{"id":16866,"date":"2019-06-19T23:38:23","date_gmt":"2019-06-19T23:38:23","guid":{"rendered":"https:\/\/www.lifeandnews.com\/articles\/?p=16866"},"modified":"2019-06-20T01:39:02","modified_gmt":"2019-06-20T01:39:02","slug":"sleep-training-for-your-kids-why-and-how-it-works","status":"publish","type":"post","link":"https:\/\/www.lifeandnews.com\/articles\/sleep-training-for-your-kids-why-and-how-it-works\/","title":{"rendered":"Sleep training for your kids: Why and how it works"},"content":{"rendered":"

Ryan Anderson<\/a>, University of Pittsburgh<\/a><\/em> and Hannah Ford<\/a>, University of Pittsburgh<\/a><\/em><\/p>\n

For thousands of years, mothers have sung lullabies<\/a> to help their babies and children fall asleep. In more recent times, gadgets and devices have been invented and marketed to help the tired child \u2013 and weary parent.<\/p>\n

One of these devices has been linked in recent years to the tragic deaths of 32 babies. Fisher Price recently recalled<\/a> its Rock \u2018n Play Sleeper after the deaths.<\/p>\n

The popularity of the device and others shows the widespread desire for help getting babies and children to sleep. Consider that nearly 30% of young children experience sleep problems<\/a> that warrant clinical attention.<\/p>\n

As behavioral sleep medicine specialists, we completed postdoctoral training in assessment and treatment of behavioral sleep problems in children and teens. Our knowledge of pediatric sleep research suggests children won\u2019t outgrow sleep problems, and sleep problems may even worsen over time<\/a>. Yet children with sleep problems are not destined to be sleep deprived forever. There are sleep training methods for babies and young children that can work.<\/p>\n

Sleep, my child \u2026 so I can, too<\/h2>\n
\"\"
A mother rocks her baby to sleep.<\/span>
\nFamVeld\/Shutterstock.com<\/a><\/span><\/figcaption><\/figure>\n

We sleep doctors have seen that sleep problems correlate with a host of daytime problems, such as overactivity and attentional impairments<\/a>, poor school performance,<\/a> and excessive moodiness and irritability<\/a>. As many as 20% of adults experience persistent insomnia<\/a>, and many can trace their sleep problems to childhood.<\/p>\n

The most common sleep problems in young children are difficulties falling asleep at bedtime, disruptive nighttime awakenings, or needing special conditions to fall asleep, such as the presence of a parent. These problems, in turn, are likely to cause parental stress and next-day impairments for the entire family<\/a>.<\/p>\n

People often equate sleep with \u201ctiredness\u201d and \u201cfatigue.\u201d In fact, sleep is its own process<\/a>. It is an interaction of sleep-promoting brain chemicals and consistent daily rhythms of wake and sleep produced by bright light exposure in the morning. The bright light signals suppression of the sleep-promoting hormone melatonin.<\/p>\n

Darkness, on the other hand, signals the brain via direct connection from receptors in the eye: \u201cProduce melatonin; Go to sleep.\u201d At the end of the day, there is nothing parents can do safely to make their children sleep. But there are many things parents can do to teach their children the skills necessary for good sleep.<\/p>\n

Insomnia responds well to a number of behavioral treatment<\/a> interventions.<\/p>\n

From crying it out to teaching a skill<\/h2>\n
\"\"
Timed checks on a baby can be more effective than constantly watching him or her.<\/span>
\nElnur\/Shutterstock.com<\/a><\/span><\/figcaption><\/figure>\n

Many families have heard of the conventional \u201ccry it out\u201d approach \u2013 formally known as unmodified extinction<\/a>. Although research supports the effectiveness of this method with infants and young toddlers, it is our clinical experience that few parents find this approach bearable. Furthermore, \u201ccry it out\u201d is not intended for use with older toddlers or preschool-aged children.<\/p>\n

Instead, a method called graduated extinction<\/a> is the mainstay of current behavioral intervention for bedtime resistance and sleep association problems. There are several approaches, used from toddlerhood through middle childhood, consisting of techniques such as timed checks, or the \u201cwalking chair.\u201d<\/p>\n

In timed checks, parents enter and exit the bedroom on a strictly timed schedule. This breaks the connection between problem child behavior, such as crying and calling out, and parental response.<\/p>\n

The walking chair method<\/a> involves the parent moving further and further from the child\u2019s bed until outside the bedroom door and, eventually, back to the parent\u2019s own bed. Our clinical experience is that sometimes a combination of these methods is needed.<\/p>\n

Although these procedures emphasize the importance of limiting attention to problem behavior, they differ from unmodified extinction by providing attention for positive sleep behaviors, such as lying quietly in bed.<\/p>\n

Consider a child who has a longstanding history of needing parental presence to fall asleep. The child can be said to have a skill deficit of being unable to fall asleep on her own. Learning to fall asleep can be likened to learning to ride a bike, first with training wheels, then without, and then without the parent steadying the handlebar. Little by little, the parent takes away her hand, and the child learns balance and eventually pedals away on her own.<\/p>\n

With sleep training, the parent teaches the child to practice behaviors that are compatible with sleep, such as lying still and quiet in bed with their head on the pillow. When the parent enters the room every five minutes to say, \u201cGood job staying in bed and lying so still\u201d and offers a quick kiss and pat on the back, the child knows exactly what is pleasing to the parent. Once the child learns to lie quiet and still in bed, sleep physiology takes over.<\/p>\n

Healthy sleep now, healthy sleep in adulthood<\/h2>\n

Many parents may incorrectly believe that sleep training is damaging to the parent-child relationship or attachment<\/a> bond. In fact, we argue that healthy attachment bonds are formed by high rates of reinforcing parent-child interaction such as those used to teach behavior that is compatible with sleep.<\/p>\n

Sleep training at younger ages may protect against more serious sleep problems later in life. For instance, at the onset of puberty, most teens<\/a> experience a natural biological shift that causes them to prefer later bedtime and later wake time.<\/p>\n

For most, this preference does not subside until young adulthood<\/a>. If this natural shift in bedtime and wake time is paired with already problematic sleep habits learned in childhood, the results can be serious. Kids can get behind at school<\/a> because they fall asleep in class, or they may become truant. Furthermore, when teens attempt to self-correct problem sleep schedules, they often find themselves unable to fall asleep easily at an appropriate bedtime. Many end up spending excessive time awake in bed, placing them at risk for chronic insomnia<\/a> that could persist well into middle age.<\/p>\n

So, that conversation that you are thinking about having with your child\u2019s pediatrician: Have it. Your pediatrician also can help you decide when it might be time to seek specialty care with a behavioral sleep specialist<\/a> or sleep medicine physician<\/a>.<\/p>\n

If your child doesn\u2019t sleep, don\u2019t lose hope. Change is possible. You already have taught and will continue to teach your child many important lessons in life. With persistence, good information and willingness to try new things, healthy sleep habits and a good night\u2019s sleep are within reach.<\/p>\n

[ Deep knowledge, daily.<\/em> Sign up for The Conversation\u2019s newsletter<\/a>. ]\"The<\/p>\n

Ryan Anderson<\/a>, Researcher, Child Psychology, University of Pittsburgh<\/a><\/em> and Hannah Ford<\/a>, Researcher, pediatric sleep disorders, University of Pittsburgh<\/a><\/em><\/p>\n

This article is republished from The Conversation<\/a> under a Creative Commons license. Read the original article<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ryan Anderson, University of Pittsburgh and Hannah Ford, University of Pittsburgh For thousands of years, mothers have sung lullabies to help their babies and children fall asleep. In more recent times, gadgets and devices have been invented and marketed to help the tired child \u2013 and weary parent. One of these devices has been linked […]<\/p>\n","protected":false},"author":44,"featured_media":16861,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[42],"tags":[6532,3133,231,5598,4331,6533],"_links":{"self":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/16866"}],"collection":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/users\/44"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/comments?post=16866"}],"version-history":[{"count":3,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/16866\/revisions"}],"predecessor-version":[{"id":16870,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/posts\/16866\/revisions\/16870"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media\/16861"}],"wp:attachment":[{"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/media?parent=16866"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/categories?post=16866"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lifeandnews.com\/articles\/wp-json\/wp\/v2\/tags?post=16866"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}