Sleep patterns in preschool-age children with autism, developmental delay, and typical development
Sleep patterns in preschool-age children with autism, developmental delay, and typical development
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DOI：
10.1097/chi.obo13e3181799f7c
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发表时间：
2008-08-01
影响因子：
13.3
通讯作者：
Anders, Thomas F.
中科院分区：
文献类型：
--
作者：
Goodlin-Jones, Beth L.;Tang, Karen;Anders, Thomas F.
目的：孤独症的一个突出的非核心症状是睡眠障碍，但相对较少的研究探讨这一症状。方法：一种多方法方法评估了194名儿童（68名自闭症[AUT]，57名发育迟缓但无自闭症[DD]，69名典型发育）在1周内记录的睡眠数量和质量。父母的看法，结构式问卷调查，并进行了比较。此外，父母定义的问题睡眠与从活动记录仪记录中获得的行为性失眠的研究诊断标准进行了比较。结果：在腕动记录仪上，DID组的儿童在入睡后，比其他两组表现出更多和更长的觉醒。相比之下，AUT组的儿童在24小时内的总睡眠时间少于其他两组。AUT组和DD组的父母报告的睡眠问题高于典型发育组，但父母报告与行为失眠的更客观RDC不一致。在所有的小组中，父母报告的睡眠问题与自我报告的压力增加显著相关。所有组的24小时睡眠时间都短于学龄前儿童的建议。结论：我们的研究提供了客观的证据，证明在AUT，DD或典型发育的类别中，学龄前儿童的睡眠模式是不同的。
Objective: A prominent noncore symptom of autistic disorder is disturbed sleep, but relatively few studies have investigated this symptom. Method: A multimethod approach assessed the quantity and quality of sleep in 194 children (68 with autism [AUT], 57 with developmental delay without autism [DD], 69 with typical development) recorded over 1 week. Parent perceptions, structured questionnaires, and actigraphy were compared. In addition, problem sleep as defined by parents was compared with research diagnostic criteria for behavioral insomnia obtained from actigraph recordings. Results: On actigraphy, children in the DID group, after sleep onset, exhibited more and longer awakenings than the other two groups. In contrast, children in the AUT group exhibited less total sleep time in 24 hours than the other two groups. Parent reports of sleep problems were higher in the AUT and DD groups than the typical development group, but parent reports did not concur with more objective RDC for behavioral insomnia. Parent reports of sleep problems in all of the groups were significantly associated with increased self-reports of stress. Total 24-hour sleep durations for all of the groups were shorter than recommended for preschool-age children. Conclusions: Our study provides objective evidence that sleep patterns are different in preschool children across the categories of AUT, DD, or typical development.