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正常儿童的睡眠行为中是否存在诊断模式?

Do diagnostic patterns exist in the sleep behaviors of normal children?

作者信息

Fisher B E, McGuire K

机构信息

University of New Brunswick, Saint John, Canada.

出版信息

J Abnorm Child Psychol. 1990 Apr;18(2):179-86. doi: 10.1007/BF00910729.

DOI:10.1007/BF00910729
PMID:2348031
Abstract

We investigated the factor structure of the Children's Sleep Behavior Scale in an unselected sample of children (N = 838), ages 6 to 12.5 years, drawn from an elementary school population. Although no factor emerged that corresponded exactly to the parasomnias, as described by the Association of Sleep Disorders Centers (1979), all of the variables that loaded on Factor 1 were behaviors characteristic of the parasomnias, with the exception of recalled nightmares. Variables that were expected to load on this factor, but did not, were sleeptalking, teeth grinding, and enuresis. Enuresis was not related to any of the sleep behaviors assessed, and teeth grinding shared less than 9% of the variance with any of the other variables. Many of the variables loaded on more than one factor. The second factor, which was labeled bedtime resistance, was the only clearly unambiguous factor. Of the five factors that emerged, the third reflected positive affect, the fourth was a motor factor, and the fifth was an anxiety factor. Nightmares loaded on the anxiety factor as well as the first factor. The results of the study offered no support for the category of Disorders of Initiating and Maintaining sleep (DIMS), which has a childhood onset.

摘要

我们对从一所小学抽取的838名6至12.5岁儿童的未筛选样本进行了儿童睡眠行为量表的因子结构研究。尽管没有出现与睡眠障碍中心协会(1979年)所描述的异态睡眠完全对应的因子,但加载在因子1上的所有变量都是异态睡眠的特征行为,除了回忆起的噩梦。预期加载在该因子上但未加载的变量有说梦话、磨牙和尿床。尿床与所评估的任何睡眠行为均无关联,磨牙与任何其他变量的共同方差不到9%。许多变量加载在多个因子上。第二个因子被标记为就寝抵抗,是唯一明显明确的因子。在出现的五个因子中,第三个反映积极情绪,第四个是运动因子,第五个是焦虑因子。噩梦加载在焦虑因子以及第一个因子上。该研究结果不支持儿童期起病的起始与维持睡眠障碍(DIMS)类别。

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