Sleep problems in children with autism spectrum disorder and intellectual disability without autism spectrum disorder
Sleep problems in children with autism spectrum disorder and intellectual disability without autism spectrum disorder
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DOI：
10.1016/j.sleep.2017.09.021
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发表时间：
2017-12-01
期刊：
影响因子：
4.8
通讯作者：
Ozbaran, N. Burcu
中科院分区：
文献类型：
--
作者：
Kose, Sezen;Yilmaz, Helin;Ozbaran, N. Burcu
目的：本研究的目的是评估自闭症谱系障碍（ASD）、非ASD智力残疾（ID）和典型发育儿童（TDC）的睡眠问题及其相关性。孩子的父母完成了儿童睡眠习惯问卷（CSHQ），以评估睡眠障碍。结果：TDC组、ASD组和ID组儿童的CSHQ平均总分分别为41.56、47.89和51.78。虽然TDC的CSHQ总分显著较低，但ID和ASD组之间无显著差异（p = 0.09）。结果显示，患有神经发育障碍的儿童睡眠障碍的风险增加了2.8倍，父母有睡眠障碍史的风险增加了3.1倍，儿童精神病合并症的风险增加了3.3倍，与父母共睡的风险增加了13.1倍。然而，在二元回归分析中，与父母共睡和睡眠问题家族史显著增加睡眠障碍的风险。结论：睡眠障碍更常见于ASD和ID比TDC的儿童。与父母同睡以及有睡眠问题的家族史会增加睡眠障碍的风险。因此，行为技术，特别是专注于共同睡眠问题和专注于父母的睡眠习惯可能会改善ID和ASD儿童的睡眠障碍。(C)2017爱思唯尔B.V.保留所有权利。
Objective: The objective of this study was to evaluate the sleep problems and their correlations in children with autism spectrum disorder (ASD), intellectual disability without ASD (ID), and typically developing children (TDC).Methods: This study included 142 children (48 with ASD, 46 with ID, 48 with TDC) aged between 2 and 18 years old. Parents of the children completed the Childhood Sleep Habits Questionnaire (CSHQ) in order to evaluate sleep disturbances. The sociodemographic and clinical information were noted on a data form for each child.Results: The mean total score of CSHQ was 41.56, 47.89 and 51.78 respectively in TDC, ASD and ID groups. While the total CSHQ score was significantly lower in TDC, there was no significant difference between ID and ASD groups (p = 0.09). It was revealed that children having a neurodevelopmental disorder had a 2.8-fold increased risk of sleep disturbance, history of sleep disorder in the parents had a 3.1-fold increased risk, psychiatric comorbidity in the child had a 3.3-fold increased risk, and co-sleeping with parents had 13.1-fold increased risk. However, in the binary regression analysis, co-sleeping with parents and family history of sleep problems significantly increased the risk of sleep disturbance.Conclusion: Sleep disturbances are more frequent in children with ASD and ID than TDC. Co-sleeping with parents and family history of sleep problems increase the risk of sleep disturbances. Thus, behavioral techniques especially focusing on co-sleeping problems and focusing on parents' sleep habits may improve the sleep disturbances in children with ID and ASD. (C) 2017 Elsevier B.V. All rights reserved.