TREATING BEDTIME RESISTANCE WITH THE BEDTIME PASS: A SYSTEMATIC REPLICATION AND COMPONENT ANALYSIS WITH 3-YEAR-OLDS

• Published in: Journal of applied behavior analysis Vol. 39; no. 4; pp. 423 - 428
• Main Author: Freeman, Kurt A.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.12.2006; Society for the Experimental Analysis of Behavior; The Society for the Experimental Analysis of Behavior
• Subjects: Attention deficit hyperactivity disorder; bedtime behavior problems; bedtime pass; bedtime resistance; Behavior; Behavior Change; Behavior Modification; Behavior Patterns; Behavior Problems; behavioral treatment; Child Behavior; Children & youth; Clinical Psychology; Intervention; Learning Processes; Mental Disorders; Parents; Parents & parenting; Pediatrics; Preschool Children; Psychological Patterns; Reinforcement; Research Design; Resistance (Psychology); Siblings; Sleep; Studies
• ISSN: 0021-8855; 1938-3703
• DOI: 10.1901/jaba.2006.34-05

Bedtime resistance, a common pediatric problem, that was displayed by 4 unrelated 3‐year‐old children was treated with the bedtime pass (i.e., provision of a small notecard exchangeable for one trip out of the bedroom after bedtime) plus extinction. Bedtime resistance was eliminated for all participants. Further, treatment did not produce extinction bursts, as is common when using extinction procedures alone. Component analysis with 1 participant suggested that use of both components of the intervention produced the best outcomes. Findings extend the literature on the treatment of pediatric bedtime resistance as well as the application of behavior analysis to clinical psychology and pediatric care.