Frequency and Clinical Correlates of Sleep-Related Problems Among Anxious Youth with Autism Spectrum Disorders.
Frequency and Clinical Correlates of Sleep-Related Problems Among Anxious Youth with Autism Spectrum Disorders.
复制标题
患有自闭症谱系障碍的焦虑青少年中睡眠相关问题的频率和临床相关性。
DOI：
10.1007/s10578-014-0496-9
复制
发表时间：
2015
影响因子：
2.9
通讯作者：
Storch,EricA
中科院分区：
文献类型：
--
作者：
Nadeau,JoshuaM;Arnold,ElysseB;Keene,AmandaC;Collier,AmandaB;Lewin,AdamB;Murphy,TanyaK;Storch,EricA
睡眠相关问题(SRP)在焦虑的青少年中很常见，也是有问题的，但尚未在患有自闭症谱系障碍(ASD)的焦虑青少年中进行研究。参与者是102名患有自闭症和共病焦虑的年轻人(7-16岁)。对青少年及其主要照顾者进行了儿科焦虑量表的测试。父母填写父母-子女多维度焦虑量表(MASC-P)、社会反应性量表和儿童行为量表(CBCL)。从CBCL和MASC-P的项目中创建了SRP的衡量标准。结果表明，SRP在患有ASD和共病焦虑的年轻人中相对常见。被认可的SRP的数量与父母对社会缺陷、内化和外化症状、焦虑症状以及临床医生评估的焦虑症状的评级直接相关。父母评定的内化症状预测SRP的频率超过社会缺陷、外化症状以及父母和临床医生评定的焦虑症状的频率。完成基于家庭的认知行为治疗(CBT)的40名参与者中的一部分在治疗后SRP减少。文中讨论了研究的意义、研究的局限性和对未来研究的建议。
Sleep-related problems (SRPs) are common and problematic among anxious youth but have not been investigated in anxious youth with autism spectrum disorder (ASD). Participants were 102 youth (ages 7–16 years) with ASD and comorbid anxiety. Youth and their primary caregiver were administered the Pediatric Anxiety Rating Scale. Parents completed the Multidimensional Anxiety Scale for Children–Parent (MASC-P) Report, Social Responsiveness Scale, and the Child Behavior Checklist (CBCL). A measure of SRPs was created from items from the CBCL and MASC-P. Results suggest SRPs were relatively common among youth with ASD and comorbid anxiety. The number of SRPs endorsed directly associated with parent ratings of social deficits, internalizing and externalizing symptoms, and anxiety symptoms, as well as with clinician-rated anxiety symptoms. Parent-rated internalizing symptoms predicted frequency of SRPs over and above social deficits, externalizing symptoms, and parent- and clinician-rated anxiety symptoms. A subset of 40 participants who completed family-based cognitive–behavioral therapy (CBT) experienced reduced SRPs following treatment. Implications, study limitations, and recommendations for future research are discussed.