Australian Association for Infant Mental Health Limited
44 Fullarton Rd, Norwood SA 5067 | ABN 88 625 753 522| ACN 625 753 522 info@aaimh.org.au |
www.aaimh.org.au
Infant Sleep
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Purpose of AAIMH
The$Australian$Association$for$Infant$Mental$Health$Ltd$(AAIMH)$is$a$not-for-profit$
organisation$of$professionals$from$a$range$of$disciplines$including$health,$education$
and$welfare$dedicated$to$the$field$of$infant$mental$health.$<<=3>?$&-"$$"+@&"$&%+&A+#B&
C+#& 4DD& "@C4@%$& 4@)& E+'@F& 56"D)#(@& C#+-& G#(& ."#%6& %+& 4F(& %6#((& %+& (@$'#(& %6("#& $+5"4DH&
(-+%"+@4DH&4@)&)(,(D+G-(@%4D&@(()$&4#(&-(%&%6#+'F6& $%4.D(&4@)&@'#%'#"@F&#(D4%"+@$6"G$&
A"%6"@& %6("#& C4-"DEH& 5'D%'#(H& 4@)& 5+--'@"%"($;& I6"$& "$& 456"(,()& .E& 4$$"$%"@F& C4-"D"($H&
G#+C($$"+@4D$H& 4@)& 5+--'@"%"($& %+& .'"D)& @'#%'#"@F& 4@)& $%#+@F& #(D4%"+@$6"G$& A"%6& %6("#&
56"D)#(@H&4@)&%+&.(&4A4#(&+C&%6(&54'$($&4@)&$"F@$&+C&-(@%4DH&G6E$"54DH&4@)&(-+%"+@4D&$%#($$&
"@&"@C4@%$;&
Definitions
Infant&Sleep&
JD((G& "$& 4& 5+-GD(K& @('#+.(64,"+'#4D& $%4%(& 4@)& $D((G& .(64,"+'#& -'$%& .(& ,"(A()& A"%6"@& 4&
."+G$E56+$+5"4D& C#4-(A+#B& LM(@@"& N& O4#$B4)+@H& /00PQ;& & R6"D(& ."+D+F"54D& G#+5($$($& 4#(&
)+-"@4@%H&"@C4@%&$D((G&"$&-+$%&(CC(5%",(DE&5+@5(G%'4D"$()&4$&4&5+-GD(K&4)4G%",(&$E$%(-H&"@&
A6"56& %6(#(& "$& 4& 5+@$%4@%DE& (,+D,"@F& "@%(#GD4E& .(%A((@& 5'D%'#4DH& G$E56+$+5"4DH&
%(-G(#4-(@%4DH&(@,"#+@-(@%4D&4@)&."+D+F"54D&C45%+#$&LS+'FD4$H&>"DDH&N&T#+)#"..H&/0991&M(@@"&
N&8UO+@@+#H&/00VQ;&&
&
I6(#(&4#(&%A+& $D((G& #(F'D4%"@F& -(564@"$-$& "@&%6(& 6'-4@& .+)E;& I6(& C"#$%&"$& %6(& 5"#54)"4@&
#6E%6-H& 4D$+& B@+A@& 4$& %6(& .+)E& 5D+5B;& I6(& 5"#54)"4@& #6E%6-& #(F'D4%($& G6E$"+D+F"54DH&
.(64,"+'#4DH&4@)&-(%4.+D"5&$%4%($H&"@5D')"@F&%6(&$D((G&A4B(& 5E5D(&%6#+'F6+'%&%6(&/7W6+'#&
)4E;&*(A.+#@&"@C4@%$&)+&@+%&)(-+@$%#4%(&4&5"#54)"4@&#6E%6-&%+&%6("#&$D((G&A4B(&5E5D(&4%&
."#%6;& >+A(,(#H& 4& 5"#54)"4@& G4%%(#@& (-(#F($& "@& %6(& C"#$%& C(A& -+@%6$& +C& D"C(H& #(F'D4%()& .E&
(KG+$'#(& %+& D"F6%H& @+"$(H& 45%","%E& 4@)& $+5"4D& 5'($& LM(@@"& N& O4#$B4)+@H& /00PQ;& & I6(& $(5+@)&
#(F'D4%"@F&-(564@"$-&"$&B@+A@&4$&6+-(+$%4%"5&G#($$'#(;&I6(&@(()&%+&$D((G&L$D((G&G#($$'#(Q&
"@5#(4$($&4$&%6(&)'#4%"+@&+C&A4B(C'D@($$&"@5#(4$($H&4@)&%6(&E+'@F(#&%6(&"@C4@%H&%6(&D($$&%"-(&
%6(E&54@&-4@4F(&4A4B(&LM(@@"&N&O4#$B4)+@H&/00P Q;&&&
&
=@C4@%$& 64,(& )"CC(#(@%& $D((G& 5E5D($& C#+-& 4)'D%$;& I6(E& 64,(& $6+#%(#& $D((G& 5E5D($H& F(@(#4DDE&
D4$%"@F& .(%A((@& 7VWX0& -"@'%($;& & I6(& "@C4@%?$& $D((G& 5E5D(& "$& 564#45%(#"$()& .E& 4D%(#4%"+@$&
.(%A((@& #4G")& (E(& -+,(-(@%& L2Y3Q& $D((G& 4@)& @+@W#4G")& (E(& -+,(-(@%& $D((G& L*2Y3Q;&
S'#"@F&2Y3H&.#4"@&F#+A%6&4@)&)"CC(#(@%"4%"+@&+C&@('#+@4D&G4%6A4E$&+55'#H&A6"D(&"@&*2Y3&
Page 2 of 13
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F#(4%(#&4-+'@%&+C&%"-(&"@&2Y3&$D((G&5+-G4#()&%+&56"D)#(@&4@)&4)'D%$H&A6(#(&$D((G&"$&D"F6%H&
4@)&%6(&"@C4@%&"$&-+#(&(4$"DE&)"$%'#.();&I6"$&54@&54'$(&%6(-&%+&4#+'$(ZA4B(@&-+#(&+C%(@&"@&
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%6#+'F6&%6(&@"F6%&4@)&%+&@(()&4%%(@%"+@&C#+-&G4#(@%$&+#&54#(F",(#$;&I6(#(&"$&4&A")(&,4#"4%"+@&
"@&%6(&4F(&4%&A6"56&"@C4@%$&4@)&%+))D(#$&[$D((G&%6#+'F6&%6(&@"F6%H?&8@&4,(#4F(H&\:]&+C&"@C4@%$&
4%&%6#((&-+@%6$H&4@)&PP;P]&+C&"@C4@%$&4%&("F6%&-+@%6$&$%"DD&#(^'"#(&$'GG+#%&%+&$(%%D(&)'#"@F&
%6(&@"F6%&L_44,+@(@&(%&4D;H&/0/0Q;&&
&
Crying&
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56"D)&%+&D(%&%6(&54#(F",(#&B@+A& %64%&%6(E&@(()&6(DG;&!#+-&4@&(,+ D'%"+@4#E&G(#$G(5%",(H&5#E"@F&
G#+-+%($&G#+K"-"%E&%+&%6(&G#"-4#E&54#(F",(#H&"@&%6(& "@%(#($%&+C&$'#,",4D& 4@)&%6(&)(,(D+G-(@%&
+C&$+5"4D&.+@)$&LT+AD.EH&9`V\Q;&
&
Sleep&problems&
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-+$%&+C%(@&)($5#".()&4$&)(D4E()&$D((GH&C#(^'(@%&@"F6%&A4B"@F$&+#&"@4."D"%E&%+&#(%'#@&%+&$D((G&
A"%6+'%&G4#(@%4D&G#($(@5(&L_44,+@(@&(%&4D;H&/0/01&_#"5(&(%&4D;H&/0971&J4)(6H&3"@)(DDH&a'()%B(H&
N&R"(F4@)H&/00`Q;&&>+A(,(#&5D"@"54DDEH&"@C4@%&$D((G&"$&+C%(@&+@DE&,"(A()&4$&4&G#+.D(-&"C&%6(&
G4#(@%Z54#(#& G(#5(",($& "%& 4$& 4& G#+.D(-& LT4##H& 9``:Q;& & _#+D+@F()& $D((G& G#+.D(-$& 54@&
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A(DD.("@F&4#(&4D$+&"-G45%()H&A"%6&+@F+"@F&#()'5()&$D((G&4$$+5"4%()&A"%6&"@5#(4$()&C((D"@F$&
+C& $%#($$H& 4@K"(%EH& )(G#($$"+@& 4@)& G(#5(",()& 4."D"%E& %+& 5+G(& LY%6(#%+@H& TD'@)(@H& N& >4'5BH&
/09XQ;&&&=@&-+#(&(K%#(-(&(K4-GD($H&"%&54@&5+@%#".'%(&%+&56"D)&4.'$(&LM4-($W2+.(#%$H&/00PQ;&&&
&
=@C4@%$&4@)&E+'@F&56"D)#(@&A6+&A4B(& +C%(@H&)+&@+%&$(%%D(&(4$"DEH&+#&)+&@+%&$D((G&%6#+'F6&%6(&
@"F6%&4#(&$+-(%"-($&$4")&%+&64,(&sleep&problems;&S"CC(#(@5($&"@&"@C4@%&$D((G&G4%%(#@$&-4E&.(&
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=@C4@%&6(4D%6&"$$'($&&&
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4@)Z+#&#++-&C#+-&G4#(@%$&+#&54#(#$&&
S(,(D+G-(@%4D&G#+.D(-$&
&&
Page 3 of 13
Extinction&Based&Behavioural&Sleep&Interventions&&
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+C&+G(#4@%&5+@)"%"+@"@F&"@&D(4#@()&.(64,"+'#&LJB"@@(#H&9`\7Q;&&R"%6&"@C4@%&$D((G&G#+.D(-$H&
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)'#"@F&$D((G&%"-($&%+&(D"-"@4%(&5#E"@FH&A"%6&%6(&,"(A&%64%&%6"$&A"DD&(@5+'#4F(&%6(&"@C4@%&%+&
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D"%(#4%'#(& 4#(& '@-+)"C"()& (K%"@5%"+@H& (K%"@5%"+@& A"%6& 54#(F",(#& G#($(@5(& 4@)& F#4)'4%()&
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I4.D(&9;&
Intervention$Name$
Colloquial$Name$
Procedure$Summary$
Unmodified$
extinction$
O#E&"%&+'%&
O6"D)&"$&G'%&%+&.()&4@)&"F@+#()&'@%"D&4&$(%&
A4B(&%"-(&
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extinction$
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Extinction$with$
caregiver$presence$
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56"D)&&
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Extinction Based Behavioral Sleep Intervention Research:
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Page 4 of 13
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Alternatives to Extinction Based Behavioral Sleep Interventions:
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Further Considerations:
The&Early&Years&as&a&Foundation&for&Lifelong&Health&
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Attachment&Relationships&
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crying&peaks&at&around&six&to&eight&weeks&and&generally&settles&by&three&to&four&months&(Barr,&
1998).&There&is&great&variation&in&normal&infant&sleep&behaviour,&and&night&wakings&are&normal&
for&children&under&one&year&of&age.&&The&number&of&night&wakings&and&staying&awake&at&night&in&
infants&under&one&year&of&age&is&&not&associated&with&adverse&developmental&outcomes&(Pennestri&
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Page 7 of 13
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&
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