Skip Ribbon Commands
Skip to main content

Sleep Onset Association Type BIC

Sleep Onset Association Type BIC - How to prevent?

Sleep Onset Association Type BIC - Diagnosis

Sleep Onset Association Type BIC - Treatments

Sleep Onset Association Type BIC - Preparing for surgery

Sleep Onset Association Type BIC - Post-surgery care

Sleep Onset Association Type BIC - Other Information

Management of Sleep Onset Association Type BIC

Management of sleep onset association type BIC - SingHealth Duke-NUS Sleep Centre

Management of sleep-onset association type BIC includes establishing a good sleep routine, and the use of positive sleep associations: e.g. a comforting object (stuffed toy or used mother’s shirt) that the child can bring to bed with him/ her each night.

There is no ‘best’ method to help a child fall asleep independently, but the key is to be ‘consistent and persistent’ every night, especially if more than one caregiver is involved.

Often, once the child is able to fall asleep independently at bedtime, he/she is more likely to be able to self-soothe to sleep during spontaneous night awakenings.

Some methods that have been used include:

  1. Extinction
    Putting the child to bed at a fixed time and ignoring his/her cries until a specific ‘wake’ time. This method is not recommended for infants below the age of 6 months, and may be emotionally draining. Parents should be prepared for a ‘post-extinction burst’ (a period of worsening before improvement) in some children.
  2. Graduated extinction
    This is a ‘gentler’ method, where you can respond to your child briefly each time he/she calls (after being put to bed), but only after progressively longer periods of time e.g. 5 minutes, then 10 minutes, and then 15 minutes until he/she falls asleep. This method is likely to take longer to work, but is less emotionally taxing.
  3. Fading of adult intervention
    Establish a bedtime routine before sleep, and gradually increase the physical distance between you and your child while he/she is falling asleep (sit by the crib or bed, and move the chair slightly further away each night, until out of sight of the child). This method is also likely to take longer but is less emotionally taxing.
The information provided is not intended as medical advice. Terms of use. Information provided by SingHealth