Increased nocturnal activity and impaired sleep maintenance in abused children
Increased nocturnal activity and impaired sleep maintenance in abused children
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DOI：
10.1097/00004583-199709000-00016
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发表时间：
1997-09-01
影响因子：
13.3
通讯作者：
Harakal, T
中科院分区：
文献类型：
--
作者：
Glod, CA;Teicher, MH;Harakal, T
目的：以前的研究表明，睡眠障碍可能是“创伤后应激障碍的标志”，尽管几项调查未能找到睡眠中断的证据。本研究的目的是确定在早期发育过程中，以身体和/或性虐待形式的强烈厌恶刺激是否会导致睡眠和夜间活动中断。方法：将19名有虐待记录的青春期前儿童与15名无虐待的正常对照组和10名抑郁症儿童进行比较。所有受试者都接受了完整的半结构化诊断访谈。连续三个晚上使用动态活动监测来评估睡眠相关活动。分析数据的夜间活动和睡眠开始和连续性的算法估计。结果如下：受虐待的主题是两倍，在夜间活跃的正常和抑郁的儿童，和受虐待的主题发出了更大的百分比，他们的日常活动在夜间。活动描记器的睡眠测量结果表明，受虐待儿童的睡眠潜伏期延长，睡眠效率下降。身体虐待的儿童比性虐待的儿童睡眠效率更低。结论：受虐待儿童的夜间活动水平高于正常对照组或抑郁儿童，似乎更难入睡和保持睡眠。身体虐待似乎是突出的因素，而不是创伤后应激障碍。
Objective: Previous studies have suggested that sleep disturbance may be the ''hallmark of posttraumatic stress disorder,'' although several investigations have failed to find evidence for sleep disruption. The purpose of this study was to determine whether intense averse stimulation during early development, in the form of physical and/or sexual abuse, led to disruption of sleep and nocturnal activity. Method: Nineteen prepubertal children with documented abuse were compared with 15 nonabused normal controls and 10 depressed children. All subjects received a complete semistructured diagnostic interview. Ambulatory activity monitoring was used to evaluate sleep-related activity for three consecutive nights. Data were analyzed for nocturnal activity and algorithmic estimation of sleep Initiation and continuity. Results: Abused subjects were twice as active at night as normal and depressed children, and abused subjects emitted a greater percentage of their total daily activity during the night. Actigraph-derived sleep measures suggested that abused children had prolonged sleep latency and decreased sleep efficiency. Physically abused children had more impaired sleep efficiency than sexually abused children. Conclusion: Abused children have higher levels of nocturnal activity than normal controls or depressed children and appear to have more difficulty falling and staying asleep. Physical abuse appears to be the salient factor rather than posttraumatic stress disorder.