Malow Beth A, Adkins Karen W, Reynolds Ann, Weiss Shelly K, Loh Alvin, Fawkes Diane, Katz Terry, Goldman Suzanne E, Madduri Niru, Hundley Rachel, Clemons Traci
Sleep Disorders Division, Department of Neurology and Vanderbilt Kennedy Center, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232, USA,
J Autism Dev Disord. 2014 Jan;44(1):216-28. doi: 10.1007/s10803-013-1866-z.
This study provided sleep education to parents of children with autism spectrum disorder (ASD) to determine whether an individual or group format was more effective in improving sleep and aspects of daytime behavior and family functioning. Eighty children, ages 2-10 years, with ASD and sleep onset delay completed the study. Actigraphy and parent questionnaires were collected at baseline and 1 month after treatment. Mode of education did not affect outcomes. Sleep latency, insomnia subscales on the Children's Sleep Habits Questionnaire, and other outcomes related to child and family functioning improved with treatment. Parent-based sleep education, delivered in relatively few sessions, was associated with improved sleep onset delay in children with ASD. Group versus individualized education did not affect outcome.
本研究为自闭症谱系障碍(ASD)儿童的家长提供睡眠教育,以确定个体形式或小组形式在改善睡眠、日间行为及家庭功能方面是否更有效。80名年龄在2至10岁、患有ASD且存在入睡延迟问题的儿童完成了该研究。在基线期及治疗后1个月收集了活动记录仪数据和家长问卷。教育方式不影响结果。治疗后,睡眠潜伏期、儿童睡眠习惯问卷中的失眠分量表以及与儿童和家庭功能相关的其他结果均有所改善。相对较少次数的以家长为基础的睡眠教育与ASD儿童入睡延迟的改善相关。小组教育与个体化教育对结果无影响。