Insomnia in school-age children with Asperger syndrome or high-functioning autism.
Insomnia in school-age children with Asperger syndrome or high-functioning autism.
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DOI：
10.1186/1471-244x-6-18
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发表时间：
2006-04-28
期刊：
影响因子：
4.4
通讯作者：
Smedje H
中科院分区：
文献类型：
--
作者：
Allik H;Larsson JO;Smedje H
普伊格综合征（AS）和高功能自闭症（HFA）是智力正常个体的广泛性发育障碍（PDD）。儿童AS/HFA通常被认为与睡眠障碍有关，特别是难以启动和/或维持睡眠（失眠）。然而，关于这一主题的研究仍然很少。本研究调查了儿童AS/HFA关于广泛的父母报告的睡眠-觉醒行为，特别关注失眠。将32名8-12岁AS/HFA儿童与32名年龄和性别匹配的典型发育儿童的睡眠和相关行为特征进行比较。包括失眠在内的睡眠-觉醒行为的几个方面通过一个结构化的儿科睡眠问卷进行了调查，在问卷中，父母报告了他们孩子过去六个月的睡眠模式。最近的睡眠模式通过使用一周的睡眠日记和活动记录仪进行监测。行为特征进行了调查，通过使用收集的信息，从父母和教师的高功能自闭症谱系筛查问卷，并在优势和困难问卷的评级。父母报告的入睡困难和白天嗜睡在AS/HFA儿童中比对照组更常见，10/32例AS/HFA儿童（31.2%），但没有一个对照组符合我们对儿科失眠的定义。父母报告的失眠与腕动记录仪获得的结果一致。失眠儿童也有更多的父母报告的自闭症和情绪化症状，更多的教师报告的情绪化和多动症状比那些没有失眠的儿童。父母的报告表明，在儿童AS/HFA失眠是一种常见的和令人痛苦的症状，这是经常与共存的行为问题。睡眠问题的识别和治疗需要成为AS/HFA儿童治疗计划的常规部分。
Asperger syndrome (AS) and high-functioning autism (HFA) are pervasive developmental disorders (PDD) in individuals of normal intelligence. Childhood AS/HFA is considered to be often associated with disturbed sleep, in particular with difficulties initiating and/or maintaining sleep (insomnia). However, studies about the topic are still scarce. The present study investigated childhood AS/HFA regarding a wide range of parent reported sleep-wake behaviour, with a particular focus on insomnia. Thirty-two 8–12 yr old children with AS/HFA were compared with 32 age and gender matched typically developing children regarding sleep and associated behavioural characteristics. Several aspects of sleep-wake behaviour including insomnia were surveyed using a structured paediatric sleep questionnaire in which parents reported their children's sleep patterns for the previous six months. Recent sleep patterns were monitored by use of a one-week sleep diary and actigraphy. Behavioural characteristics were surveyed by use of information gleaned from parent and teacher-ratings in the High-Functioning Autism Spectrum Screening Questionnaire, and in the Strengths and Difficulties Questionnaire. Parent-reported difficulties initiating sleep and daytime sleepiness were more common in children with AS/HFA than in controls, and 10/32 children with AS/HFA (31.2%) but none of the controls fulfilled our definition of paediatric insomnia. The parent-reported insomnia corresponded to the findings obtained by actigraphy. Children with insomnia had also more parent-reported autistic and emotional symptoms, and more teacher-reported emotional and hyperactivity symptoms than those children without insomnia. Parental reports indicate that in childhood AS/HFA insomnia is a common and distressing symptom which is frequently associated with coexistent behaviour problems. Identification and treatment of sleep problems need to be a routine part of the treatment plan for children with AS/HFA.