Treatment for Sleep Problems in Children with Autism and Caregiver Spillover Effects.
Treatment for Sleep Problems in Children with Autism and Caregiver Spillover Effects.
复制标题
自闭症儿童睡眠问题的治疗和照顾者溢出效应。
DOI：
10.1007/s10803-015-2507-5
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发表时间：
2015
影响因子：
3.9
通讯作者：
Frye,RichardE
中科院分区：
文献类型：
--
作者：
Tilford,JMick;Payakachat,Nalin;Kuhlthau,KarenA;Pyne,JeffreyM;Kovacs,Erica;Bellando,Jayne;Williams,DKeith;Brouwer,WernerBF;Frye,RichardE
患有自闭症谱系障碍 (ASD) 的儿童的睡眠问题尚未得到充分认识和治疗。确定对家庭成员健康影响（溢出）的治疗价值可以提高改善儿童睡眠习惯的干预措施的成本效益。一项前瞻性队列研究（N = 224）是根据主要护理人员完成的登记和邮寄调查数据进行的。根据之前的临床试验，我们计算了与改善儿童睡眠的治疗相关的儿童和主要看护者的生活质量结果。褪黑激素和行为干预的预测治疗效果对于儿童和护理人员来说是相似的。考虑到与自闭症儿童治疗相关的看护者溢出效应，可以增加治疗效益并改善成本效益。
Sleep problems in children with autism spectrum disorders (ASD) are under-recognized and under-treated. Identifying treatment value accounting for health effects on family members (spillovers) could improve the perceived cost-effectiveness of interventions to improve child sleep habits. A prospective cohort study (N = 224) was conducted with registry and postal survey data completed by the primary caregiver. We calculated quality of life outcomes for the child and the primary caregiver associated with treatments to improve sleep in the child based on prior clinical trials. Predicted treatment effects for melatonin and behavioral interventions were similar in magnitude for the child and for the caregiver. Accounting for caregiver spillover effects associated with treatments for the child with ASD increases treatment benefits and improves cost-effectiveness profiles.