Huntley Edward D, Campo John V, Dahl Ronald E, Lewin Daniel S
Children's National Medical Center, 111 Michigan Avenue, N.W., Washington, DC 20010-2970, USA.
J Pediatr Psychol. 2007 Sep;32(8):938-49. doi: 10.1093/jpepsy/jsm032. Epub 2007 Jul 12.
To describe sleep problems among youth with and without functional abdominal pain (FAP).
Participants were 8-15 years of age diagnosed with FAP (n = 67) or healthy pain-free comparisons (n = 80). Parents and participants completed instruments assessing sleep, psychiatric status, and FAP symptoms. Parent and child reports of sleep problems were compared across groups and the association of FAP to behavioral sleep problems was assessed controlling for psychopathology.
Children with FAP were reported to have more symptoms of behavioral sleep disorders (BSD), as well as increased nightmares and daytime tiredness than the comparison group. There were no group differences in total sleep time. Logistic regression analysis indicated that FAP was associated with a significantly increased risk of BSD symptoms [Odds ratio (OR): 4.17] after controlling for psychopathology.
Sleep problems in youth with FAP warrant clinical attention and future research should continue to explore sleep problems that co-occur with and independent of psychopathology.
描述功能性腹痛（FAP）患儿与无功能性腹痛患儿的睡眠问题。
参与者年龄在8至15岁之间，其中被诊断为FAP的有67人，健康且无疼痛的对照组有80人。家长和参与者完成了评估睡眠、精神状态和FAP症状的问卷。对两组家长和孩子报告的睡眠问题进行比较，并在控制精神病理学因素的情况下评估FAP与行为性睡眠问题的关联。
据报告，与对照组相比，FAP患儿有更多行为性睡眠障碍（BSD）症状，以及更多噩梦和日间疲劳。总睡眠时间在两组间无差异。逻辑回归分析表明，在控制精神病理学因素后，FAP与BSD症状风险显著增加相关[比值比（OR）：4.17]。
FAP患儿的睡眠问题值得临床关注，未来研究应继续探索与精神病理学因素共同出现及独立于精神病理学因素的睡眠问题。
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