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| Author(s): |
Renatha El Rafihi Ferreira
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Instituto de Psicologia (IP/SBD) |
| Defense date: | 2015-05-14 |
| Examining board members: |
Edwiges Ferreira de Mattos Silvares;
Francisco Baptista Assumpcao Junior;
Maria Cristina de Oliveira Santos Miyazaki;
Marina Monzani da Rocha;
Maria Cristina Triguero Veloz Teixeira
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| Advisor: | Edwiges Ferreira de Mattos Silvares; Maria Laura Nogueira Pires |
| Abstract | |
Problems when they sleep and frequent awakenings are common in children. They affect approximately 20 % to 30 % of the child population. These problems, classified as behavioral childhood insomnia, can affect behavioral, emotional and educational aspects of the child, in addition to affecting sleep, mood and daytime functionality of their caregivers. Despite the importance of sleep for and on children\'s health, there is a lack of studies on this topic on the national scene. The present study aimed to evaluate the efficacy of a behavioral intervention for childhood insomnia through a program aimed at parents. Sixty-two parents of children 1-5 years of age who have behavioral problems related to sleep participated order. Participants were randomized into eight block for the intervention and control group. The intervention program consisted of five sessions in which parents received training on child sleep, guidelines on establishing schedules and bedtime routines and how the use of techniques (extinction and positive reinforcement) to improve the time to sleep and reduced nighttime awakenings. Participants were evaluated in four stages pre-intervention, post-intervention, follow- up at one and six month intervals through the instruments Escala UNESP de Hábitos e Higiene do Sono Versão Crianças, Escala de Distúrbios do Sono para Crianças e Adolescentes, Child Behavior Checklist 1½ to 5 years (CBCL), Adult Self Report (ASR), sleep and behavior diaries and actigraphy. The results of this study demonstrated that post intervention, there are improvement (p<0.05) of sleep variables, such as bedtime schedule, sleep latency, awakenings, time sleep total, and in behaviors at bedtime, like co-sleeping and resistance to go to bed, in children, evaluated by subjective measures and improvement in latency to sleep in children and latency, efficiency and awakenings of their mothers for actigraphy. Besides the improvement in sleep quality, we also noted a detectable improvement at behavior problems externalizing, internalizing and total behavior problems of children evaluated by CBCL and smaller number of mothers with clinical scores by ASR. Behavioral interventions for insomnia to childhood, through parental guidance, is effective in improving the quality of sleep and daytime behavior in children and brings benefits to sleep and behavior in our female caregivers. These results indicate the need to dissemination this knowledge in Brazil from the opportunity to apply this protocol in schools of clinical psychology (AU) | |
| FAPESP's process: | 12/14023-0 - Behavioral Intervention for Sleep Problems in Childhood |
| Grantee: | Renatha El Rafihi Ferreira |
| Support Opportunities: | Scholarships in Brazil - Doctorate |