Objective Sleep Measurement in Typically and Atypically Developing Preschool Children with ADHD-Like Profiles
Objective Sleep Measurement in Typically and Atypically Developing Preschool Children with ADHD-Like Profiles
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DOI：
10.1007/s10578-009-0124-2
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发表时间：
2009-06-01
影响因子：
2.9
通讯作者：
Anders, Thomas F.
中科院分区：
文献类型：
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作者：
Goodlin-Jones, Beth L.;Waters, Sara;Anders, Thomas F.
目的 本研究调查了通过体动记录仪测量的学龄前儿童的睡眠模式与家长报告的多动症状之间的关联。之前的许多研究都报道了患有注意力缺陷多动障碍（ADHD）样症状的儿童的睡眠问题。方法 这项研究对 186 名 2-5 岁学龄前儿童进行了横断面抽样调查，分为三组：患有自闭症的儿童、患有发育迟缓但不患有自闭症的儿童以及从普通人群中招募的典型发育儿童。收集一周的活动记录睡眠数据以及当前是否存在睡眠问题的家长报告。家长填写孩子行为检查表；一部分学前班儿童的老师填写了看护者-老师报告表。对有和没有注意力缺陷/多动症状临床水平的儿童的睡眠行为进行了比较（T 分数千分之 65 日元）。结果 在整个样本中，父母定义的睡眠问题的患病率为 36.1%。百分之三十四的样本具有家长报告的临床范围内的 ADHD 复合症状。那些具有临床多动症特征的孩子更有可能被父母描述为有睡眠问题。然而，在临床范围内患有多动症的儿童中，没有发现活动记录睡眠模式或夜间睡眠-觉醒变异性存在显着差异。结论 在这个学龄前儿童的非临床样本中，临床 ADHD 概况的父母报告与睡眠问题的父母报告显着相关，但与活动记录的睡眠-觉醒数据无关。
Objective This study investigated the association between preschool children's sleep patterns measured by actigraphy and parent-reported hyperactivity symptoms. Many previous studies have reported sleep problems in children with attention deficit hyperactivity disorder (ADHD)-like symptoms. Methods This study examined a cross-sectional sample of 186 preschoolers age 2-5 years in three groups: children with autism, children with developmental delay without autism, and typically developing children recruited from the general population. One week of actigraphic sleep data plus a parent report of the presence or absence of a current sleep problem were collected. Parents completed the child behavior checklist; a subset of children in preschool had teachers who completed the caregiver-teacher report form. Sleep behavior was compared for those children with and without clinical levels of attention-deficit/hyperactivity symptoms (T scores a parts per thousand yen 65). Results The prevalence of a parent-defined sleep problem across the entire sample was 36.1%. Thirty-four percent of the sample had a parent-reported ADHD composite in the clinical range. Those children with a clinical ADHD profile were more likely to be described by parents as having a sleep problem. However, no significant differences in actigraphic sleep patterns or night-to-night sleep-wake variability were found for children with an ADHD profile in the clinical range. Conclusions In this non-clinical sample of preschool age children, parental reports of clinical ADHD profiles were significantly associated with parental reports of sleep problems but not with actigraphically recorded sleep-wake data.