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Helping Children Sleep Better V. Mark Durand, Ph.D. USF St. Petersburg.

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Presentation on theme: "Helping Children Sleep Better V. Mark Durand, Ph.D. USF St. Petersburg."— Presentation transcript:

1 Helping Children Sleep Better V. Mark Durand, Ph.D. USF St. Petersburg

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6 Developmental Issues  By 3 months - you can fade nighttime feedings  By 6 months - infants can sleep through the night

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8 Daily Schedules  You can “trick” the brain into a different time schedule by organizing daily activities –Meals –Dressing –Washing

9 Bright Light Therapy  Different devices  Brightness controversial

10 Melatonin  Can effect circadian rhythms and initiate sleep  Temporary effects  No long-term outcome studies

11 Assessing Sleep Problems  Polysomnographic (PSG) evaluation - includes assessment of airflow, leg movements, brain wave activity, eye movements, muscle movements, and heart activity  Multiple Sleep Latency Test (MSLT) - naps at 2 hour intervals

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14 The Good Sleep Habits Checklist  Establish a set bedtime routine  Develop a regular bedtime and a regular time to awaken  Eliminate caffeine 6 hours before bed  Limit alcohol  Try milk  Eat a balanced diet  Do not exercise at bedtime  Exercise earlier  Restrict activities in bed

15 The Good Sleep Habits Checklist  Reduce noise in the bedroom  Reduce light in the bedroom  Avoid extreme temperature changes in the bedroom

16 Medication for Sleep  Common medications –Benadryl - contains antihistamines which cause drowsiness –Clonidine - blood pressure medication - side effect is as a sleep aid  Not generally recommended for long-term use (more than 2-4 weeks)

17 Herbal Remedies  Valarian root and Hops  No outcome studies

18 Choosing Interventions

19 Selecting Sleep Interventions Questionnaire (SSIQ)  Designing the treatment plan to fit the needs of the family  Administered with child sleep assessments

20 Graduated Extinction  Gradually increase the time between visits to the child’s room.  Parents are still allowed to check on their child, but are not allowed to pick up their child.  They are asked to keep interactions to a minimum.

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23 Scheduled Awakening  The parent arouses and consoles the child minutes before a typical sleep interruption.  Upon elimination of the sleep problem, the scheduled awakenings are gradually reduced.

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25 Sleep Restriction  The new sleep time for the child should be approximately 90% of his/her previous average sleep time.  Adjust bedtime or time child is awakened to create new schedule.  For each successful week, adjust schedule by 15 minutes.

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29 Sleep Better!  Durand, V.M. (1998). Sleep better!: A guide to improving sleep for children with special needs. Baltimore, MD: Paul H. Brookes.  “How To” book written for families

30 Sleep Protocols  Durand, V.M. (2008). When children don't sleep well: Interventions for pediatric sleep disorders, Therapist guide. New York: Oxford University Press.  Durand, V.M. (2008). When children don't sleep well: Interventions for pediatric sleep disorders, Workbook. New York: Oxford University Press.

31 Additional Information  Durand, V.M. & Hieneman, M. (2008). Helping parents with challenging children: Positive family intervention, Facilitator’s guide. New York: Oxford University Press.  Durand, V.M. & Hieneman, M. (2008). Helping parents with challenging children: Positive family intervention, Workbook. New York: Oxford University Press.


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