Impact of sleep on executive functioning in school-age children with Down syndrome.
Impact of sleep on executive functioning in school-age children with Down syndrome.
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DOI：
10.1111/jir.12496
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Hoffman EK
中科院分区：
文献类型：
--
作者：
Esbensen AJ;Hoffman EK
睡眠问题会影响普通人群的执行功能。虽然患有唐氏综合症的儿童睡眠问题的风险很高，但这些睡眠问题对患有唐氏综合症的学龄儿童执行功能的影响却没有很好的记录。我们的研究考察了家长报告和活动测量的睡眠时间和睡眠质量与家长和老师的报告以及对唐氏综合症学龄儿童执行功能的神经心理学评估之间的关系。30名患有唐氏综合症的学龄儿童晚上在家中佩戴一周的动态手表。他们的父母在同一周内完成了对孩子睡眠的评分。儿童完成了对他们的抑制控制、转移能力和工作记忆的神经心理学评估。他们的父母和老师完成了评分表，以评估这些相同的执行功能结构。父母在儿童睡眠习惯问卷(CSHQ)上对不安宁的睡眠行为的报告，而不是活动仪测量的睡眠时间或效率，可以预测父母报告对抑制性控制、转移和工作记忆的担忧，以及教师对抑制性控制的报告。根据神经心理学评估的结果，睡眠指标并不能预测执行功能。这项研究结果证实了初步文献，即睡眠问题与唐氏综合症儿童的执行功能有关，特别是在家庭和学校的抑制性控制领域。这些发现对了解唐氏综合症儿童学习成绩和学校行为的影响因素具有重要意义。
Sleep problems have an impact on executive functioning in the general population. While children with Down syndrome are at high risk for sleep problems, the impact of these sleep problems on executive functioning in school-age children with Down syndrome is less well documented. Our study examined the relationship between parent-reported and actigraphy-measured sleep duration and sleep quality with parent- and teacher-reports and neuropsychology assessments of executive functioning among school-age children with Down syndrome. Thirty school-age children with Down syndrome wore an actigraph watch for a week at home at night. Their parent completed ratings of the child’s sleep during that same week. Children completed a neuropsychology assessment of their inhibitory control, ability to shift, and working memory. Their parents and teachers completed rating scales to assess these same constructs of executive functioning. Parent reports of restless sleep behaviours on the Children’s Sleep Habits Questionnaire (CSHQ), but not actigraph-measured sleep period or efficiency, was predictive of parent-reports of concerns with inhibitory control, shifting and working memory, and of teacher-reports of inhibitory control. No measure of sleep was predictive of executive functioning as measured by the neuropsychology assessment. The study findings corroborate the preliminary literature that sleep problems are related to executive functioning in children with Down syndrome, particularly in the area of inhibitory control across home and school. These findings have implications for understanding contributing factors to academic performance and school behaviour in children with Down syndrome.
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