Liberación sexual y evolución.

[Isocrates]

Bueno, pues como la existencia de efectos secundarios negativos tras el tratamiento conductual es sin duda alguna una cuestión que no puede dejarse de lado he intentado averiguar cual es el estado de la cuestión.


La última y más completa revisión sobre la materia la he encontrado en la realizada por la Academia Americana de Medicina del Sueño

http://www.journalsleep.org/Articles/291002.pdf




Que respecto a los efectos secundarios del tratamiento indica

4.6 Secondary Outcomes
A number of studies assessed the effects of sleep interventions
on secondary outcome variables, such as daytime behavior.
These studies addressed possible adverse effects of behavioral
interventions, as well as the potential beneficial effects on
daytime behavior. A total of 13 studies selected for this review
reported results pertaining to child daytime functioning such as
crying, irritability, detachment, self esteem, or emotional wellbeing.
17,28,62,66,70,73,74,83,84,88-90,101 Five studies17,88-90,101 based their
conclusions solely on subjective retrospective parental report,
whereas 8 studies.28,62,66,70,73,74,83,84 collected formal data such as
standardized rating scales or observations of parent-child interactions.
Adverse secondary effects as the result of participating in behaviorally
based sleep programs were not identified in any of the
studies. On the contrary, infants who participated in sleep interventions
were found to be more secure74,117,118c predictable,66 less
irritable,90 and to cry and fuss less following treatment.73 Mothers
indicated that behaviorally-based sleep interventions had no effect
on maintaining the practice of breast feeding or on infant’s
total daily fluid intake.66,92 In a number of studies, parents of older
children reported improvements in their children’s daytime behavior
after participation.28,70,83,84,89,101 For example, Seymour89
reported that 73% of parents reported positive changes in their
child’s daytime behavior. There are several potential mechanisms
to account for these findings, but 1 likely factor is the increased
total sleep time and improved sleep quality that children and their
parents experience following effective treatment.
It is important to indicate that sleep related behavioral intervention
also led to improvement in the well-being of the parents
beyond the specific benefits in sleep patterns in the children.
Twelve studies collected outcome measures on parent mood,
stress, or marital satisfaction.7,17-21,28,62,64,73,74,105 A few studies collected
data on fathers, however the majority focused on mothers
who tended to demonstrate elevated levels of depressed mood
and more disturbed sleep at pre-treatment, probably because they
assumed the most responsibility in caring for a sleep disturbed
infant or toddler. The results were remarkably consistent across
studies. Following intervention for their child’s sleep disturbance,
parents exhibited rapid and dramatic improvements in their overall
mental health status,64,105 reporting fewer symptoms of depression.
7,18,19,21 They reported an increased sense of parenting efficacy,
20 enhanced marital satisfaction,7,17,21 and reduced parenting
stress.62,117 For instance, Eckerberg117 reported that following successful
implementation of a behavioral intervention that led to
significant improvement of their infant sleep, the parents reported
improvements of their own mood, stress level, and fatigue. Similarly,
Hiscock18 reported a 45% decrease in depression scores at
2 and 4 months post-treatment in depressed mothers after participating
in a behavioral infant sleep program. The only factor
that predicted an increase in maternal depression scores was persistent
infant sleep problems18. Another study reported that 70%
of participating mothers fell above the cutoff score for clinical
depression at baseline, but only 10% were still depressed following
intervention for their sleep disturbed infant.19 Finally, in
a prevention study, Wolfson20 provided sleep education to parents
before and after the birth of their infant. Parents who received
the sleep education reported feeling an increased sense of competence,
whereas parents in the control group reported higher stress
levels.

No solo no se aprecian efectos negativos, sino que se evidencias efectos claramente positivos en la conducta de los niños.
También se aprecian efectos claramente positivos en la de los padres.