Stony Brook University, USA
Stony Brook University, USA.
Autism. 2015 Apr;19(3):292-300. doi: 10.1177/1362361313518994. Epub 2014 Feb 4.
Evidence suggests that pain interferes with sleep in youth with developmental disabilities. This study examined the relationship between pain and sleep problems in a sample of youth with parent-reported autism spectrum disorder (N = 62). Mothers reported on standardized measures of pain and sleep problems. Youth demonstrated atypically high levels of both observed pain and sleep problems. Pain predicted overall sleep disturbance and three specific sleep problems: sleep duration, parasomnias, and sleep-disordered breathing. These specific sleep problems were predicted by specific modalities of nonverbal pain communication (e.g. sleep duration problems were predicted by social communication of pain). Effects were consistent across probing of relevant moderators. These findings suggest that comprehensive assessment of both pain and sleep problems may provide important information for medical and behavioral treatment planning for youth with autism spectrum disorder.
有证据表明，疼痛会干扰发育障碍青少年的睡眠。本研究在一个有父母报告的自闭症谱系障碍（N=62）的青少年样本中检查了疼痛和睡眠问题之间的关系。母亲报告了疼痛和睡眠问题的标准化测量。青少年表现出异常高的观察到的疼痛和睡眠问题水平。疼痛预测了整体睡眠障碍和三个特定的睡眠问题：睡眠时间、睡眠障碍和睡眠呼吸紊乱。这些特定的睡眠问题是由非言语疼痛沟通的特定方式预测的（例如，睡眠持续时间问题是由疼痛的社会沟通预测的）。在对相关调节因素进行探测时，效果是一致的。这些发现表明，对疼痛和睡眠问题的全面评估可能为自闭症谱系障碍青少年的医疗和行为治疗计划提供重要信息。
