Behavioral treatment of sleep dysfunction in patients with the Rett syndrome

Title

Behavioral treatment of sleep dysfunction in patients with the Rett syndrome

Creator

Piazza C C; Fisher W; Moser H

Publisher

Brain and Development

Date

1991

Subject

Child Preschool; Rett Syndrome/co [Complications]; Behavior Therapy; Sleep Disorders/th [Therapy]; Sleep Disorders/et [Etiology]; NET Files; human; child; female; Behavior Therapy; Child; Preschool; Female; Humans; Rett Syndrome/co [Complications]; Sleep Wake Disorders/et [Etiology]; Sleep Wake Disorders/th [Therapy]; sleep disturbance/disorders; Rett syndrome; psychological intervention; Fading procedure

Description

Aberrant sleep patterns are commonly experienced by girls with the Rett syndrome. In this investigation, the problematic sleep of three girls with the Rett syndrome was regulated using a bedtime fading procedure with response cost. The treatment involved systematically delaying the bedtime and utilized a response cost component, removing the child from bed for one hour, when the child did not experience short latency to sleep onset. Daytime sleep was interrupted, except during regularly scheduled naps. A fading procedure was then successfully utilized to advance the bedtimes. This treatment resulted in more regular sleep patterns for the girls by increasing appropriate nighttime sleep, reducing inappropriate daytime sleep and reducing problematic nighttime behaviors (e.g., night wakings). These preliminary findings are important because they suggest that the dysfunctional sleep patterns of girls with the Rett syndrome may be amenable to behavioral treatments.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation

Piazza C C; Fisher W; Moser H, “Behavioral treatment of sleep dysfunction in patients with the Rett syndrome,” Pediatric Palliative Care Library, accessed December 8, 2021, https://pedpalascnetlibrary.omeka.net/items/show/16785.

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