Behavioral Approaches To Managing Sleep Problems In Preschool Children
Keywords:
preschool sleep, bedtime resistance, behavioral insomnia of childhoodAbstract
Sleep problems in preschool children—most commonly bedtime resistance, sleep-onset association difficulties, and frequent night wakings—are among the most treatable concerns in pediatrics when approached behaviorally. The strongest evidence supports parent-focused behavioral interventions that reshape sleep cues, strengthen circadian-consistent routines, and reduce inadvertent reinforcement of protest behaviors. This article presents a practical clinical framework for preschool sleep management built around structured assessment, sleep hygiene foundations, and stepwise behavioral techniques such as extinction variants, bedtime fading with positive routines, scheduled awakenings, and consistent reinforcement
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