The Effects of a Consistent Sleep Schedule on Time Taken to Achieve Sleep

Finley, Christy L.; Cowley, Brian J.

doi:10.1177/1534650103259743

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Healthy adults on a more consistent sleep schedule have improved sleep quality [22,43], performance [22], and mood [23]. Among insomniacs, stabilizing the sleep period has also lead to improved sleep [44,45]. The current study also provides more information about the benefits of an earlier sleep period, a scarcely researched topic with contradicting evidence.…”

Section: Discussionmentioning

confidence: 95%

Timing and variability of postpartum sleep in relation to daytime performance

McBean

Montgomery‐Downs

2013

Physiology & Behavior

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Postpartum women have highly disturbed sleep, also known as sleep fragmentation. Fragmentation extends their total sleep period, also disrupting sleep timing. A stable and earlier sleep period among non-postpartum populations are related to better performance, physical health, and mental health. However, sleep timing has not been examined among postpartum women who are also vulnerable to daytime impairment. The study objective was to examine how the timing and regularity of sleep during the early postpartum period are related to daytime functioning across postpartum weeks 2-13. In this field-based study, 71 primiparous women wore an actigraph, a small wrist-worn device that monitors sleep and sleep timing, for the 12-week study period. Mothers self-administered a 5-minute psychomotor vigilance test (PVT) each morning to evaluate the number of >500ms response lapses. They also completed a Morningness-Eveningness scale at the beginning of the study to identify chronotype. After controlling for maternal age, earlier sleep timing was associated with significantly fewer PVT lapses at postpartum weeks 9,12; a more stable sleep midpoint was associated with significantly fewer PVT lapses at postpartum weeks 2,5-13. Earlier sleep midpoints were related to more stable sleep midpoints at postpartum week 2 and a morning-type chronotype. An earlier sleep midpoint was also associated with a reduced slope of worsening PVT lapses across weeks. Across the first 12 postpartum weeks, women with earlier or more stable sleep periods had less daytime impairment than women with later or more variable sleep midpoints. Postpartum women with earlier sleep midpoints also showed less severe decrements in performance across time, which has been attributed to cumulative impacts of sleep disturbance. These data suggest the sleep period, in addition to sleep duration and fragmentation, should be more closely examined, particularly among vulnerable women, as it may affect the neurobehavioral performance of new mothers.

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Section: Discussionmentioning

confidence: 95%

Timing and variability of postpartum sleep in relation to daytime performance

McBean

Montgomery‐Downs

2013

Physiology & Behavior

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“…Overall, there is certainly a high amount of research documenting the prevalence of sleep disturbance amongst typically and atypically developing children. Behavioral treatment approaches to address sleep disturbance have largely been successful too (Adams & Rickert, 1989; Brown & Piazza, 1999; Finley & Cowley, 2005; Jin et al, 2013; Lichtblau et al, 2018; Luiselli et al, 2020). However, these common behavioral treatment recommendations may be less effective for individuals who sleep at night but become fatigued during the day, like some individuals diagnosed with ABI.…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

The Effect of Napping on the Function of Problem Behavior for One Child With an Acquired Brain Injury

Romani

Schwien

Boydstun

et al. 2022

Clinical Case Studies

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Many children experience sleep disruption in the form of difficulties falling asleep, staying asleep, or getting back to sleep. Children with acquired brain injuries (ABI) sometimes experience an exacerbation of these symptoms. Thus, researchers and practitioners alike need to identify creative assessment and treatment approaches to meet this population’s needs. The purpose of the current case study was to highlight one method for (a) determining a nap schedule and (b) evaluating the effect of fatigue on behavioral function for one child diagnosed with an ABI. We conducted a scatterplot analysis to identify periods in which problem behaviors occurred more or less often. These data informed when the child took naps. Afterward, the child participated in a functional analysis of problem behavior before a nap and again after a nap. Results showed both negative and positive reinforcement maintained problem behaviors before naps, while only positive reinforcement maintained problem behaviors after naps. Functional communication training (FCT) programs implemented to address escape, tangible, and attention functions before naps reduced problem behavior and increased communication. These data suggested that (a) motivating operations for problem behavior can differ depending on fatigue and (b) FCT is an effective intervention for problem behavior affected by fatigue. The current study provides an example of an assessment and treatment approach when biologic factors, like sleep, may influence problem behavior.

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“…Consistent with the interpretation proposed by Piazza and Fisher (1991), our case conceptualization was that a faded bedtime intervention could be effective through classical conditioning in which “the unconditioned stimulus is the physiological state associated with sleep deprivation produced by setting the initial bedtime later than the average time of sleep onset during baseline” (Piazza & Fisher, 1991, p. 37). An effective faded bedtime intervention would also contribute to more hours of continuous sleep by establishing a consistent sleep–wake cycle maintained over many months (Finley & Cowley, 2005). As well, there was no indication that Donna would resist a later bedtime or engage in behaviors that possibly interfered with sleep onset during intervention.…”

Section: Case Conceptualizationmentioning

confidence: 99%

Faded Bedtime Intervention for Delayed Sleep Onset in an Adolescent With Autism Spectrum Disorder

Luiselli

Harper

Shlesinger

et al. 2020

Clinical Case Studies

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We report the case of an 18-year-old girl who had autism spectrum disorder (ASD) and demonstrated persistent delayed sleep onset after going to bed in her group home at a residential school. Intervention consisted of a faded bedtime in which her customary time to bed was extended later into the night, then gradually made earlier as she started falling asleep more rapidly over the course of many weeks. By conclusion of the study and at a 1-month follow-up, the girl was falling asleep in less than 30 min after going to bed and sleeping an average of 8.4 hr each night. Compared with previous research with children in inpatient and home environments, the study found positive effects from a faded bedtime intervention without additional procedures, targeted an adolescent with ASD, and was conducted by care providers in a novel residence setting.

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The Effects of a Consistent Sleep Schedule on Time Taken to Achieve Sleep

Cited by 3 publications

References 6 publications

Timing and variability of postpartum sleep in relation to daytime performance

Timing and variability of postpartum sleep in relation to daytime performance

The Effect of Napping on the Function of Problem Behavior for One Child With an Acquired Brain Injury

Faded Bedtime Intervention for Delayed Sleep Onset in an Adolescent With Autism Spectrum Disorder

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