Sleep Disturbances and Patterns in Children With Neurodevelopmental Conditions.

Sleep Disturbances and Patterns in Children With Neurodevelopmental Conditions.
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神经发育障碍儿童的睡眠障碍和模式。

DOI:
10.3389/fped.2021.637770
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发表时间:
2021
影响因子:
2.6
通讯作者:
Dimitriou D
Dimitriou D
中科院分区:
医学3区
文献类型:
--
作者:
Halstead EJ;Joyce A;Sullivan E;Tywyn C;Davies K;Jones A;Dimitriou D

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背景:患有神经发育疾病(NDC)的儿童经常会遇到比正常发育儿童更持久且更复杂的睡眠问题。这些睡眠问题会影响他们的家庭,而且几乎没有专门针对患有神经发育疾病的儿童家庭的睡眠管理指导。本研究旨在利用家长报告来评估大样本 NDC 儿童的睡眠障碍和睡眠模式。我们的目标是确定与年龄、诊断和药物组的关联。方法:对英国非营利睡眠服务机构 NDC 儿童家庭的 601 名 2 岁至 17 岁儿童的数据进行了分析。家长/照顾者填写了儿童的睡眠习惯调查问卷、7 天睡眠日记以及有关儿童年龄、诊断和药物治疗的信息。家长们还报告了他们之前尝试过的睡眠管理技术。结果:总体而言,我们发现这些人群中年龄、诊断和药物使用组之间的睡眠障碍和睡眠日记参数存在差异。感官条件与夜间长时间清醒持续时间相关。家长们表示,孩子睡眠时间短是他们最常见的问题。结论:概述了进一步研究的关键领域,包括父母在就寝时在场以缓解睡眠焦虑的长期考虑、褪黑激素的使用和功效,以及考虑采取干预措施以减少 7-11 岁儿童日间疲劳。
Background: Children with neurodevelopmental conditions (NDC) often experience sleep problems which are long-lasting and more complex than typically developing children. These sleep problems impact their families and there is little guidance for management specifically for sleep for families of children with neurodevelopmental conditions. The present study aims to use parental report to evaluate sleep disturbances and sleep patterns in a large sample of children with NDC. We aim to identify associations with age, diagnosis, and medication groups. Methods: Data on 601 children aged between 2 and 17 years was analyzed from a UK non-profit service for sleep for families of children with NDC. Parents/carers completed the children's sleep habit questionnaire, a 7 day sleep diary, and information on child age, diagnosis, and medication. Parents also reported previous sleep management techniques they had tried. Results: Overall, we found differences between age, diagnosis, and medication use groups for sleep disturbances and sleep diary parameters in these populations. Sensory conditions were associated with high night time waking duration. Parents reported their child's short sleep duration was the most common problem for them. Conclusions: Key areas for further research are outlined including the long term considerations for parental presence at bedtime for sleep anxiety, melatonin use and efficacy, and consideration for interventions to reduce daytime fatigue in children aged 7–11 years old.
DOI: 10.1111/jir.12387
发表时间: 2017-08-01
影响因子: 3.6
作者:
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期刊: PEDIATRICS
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