Sleep in children and adolescents with Angelman syndrome: association with parent sleep and stress

Sleep in children and adolescents with Angelman syndrome: association with parent sleep and stress
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DOI:
10.1111/j.1365-2788.2011.01499.x
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发表时间:
2012-06-01
影响因子:
3.6
通讯作者:
Malow, B. A.
Malow, B. A.
中科院分区:
医学3区
文献类型:
--
作者:
Goldman, S. E.;Bichell, T. J.;Malow, B. A.

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背景:安杰曼综合征的儿童普遍存在睡眠问题,2080%的儿童睡眠需求减少和/或睡眠唤醒周期异常。这些睡眠行为对父母睡眠和压力的影响尚不清楚。方法采用标准化问卷、腕动描记和多导睡眠描记等方法,对15例Angelman综合征儿童/青少年的睡眠行为进行研究,探讨儿童/青少年睡眠行为与父母睡眠行为和父母压力的关系。结果儿童/青少年及其父母均表现出入睡后1h以上的清醒时间和零碎的睡眠。儿童睡眠潜伏期延长与父母失眠和日间困倦有关。此外,儿童总睡眠时间的变异性与父母的压力有关。结论Angelman综合征儿童/青少年睡眠质量差与父母睡眠质量差、父母压力大有关。需要进一步的工作来确定睡眠不佳的根本原因,并将这些发现与白天的功能、行为和家庭单位联系起来。
Background Sleep concerns are common in children with Angelman syndrome, with 2080% of individuals having a decreased sleep need and/or abnormal sleepwake cycles. The impact of these sleep behaviours on parental sleep and stress is not known. Method Through the use of standardised questionnaires, wrist actigraphy and polysomnography, we defined the sleep behaviours of 15 children/adolescents with Angelman syndrome and the association of the child/adolescents sleep behaviours on parental sleep behaviours and parental stress. Results Both children/adolescents and their parents exhibited over 1 h of wake time after sleep onset and fragmented sleep. Prolonged sleep latency in the child was associated with parent insomnia and daytime sleepiness. Additionally, variability in child total sleep time was associated with parental stress. Conclusions Poor sleep in children/adolescents with Angelman syndrome was associated with poor parental sleep and higher parental stress. Further work is warranted to identify the underlying causes of the poor sleep, and to relate these findings to daytime functioning, behaviour and the family unit.