Sleep Problems Influence Emotional/Behavioral Symptoms and Repetitive Behavior in Preschool-Aged Children With Autism Spectrum Disorder in the Unique Social Context of China
Sleep Problems Influence Emotional/Behavioral Symptoms and Repetitive Behavior in Preschool-Aged Children With Autism Spectrum Disorder in the Unique Social Context of China
复制标题
中国独特社会背景下睡眠问题影响学龄前自闭症谱系障碍儿童的情绪/行为症状和重复行为
DOI：
10.3389/fpsyt.2020.00273
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发表时间：
2020-04-16
影响因子：
4.7
通讯作者：
Zhang Xin
中科院分区：
文献类型：
--
作者：
Kang Yu-Qi;Song Xiao-Rong;Zhang Xin
睡眠障碍在自闭症谱系障碍患者中很常见，但中国对这一主题的研究仍然有限。在本研究中，我们评估了患有自闭症的学龄前儿童睡眠问题的发生率，并在中国独特的社会背景下考察了睡眠障碍与情绪/行为症状和重复行为的相关性。本研究收集了475名3-6岁学龄前儿童，包括252名ASD儿童(平均年龄5.13+/-1.15，男性80.6%)和223名年龄匹配的典型发育期(TD)儿童(平均年龄5.12+/-0.97，男性74.9%)。所有儿童的父母都完成了社会人口统计问卷和童年睡眠习惯问卷。114名自闭症儿童的父母完成了长处与困难问卷(SDQ)和重复行为问卷-2(RBQ-2)。本研究中ASD学龄前儿童睡眠问题的发生率为81.7%，高于TD儿童(61.0%)。睡眠障碍组的就寝抵抗、睡眠焦虑、睡眠持续时间、睡眠暂停、入睡延迟评分明显高于TD组(t=-7.664，P=0.000；t=-10.477，P=0.000；t=-4.133，P=0.000；Z=-3.916，P=0.000；Z=-7.093，P=0.000)。睡眠延迟可解释自闭症儿童SDQ总分的17.3%(调整后R2=0.173)，睡前阻力可解释较大比例的RBQ-2总分差异(调整后R2=0.206)。患有自闭症的学龄前儿童睡眠障碍的高发生率强调了在这一人群中筛查睡眠问题的重要性。还应注意在中国特定的社会背景和文化背景下为学龄前儿童制定良好的睡眠卫生习惯。
Sleep disturbances are common in people with autism spectrum disorder (ASD), but research on this topic is still limited in China. In the current study, we evaluated the prevalence of sleep problems in preschool-aged children with ASD and to examine the correlations between sleep disturbances and emotional/behavioral symptoms and repetitive behavior in the unique social context of China. This study recruited 475 preschool-aged children aged 3-6 years old, including 252 children with ASD (mean age 5.13 +/- 1.15, 80.6% male) and 223 age-matched typically developing (TD) children (mean age 5.12 +/- 0.97, 74.9% male). The parents of all children completed a sociodemographic questionnaire and the Childhood Sleep Habits Questionnaire. The parents of 114 ASD children completed the Strengths and Difficulties Questionnaire (SDQ) and the Repetitive Behavioral Questionnaire-2 (RBQ-2). The prevalence of sleep problems in preschool-aged children with ASD in this study was 81.7%, which was higher than that in TD children (61.0%). The scores for bedtime resistance, sleep anxiety, sleep duration, parasomnias, and sleep onset delay in the ASD group were significantly higher than those in the TD group (t=-7.664, P=0.000; t=-10.477, P=0.000; t=-4.133, P=0.000; Z=-3.916, P=0.000; Z=-7.093, P=0.000; respectively). Sleep onset delay explained 17.3% of the variance (adjusted R-2 = 0.173) in the total SDQ score of children with ASD, and bedtime resistance explained a large proportion of total RBQ-2 score variance (adjusted R-2 = 0.206). The high rate of sleep disturbances in preschool-aged children with ASD emphasizes the importance of screening for sleep problems in this population. Attention should also be directed toward formulating good sleep hygiene practices for preschool-aged children in the particular social context and cultural setting of China.