Treatment FAQ

extinction is the treatment of choice for infant sleep problems when

by Nathanial Will Published 3 years ago Updated 2 years ago

Extinction interventions are so named because they use behavior theory's principle of extinction to eliminate a previously reinforced behavioral response. 12 In child sleep problems, the parent's attention is considered the reinforcer of the child's crying and protesting behavior at nighttime. 13 Thus, extinction interventions aim to improve sleep by removing parent attention to the child during sleep times to eliminate their nighttime crying. 14 It is believed this creates conditions for the child to learn to self-settle.

For example, many professionals agree that extinction interventions should not be used with infants under 6 months of age,3,54 and some argue even older, around 8–12 months, to allow for natural developmental changes in sleep patterns and learning abilities.

Full Answer

What is extinction therapy for sleep apnea in children?

The aims of the treatment are in line with the goals of extinction: to increase appropriate behaviors and positive associations with sleep and to decrease arousal by helping the child to develop self-soothing skills and fall asleep independently.11

What is the treatment for insomnia in children?

• Diagnosing insomnia using the child’s sleep history, a sleep diary/log, and sleep questionnaires is important. • Behavioral intervention, the main treatment, involves creating positive associations with sleep, establishing a consistent sleep schedule and bedtime routines, and the development of self-soothing skills.

What is behavioural treatment for sleep apnea in children?

Behavioral treatments for young children result in significant improvements in sleep-onset latency and night waking without later causing emotional problems or negatively affecting the parent-child relationship. Parent education about a child’s sleep and sleep hygiene is essential for treatment.

Which countries have the most sleep problems among children?

Children from predominantly Asian (P-A) countries (China, Hong Kong, India, Japan, Korea, Malaysia, Philippines, Singapore, Thailand) had significantly increased parental perception of sleep problems than those from predominantly Caucasian (P-C) countries (Australia-New Zealand, Canada, United Kingdom, United States) (Table 2) [18]. Table 2.

What is extinction in baby sleep?

Cry it out (also known as CIO or extinction) is a method of sleep training. In short, a child is put into their sleep space while they're still awake and then left to fall asleep on their own.

What age is sleep training for extinction?

Then, when baby is 4 months old, Weissbluth recommends doing what's called “full extinction,” which means allowing them to cry until they stop/fall asleep without parent interaction/checks.

What is an extinction burst sleep training?

The “Extinction Burst” This is a behavioral term describing that an undesirable behavior worsens before it improves when you are trying to get rid of it. This is especially common with “cry it out” sleep training.

Does extinction sleep training work?

The infants who were sleep trained with graduated extinction fell asleep 13 minutes faster and woke up less often than they did the week before the study began. Infants in the bedtime fading group also fell asleep 10 minutes earlier than they had, but they didn't wake up any less often.

What is extinction of a behavior?

In psychology, extinction refers to the gradual weakening of a conditioned response that results in the behavior decreasing or disappearing. In other words, the conditioned behavior eventually stops.

What is gradual extinction?

Considered a little gentler than full-blown "cry-it-out," graduated extinction calls for parents to ignore their child's cries for two minutes, gradually increasing the response time for up to six minutes in the first night, according to Forbes.

What is an extinction burst describe an example?

What is an example of an extinction burst? When one puts money in a vending machine, he then pushes the buttons indicating his selection. If nothing comes out of the machine, it is likely that he will push the buttons again and again. This increase in pushing the buttons can be defined as an extinction burst.

How long does extinction method take to work?

How Long Does It Take to Work? Extinction tends to work the quickest of all methods, *if* the child's daytime routine is on track with well timed naps and an early bedtime (I'm not sure if I mentioned that yet. 😉 ). Often in as little as 4 nights, parents can see changes.

How long does full extinction sleep training?

The true CIO is the extinction method. This teaches that you put your child in their bed, walk out of the room, close the door, and don't come back for 12 hours. When used, it can take one or two nights to see progress.

Can you do CIO at 4 months?

DON'T try cry it out sleep training too young. You should always use gentle methods to help your baby learn to sleep well during the newborn stage, and even at 4 months – 6 months, you will likely want to go for gentler approaches.

Can you sleep train at 4 months?

Experts recommend beginning sleep training when babies are 4 to 6 months old. This age range is the sweet spot, since babies are old enough to physically make it for six to eight hours overnight without needing to eat but aren't quite at the point where the comforting you provide has become a sleep association.

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