高功能自闭症谱系障碍儿童睡眠与精神病理学的自我报告及照料者报告：一项试点研究。
Self-report and caregiver-report of sleep and psychopathology in children with high-functioning autism spectrum disorder: A pilot study.
作者信息
Richdale Amanda L, Baglin Courtney L
机构信息
Olga Tennison Autism Research Centre, La Trobe University , Australia and.
出版信息
Dev Neurorehabil. 2015;18(4):272-9. doi: 10.3109/17518423.2013.829534. Epub 2013 Oct 2.
OBJECTIVE
To examine relationships between psychological and sleep problems in children with high-functioning autism spectrum disorder (HFASD) and typically developing (TD) children using self-report and caregiver-report.
METHOD
Seventeen HFASD (M = 10.03 years, SD = 1.33) and 15 TD (M = 9.99 years, SD = 1.22) children and their caregivers responded about the child's sleep, anxiety, depression and ADHD.
RESULTS
Children with HFASD had poorer sleep than TD children by self-report and caregiver-report; caregiver-reported psychopathology, and self-reported anxiety were also higher for HFASD children. Poor sleep was related to anxiety in both groups, particularly Somatic-panic for HFASD children. Caregiver-child agreement for sleep and anxiety was fair for HFASD children but slight for TD children.
CONCLUSIONS
Patterns of sleep-psychopathology associations differed for HFASD and TD children and hyperarousal seemed important for poor sleep in HFASD but not TD children. Results suggested that children with HFASD were able to report on their difficulties.
目的
采用自我报告和照料者报告的方式，研究高功能自闭症谱系障碍（HFASD）儿童与发育正常（TD）儿童的心理问题与睡眠问题之间的关系。
方法
17名HFASD儿童（平均年龄M = 10.03岁，标准差SD = 1.33）、15名TD儿童（平均年龄M = 9.99岁，标准差SD = 1.22）及其照料者就儿童的睡眠、焦虑、抑郁和注意力缺陷多动障碍进行了回应。
结果
自我报告和照料者报告均显示，HFASD儿童的睡眠状况比TD儿童差；HFASD儿童的照料者报告的精神病理学问题以及自我报告的焦虑水平也更高。两组中，睡眠不佳均与焦虑有关，尤其是HFASD儿童的躯体惊恐。HFASD儿童在睡眠和焦虑方面，照料者与儿童之间的一致性为中等，但TD儿童的一致性较弱。
结论
HFASD儿童和TD儿童的睡眠-精神病理学关联模式不同，过度唤醒似乎是导致HFASD儿童睡眠不佳的重要因素，但对TD儿童并非如此。结果表明，HFASD儿童能够报告自身的困难。
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