Exploring sleep quality of young children with autism spectrum disorder and disruptive behaviors.
Exploring sleep quality of young children with autism spectrum disorder and disruptive behaviors.
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DOI：
10.1016/j.sleep.2018.01.008
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发表时间：
2018-04
期刊：
影响因子：
4.8
通讯作者：
Scahill L
中科院分区：
文献类型：
--
作者：
Johnson CR;Smith T;DeMand A;Lecavalier L;Evans V;Gurka M;Swiezy N;Bearss K;Scahill L
自闭症谱系障碍（ASD）的睡眠障碍很常见，可能会损害日间功能并增加父母的负担。在这个有ASD和破坏性行为的幼儿样本中，我们使用为ASD修改的儿童睡眠习惯问卷（CSHQ-ASD）来检查睡眠障碍中年龄和智商的相关性。我们还测试了睡眠不好的孩子是否比睡眠好的孩子有更大的白天行为问题。最后，我们研究了父母的压力是否更高的破坏性行为和睡眠障碍的儿童。参与者有177名，有180名ASD儿童（平均年龄4.7岁）的完整数据，他们参加了一项随机临床试验。父母在研究入组时完成了CSHQ-ASD和其他几项测量。样本被分为“睡眠不佳者”（CSHQ-ASD总分的上四分位数）和“睡眠良好者”（下四分位数）进行比较。分析了年龄，智商，日间破坏性行为，社会残疾和父母压力的组间差异。两组患有ASD的幼儿，睡眠好的人与睡眠差的人，在年龄或认知水平上没有差异。睡眠不良组儿童日间行为问题的发生率显著高于对照组，包括易怒、多动、社交退缩和刻板行为。这一组的父母报告说，他们的压力明显更大。在患有ASD和破坏性行为的幼儿中，睡眠好和睡眠差之间没有年龄差异，这表明睡眠问题不太可能像通常发育中的儿童那样得到解决。同样，睡眠好的人和睡眠差的人在智商上也没有显著差异。这些发现为所有ASD儿童筛查睡眠障碍的必要性提供了强有力的支持，无论年龄和认知水平如何。睡眠不好的孩子表现出明显更大的日间行为问题，这组孩子的父母报告了显着更高的压力水平。除了共同发生的破坏性行为之外，睡眠质量差似乎对儿童和父母造成了巨大的附加负担。
Sleep disturbances in autism spectrum disorder (ASD) are common and may impair daytime functioning and add to parental burden. In this well characterized sample of young children with ASD and disruptive behaviors, we examine the association of age and IQ in sleep disturbances using the Child Sleep Habits Questionnaire modified for ASD (CSHQ-ASD). We also test whether children with poor sleep have greater daytime behavioral problems than those with better sleep. Finally, we examine whether parental stress is higher in children with greater disruptive behaviors and sleep disturbances. Participants were 177 with complete data of 180 children (mean age 4.7) with ASD who had participated in a randomized clinical trial. Parents completed the CSHQ-ASD and several other measures at study enrollment. The sample was divided into “poor sleepers” (upper quartile on the total score of the CSHQ-ASD) and “good sleepers” (lower quartile) for comparisons. Analyses were conducted to evaluate group differences on age, IQ, daytime disruptive behavior, social disability and parental stress. The two groups of young children with ASD, good sleepers versus poor sleepers, were not different on age or cognitive level. Children in the poor sleeping group had significantly higher daytime behavioral problems including irritability, hyperactivity, social withdrawal and stereotypical behaviors. Parents in this group reported significantly higher levels of stress. The finding of no age difference between good and poor sleepers in young children with ASD and disruptive behaviors suggests that sleep problems are unlikely to resolve as might be expected in typically developing children. Likewise, the good and poor sleepers did not significantly differ in IQ. These findings add strong support for the need to screen for sleep disturbances in all children with ASD, regardless of age and cognitive level. Poor sleepers exhibited significantly greater daytime behavioral problems and parents of children in this group reported significantly higher levels of stress. Above and beyond the co-occurring disruptive behavior, poor sleep quality appears to pose substantial additive burden on child and parents..
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影响因子：
3.9
作者：
Allik, Hiie;Larsson, Jan-Olov;Smedje, Hans
通讯作者：
Smedje, Hans
影响因子：
5.2
作者：
Humphreys JS;Gringras P;Blair PS;Scott N;Henderson J;Fleming PJ;Emond AM
通讯作者：
Emond AM
影响因子：
3.1
作者：
Hodge, Danelle;Carollo, Tanner M.;Sweeney, Dwight P.
通讯作者：
Sweeney, Dwight P.
DOI：
10.15585/mmwr.ss6513a1
发表时间：
2018-11-16
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Christensen DL;Braun KVN;Baio J;Bilder D;Charles J;Constantino JN;Daniels J;Durkin MS;Fitzgerald RT;Kurzius-Spencer M;Lee LC;Pettygrove S;Robinson C;Schulz E;Wells C;Wingate MS;Zahorodny W;Yeargin-Allsopp M
通讯作者：
Yeargin-Allsopp M
影响因子：
4.4
作者：
Allik H;Larsson JO;Smedje H
通讯作者：
Smedje H