‘OpenHouse on Autism’ – In search of a bedtime routine. What to do when your child won’t sleep.

2020 ◽  

Emma Woodhouse, autism specialist with Clinical Partners, and sleeping disorder specialist Dr. Charlie Tyack discover practical ways to address challenges around getting your child to bed.

Author(s):  
Bhumika Chauhan ◽  
Sisir Nandi

: The world is connected by the internet. It is very useful because we use Google to find out any new topic, to search new places, to quest updated research, and to get knowledge for learnng. The person around the world can communicate with each other through the Google video conference talk. Internet is frequently used in smartphones, laptops, desktop, and tablet. Excessive affinity towards internet-based online data collection, downloading pictures, videos, cyber relationships, and social media may produce addiction disorders followed by different symptoms such as behaviors change, mind disturbance, depression, anxiety, loss of appetite hyperactivity, sleeping disorder, headache, visual fatigueness, trafficking of memory, attention-deficit, loss of efficiency in work and social detachment which may be caused by an imbalance of neurotransmitters. This is very difficult to control because of abnormal signal transduction in the brain. The present study is an attempt to discuss internet addiction disorder (IAD), internet gaming disorder (IGD), and give awareness to society to get rid of this addiction.


Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 416
Author(s):  
George Kitsaras ◽  
Michaela Goodwin ◽  
Michael P. Kelly ◽  
Iain A. Pretty

Background: Oral hygiene behaviours as well as dietary habits before bed can affect children’s dental health resulting in higher prevalence of dental disease. Dental disease can affect children’s health, development and even school performance. If left untreated, dental disease can progress and it can lead to extractions under general anaesthetic causing further distress for children and families. Consistent and appropriate oral hygiene behaviours and dietary habits can prevent dental diseases from occurring in the first place. Objective: This cross-sectional study examines the relationship between oral hygiene behaviours, dietary habits around bedtime and children’s dental health. Methods: A total of 185 parents with children between the ages of 3 and 7 years from deprived areas participated in the study. Data on bedtime routine activities were collected using an automated text-survey system. Children’s dental health status was established through examination of dental charts and dmft (decayed, missed, filled teeth) scores. Results: In total, 52.4% of parents reported that their children’s teeth were brushed every night. The majority of children (58.9%) had dmft scores over zero. In total, 51 (46.7% of children with dmft score over 0 and 27.5% of all children) children had active decay. The mean dmft score for those experiencing decay was 2.96 (SD = 2.22) with an overall mean dmft score of 1.75 (SD = 2.24). There were significant correlations between frequency of tooth brushing, frequency of snacks/drinks before bed and dmft scores (r = −0.584, p < 0.001 and r = 0.547, p = 0.001 respectively). Finally, higher brushing frequency was associated with a lower likelihood of a dmft score greater than 0 (Exp(B) = 0.9). Conclusions: Despite families implementing oral hygiene behaviours as part of their bedtime routines those behaviours varied in their consistency. Results of this study highlight the need for additional studies that consider bedtime routine-related activities and especially the combined effects of oral hygiene practices and dietary habits due to their potentially important relationship with children’s dental health.


Children ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. 50
Author(s):  
George Kitsaras ◽  
Michaela Goodwin ◽  
Michael Kelly ◽  
Iain Pretty ◽  
Julia Allan

Objectives: Bedtime routines are a highly recurrent family activity with important health, social and behavioural implications. This study examined perceived barriers to, and facilitators of, formulating, establishing, and maintaining optimal bedtime routines in families with young children. Design: Participants completed a semi-structured interview based on the Theoretical Domains Framework (TDF). Analysis followed a deductive approach. Participants: A total of 32 parents participated in the study. Most participants (N = 30) were females, were white (N = 25) and stay at home parents (N = 12). Results: Key barriers included lack of appropriate knowledge and sources of information, problematic skills development, social influences, cognitive overload, and lack of motivation for change. Facilitators included social role, access to resources, positive intentions, beliefs about consequences and reinforcement. In particular, optimal bedtime routines were less likely to be enacted when parents were tired/fatigued and there was a strong effect of habit, with suboptimal routines maintained over time due to past experiences and a lack of awareness about the importance of a good bedtime routine. Conclusions: Several theory-based, and potentially modifiable, determinants of optimal bedtime routines were identified in this study, providing important information for future interventions. Several of the key determinants identified were transient (tiredness) and/or non-conscious (habit), suggesting that future interventions may need to be deployed in real time, and should extend beyond conventional techniques.


Author(s):  
Helen Shoemark ◽  
Marie Dahlstrøm ◽  
Oscar Bedford ◽  
Lauren Stewart

This study examined the effect of a brief psycho-educational program, Time Together, on maternal self-efficacy, mother-infant bonding, and mood/anxiety for community-based mothers. This program centered on maternal voice, timing of interplay, and recognition of infant cues. A convergent parallel mixed-methods design included quantitative measures: the Karitane Parenting Confidence Scale, the Mother-Infant Bonding Scale, Edinburgh Postnatal Depression Scale and State & Trait Anxiety Inventory, and a sequential qualitative analysis to elaborate on the quantitative findings. Significant changes on the Karitane Parenting Confidence Scale were found. Qualitative analysis of the participant interviews and reflective diaries from the two weeks following the psycho-educational program confirmed that participation enhanced mothers’ ability to understand their infant, to soothe their infant when distressed, to play and to establish an effective bedtime routine. This feasibility study indicated that this is a promising approach to improve early mother-infant interaction and maternal self-efficacy.


PEDIATRICS ◽  
1983 ◽  
Vol 71 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Antonio U. Beltramini ◽  
Margaret E. Hertzig

Age stage-specific changes in patterns of sleep and bedtime behavior were examined in 109 normally developing preschool-aged children who were the subjects of the New York Longitudinal Study of Temperament and Development. The data were derived from information abstracted from interviews conducted with parents about the behavior of their children in daily life situations at 1, 2, 3, 4, and 5 years of age. The following age trends were found: older children were significantly more likely to exhibit a prolongation of bedtime routine, insist on sleeping with the light on, take a treasured object to bed, request parental attention after being told good night, and experience delays in falling asleep than were younger children. The frequency of occurrence of night awakening was not different at the different age levels examined, although older children were significantly more likely to experience nightmares. The fathers of older children were significantly more likely to participate in bedtime routines, and older children were also significantly more likely to share a bedroom with a sibling. No sex differences were found.


2021 ◽  
Vol 60 (20) ◽  
pp. 3195-3203
Author(s):  
Atsushi Hiraoka ◽  
Miho Onishi ◽  
Satsuki Koyama ◽  
Masaya Kato ◽  
Kaori Marui ◽  
...  

2022 ◽  
Author(s):  
health not provided

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SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A373-A373
Author(s):  
I Talker ◽  
J L Kaar ◽  
S L Simon

Abstract Introduction Empirically supported treatments for pediatric sleep problems exist but many families turn to other sources for help with their child’s sleep, such as smartphone applications (apps). Sleep apps are easy for families to access but little evidence exists regarding the validity of the services and information provided. The goal of this study was to examine the features and claims of sleep apps for children. Methods A search of the Apple iTunes store and Google Play Store was conducted using the terms “kids sleep” and “baby sleep”. 635 apps were initially identified. Apps were excluded if they were not specifically for children (n=163), not for sleep (n=152), or if they had &lt;100,000 downloads (n=246). Content analyses were used to assess the apps functions, claims, and evidence base. Results A total of 74 apps were examined of which only 4% offered sleep improvement strategies. The majority were sound and light apps (77%) and 19% were bedtime games/stories. The apps were highly rated (average 4.4 out of 5) and most were free (54%); the price of paid apps ranged from $0.99 to $119.99 (annual subscription). Only 2 apps were identified as containing empirical evidence, and all of the apps featuring games and stories to be used as part of the bedtime routine are in opposition to the recommendation to avoid the melatonin-suppressing effect of electronics/bright light before bedtime. Despite this, many apps boasted claims that they will help children “fall asleep instantly,” “cry less and sleep better,” or improve child development. Conclusion A large variety of sleep applications exist aimed for use with children. Many boast claims that cannot be supported by empirical evidence, and indeed may be in opposition to research support. Collaboration between sleep researchers and technology developers may be beneficial for the creation of evidence-supported apps to help with children’s sleep. Support N/A


2019 ◽  
Vol 21 (Supplement_6) ◽  
pp. vi75-vi75
Author(s):  
Marthe Peeters ◽  
Linda Dirven ◽  
Johan Koekkoek ◽  
Ellen Gortmaker ◽  
Lara Fritz ◽  
...  

Abstract BACKGROUND Little is known about the symptoms/signs glioma patients experience in the year before diagnosis, either or not resulting in health care usage. The objective of this study was to determine the incidence of symptoms/signs glioma patients experienced in the year prior to diagnosis, as well as visits to a general practitioner (GP) related to these issues. METHODS Glioma patients were asked to complete a 30-item study-specific questionnaire, if possible with input of a proxy, focusing on symptoms and signs they experienced in the 12 months before diagnosis. For each indicated symptom/sign, patients were asked whether they consulted the GP for this issue. RESULTS Between July 2016 and April 2019, 59 patients completed the questionnaires, 54 (93%) with input of a proxy. Forty (68%) patients were men, with a median age of 60 years and the median time since diagnosis was 4 months (range 1–12). The median number of symptoms/signs experienced in the year before diagnosis was 9 (range 2–19) in low-grade and 5 (range 0–24) in high-grade glioma (p=0.230). The five most frequently mentioned problems were fatigue (34, 58%), mental tiredness (30, 51%), sleeping disorder (24, 41%), headache (23, 39%) and stress (20, 34%), with no differences between low- and high grade glioma. Twenty-six (44%) patients had visited the GP with at least one issue. We found that patients who did consult their GP reported significantly more often muscle weakness (11 vs 3, p =0.003) than patients who did not, which remained significant after correction for multiple testing, which was not the case for paralysis in hand/leg (10 vs 4), focussing (11 vs 6) or a change in awareness (9 vs 4). CONCLUSIONS Glioma patients experience a range of problems in the year prior to diagnosis, but patients who consult the GP report significantly more often neurological problems.


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