produce reliable and durable changes. Across all studies, 94% report that behavioral interventions were efficacious, with over 80% of children treated demonstrating clinically significant improvement that was maintained for 3 to 6 months. In particular, empirical evidence from controlled group studies utilizing Sackett criteria for evidence-based treatment provides strong support for unmodified extinction and preventive parent education. In addition, support is provided for graduated extinction, bedtime fading/positive routines, and scheduled awakenings. Additional research is needed to examine delivery methods of treatment, longer-term efficacy, and the role of pharmacological agents. Furthermore, pediatric sleep researchers are strongly encouraged to develop standardized diagnostic criteria and more objective measures, and to come to a consensus on critical outcome variables.

Original languageEnglish (US)
Pages (from-to)1263-1276
Number of pages14
JournalSleep
Volume29
Issue number10
StatePublished - Oct 1 2006

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Psychological Extinction
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Keywords

  • Bedtime problems
  • Behavioral insomnia of childhood
  • Behavioral treatment
  • Night wakings
  • Treatment

ASJC Scopus subject areas

  • Clinical Neurology
  • Physiology (medical)

Cite this

Mindell, J. A., Kuhn, B. R., Lewin, D. S., Meltzer, L. J., & Sadeh, A. (2006). Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep, 29(10), 1263-1276.

Behavioral treatment of bedtime problems and night wakings in infants and young children. / Mindell, Jodi A.; Kuhn, Brett R; Lewin, Daniel S.; Meltzer, Lisa J.; Sadeh, Avi.

In: Sleep, Vol. 29, No. 10, 01.10.2006, p. 1263-1276.

Research output: Contribution to journalReview article

Mindell, JA, Kuhn, BR, Lewin, DS, Meltzer, LJ & Sadeh, A 2006, 'Behavioral treatment of bedtime problems and night wakings in infants and young children', Sleep, vol. 29, no. 10, pp. 1263-1276.
Mindell JA, Kuhn BR, Lewin DS, Meltzer LJ, Sadeh A. Behavioral treatment of bedtime problems and night wakings in infants and young children. Sleep. 2006 Oct 1;29(10):1263-1276.
Mindell, Jodi A. ; Kuhn, Brett R ; Lewin, Daniel S. ; Meltzer, Lisa J. ; Sadeh, Avi. / Behavioral treatment of bedtime problems and night wakings in infants and young children. In: Sleep. 2006 ; Vol. 29, No. 10. pp. 1263-1276.
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