Schreck Kimberly A, Mulick James A, Smith Angela F
Psychology Program, Penn State University-Harrisburg, 777 W. Harrisburg Pike, Middletown, PA 17057, USA.
Res Dev Disabil. 2004 Jan-Feb;25(1):57-66. doi: 10.1016/j.ridd.2003.04.007.
Researchers have been placing an increased importance on discovering what variables contribute to better prognosis during behavioral interventions for children with autism. This article preliminarily identifies sleep problems that may exacerbate symptoms of autism; thus, possibly influencing effectiveness of daytime interventions. A data-base of parent report of sleep problems of children with autism (N=55), ranging from 5 to 12 years of age (M=8.2 years) was evaluated. Results suggested that fewer hours of sleep per night predicted overall autism scores and social skills deficits. Similarly, stereotypic behavior was predicted by fewer hours of sleep per night and screaming during the night. Increased sensitivity to environmental stimuli in the bedroom and screaming at night predicted communication problems. Finally, sensitivity to environmental stimuli in the bedroom also predicted fewer developmental sequence disturbances. The results indicate that sleep problems and the diagnostic characteristics of autism may be related. However, future research must be completed to determine the specific relationship.
研究人员越来越重视发现哪些变量有助于在针对自闭症儿童的行为干预中获得更好的预后。本文初步确定了可能会加重自闭症症状的睡眠问题;因此,可能会影响日间干预的效果。对一个自闭症儿童(N = 55)睡眠问题家长报告的数据库进行了评估,这些儿童年龄在5至12岁之间(平均年龄M = 8.2岁)。结果表明,每晚睡眠时间越少,自闭症总体得分和社交技能缺陷越高。同样,每晚睡眠时间越少以及夜间尖叫预示着刻板行为。卧室对环境刺激的敏感性增加以及夜间尖叫预示着沟通问题。最后,卧室对环境刺激的敏感性也预示着较少的发育顺序紊乱。结果表明,睡眠问题与自闭症的诊断特征可能相关。然而,必须完成未来的研究以确定具体关系。