Treatment of Infant Sleep Disturbance by Trimeprazine in Combination with Extinction
作者:
KARYN FRANCE,
NEVILLE BLAMPIED,
PETER WILKINSON,
期刊:
Journal of Developmental & Behavioral Pediatrics
(OVID Available online 1991)
卷期:
Volume 12,
issue 5
页码: 308-314
ISSN:0196-206X
年代: 1991
出版商: OVID
数据来源: OVID
摘要:
Chronic sleep disturbance is a common problem in preschool children. Prescription and non-prescription sedatives provide short-term palliative relief. Behavioral extinction by withdrawal of parental attention is enduringly effective but may be distressing short-term because of postextinction bursts of intense activity by the child. This study evaluated the effects of combining extinction and sedative medication (trimeprazine tartrate), prescribed in a reducing dose over the first 10 days of extinction. Control groups received either extinction alone or a placebo administered double-blind. After baseline, all subjects reduced their sleep disturbance to low levels, the extinction and placebo groups declining slowly, the medication group abruptly. These gains were maintained at follow-up. Measures of infant security and maternal anxiety showed improvements with treatment.
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