Inadequate supervision and control by parents, nighttime fear, separation anxiety, childhood behavioral insomnia in children of pre-school age.
Conditions
Interventions
Treatment group: The 30 mothers of children aged 4 to 6 years with nighttime fears will be individually oriented to read over a period of four weeks the story "Sleeping with Rafi" (psychoeducational m
Behavioural
F04.754.137
Sponsors
Instituto de Psicologia da Universidade de São Paulo
Renatha El Rafihi Ferreira
Eligibility
Age
4 Years to 6 Years
Inclusion criteria
Inclusion criteria: Children aged four to six years; both genders; Who present intense nighttime fears accompanied by avoiding sleep behavior alone or meeting criteria for the diagnosis of separation anxiety disorder or specific phobia of sleeping alone / dark based on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V, 2013), or for separation anxiety by the Preschool Anxiety Scale (PAS), or clinic for anxiety subscale by the Children Behavior Checklist (CBCL-1½ and 5 years).Children who have one or more behavioral problems related to sleep, as follows. Reluctance or inability to go to bed without arguing, crying, complaining, or otherwise delaying bedtime; Reluctance or inability to fall asleep alone without being close to an attachment figure; Reluctance or inability to sleep all night in your own bed without calling your parents or going to bed at night; The problem has occurred for at least six months with an adverse impact on the child and the family, requiring parental intervention for at least two nights a week to comfort the child, impairing the quality of sleep; Availability of at least one parent participating in the intervention program.
Exclusion criteria
Exclusion criteria: Children with neurological impairment, psychotic symptoms or concomitant treatment for nighttime fears; Parents who are not literate or unable to read.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increased number of nights of the child sleeping alone in his own bed, verified through the Sleep and Behavior Log, from the finding of the level of significance of 0.05 for pre and post-treatment comparisons and in comparison to the group control.;There was a significant and progressive increase in the number of nights per week in which children in the intervention group slept alone (Wald x2 1210.323; df 18; p= 0.000). Children in the control group, on the other hand, remained stable , still co-sleeping difficulties | — |
Secondary
| Measure | Time frame |
|---|---|
| Improvement in children's behavioral problem assessed by the reduction in the scores of the Child Behavior Checklist (CBCL), based on a significance level of 0.05 for pre and post-treatment comparisons and in comparison with the control group. Improvement in infant anxiety verified by reduction in the scores of the Preschool Anxiety Scale (PAS), based on a significance level of 0.05 for pre and post-treatment comparisons and in comparison with the control group.;There was improvements in anxiety level and daytime behaviors following treatment. The variables Anxiety CBCL (Wald x2 238.6 ;df 6; p value <0.001); Total PAS (Wald x2 120.3; df 6; p value <0.001); Separation Anxiety PAS (Wald x2 149.6 ; df 6; p value <0.001); Total CBCL (Wald x2 131.9; df 6; p value <0.001); Internalizing (Wald x2 104.5; df 6; p value <0.001); and Externalizing CBCL (Waldx2 73.9; df 6; valor p<0,001) revealed an interaction between the time points. The comparison of the pairs showed a difference between the pre-treatment time point and the other time points in the intervention group, but no differences were observed between the different time points in the control group. | — |
Countries
Brazil
Contacts
Public ContactRenatha Rafihi-Ferreira
Instituto de Psicologia da Universidade de São Paulo
Outcome results
None listed