自闭症谱系障碍儿童的睡眠评估
Assessment of Sleep in Children with Autism Spectrum Disorder.
作者信息
Moore Makeda, Evans Victoria, Hanvey Grace, Johnson Cynthia
机构信息
Department of Clinical & Health Psychology, University of Florida, 1225 Center Dr., Room 3130, P.O. Box 100165, Gainesville, FL 32610, USA.
出版信息
Children (Basel). 2017 Aug 8;4(8):72. doi: 10.3390/children4080072.
Sleep disturbances in children with autism spectrum disorder (ASD) are significantly more prevalent than found in typically developing (TD) children. Given the detrimental impact of poor sleep on cognitive, emotional, and behavioral functioning, it is imperative to screen and assess for sleep disturbances in this population. In this paper, we describe the screening and assessment process, as well as specific measures commonly used for assessing sleep in children with ASD. Advantages and limitations for use in children with ASD are discussed. While subjective measures, such as parent-report questionnaires and sleep diaries, are the most widely used, more objective measures such as actigraphy, polysomnography, and videosomnography provide additional valuable information for both diagnostic purposes and treatment planning. These objective measures, nonetheless, are limited by cost, availability, and feasibility of use with children with ASD. The current review provides an argument for the complementary uses of both subjective and objective measures of sleep specifically for use in children with ASD.
自闭症谱系障碍（ASD）儿童的睡眠障碍比正常发育（TD）儿童更为普遍。鉴于睡眠不佳对认知、情感和行为功能有不利影响，因此对这一群体进行睡眠障碍筛查和评估势在必行。在本文中，我们描述了筛查和评估过程，以及评估ASD儿童睡眠常用的具体措施。讨论了这些措施在ASD儿童中使用的优缺点。虽然主观测量方法，如家长报告问卷和睡眠日记，是使用最广泛的，但诸如活动记录仪、多导睡眠图和视频睡眠图等更客观的测量方法，为诊断和治疗计划提供了额外的有价值信息。然而，这些客观测量方法受到成本、可用性以及在ASD儿童中使用的可行性的限制。本综述提出了主观和客观睡眠测量方法互补使用的观点，特别是用于ASD儿童。
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