Merlo Sandra, Briley Patrick M
Brazilian Fluency Institute, Av. Brg. Faria Lima, 1811, conj 822, Sao Paulo, SP, 01452-001, Brazil.
Department of Communication Sciences and Disorders, East Carolina University, 3310AC Health Sciences Building, MS 668, Greenville, NC, 27834, United States.
J Commun Disord. 2019 Nov-Dec;82:105935. doi: 10.1016/j.jcomdis.2019.105935. Epub 2019 Sep 4.
Purpose Previous research has identified seizures, intellectual disability, learning disability, pervasive developmental disorder, and attention deficit hyperactivity disorder as coexisting disabilities frequently seen in children who stutter (CWS). The observation that those conditions are affected by sleep has incited the present study, which aimed to explore if sleep problems are also more frequent in CWS. Method Data was obtained from the 2012 National Health Interview Survey. Children included in the analysis were those whose caregivers answered definitively whether or not the sample child stuttered in the last 12 months and whose caregivers definitively answered questions regarding insomnia or trouble sleeping, sleepiness during the day, and fatigue during the day in the last 12 months. This sample included 203 CWS and 10,005 children who do not stutter (CWNS). Results CWS were at greater odds of presenting insomnia or trouble sleeping (OR = 3.72, p < .001), sleepiness during the day (OR = 2.20, p < .001), and fatigue during the day (OR = 2.87, p < .001) when compared to CWNS. Moreover, CWS with coexisting disabilities were at greater odds of presenting with sleep problems when compared to CWS without coexisting disabilities. Finally, CWS without coexisting disabilities were at greater odds of presenting insomnia when compared to CWNS without coexisting disabilities. Conclusion CWS are at risk for presenting with sleep problems. Additionally, sleep problems persist from early childhood to adolescence. The implications of these findings are unclear, though future studies should look to explore the impact of sleep problems on stuttering.
目的 先前的研究已确定癫痫发作、智力残疾、学习障碍、广泛性发育障碍和注意力缺陷多动障碍是口吃儿童（CWS）中常见的共存残疾。这些疾病受睡眠影响的观察结果引发了本研究，其目的是探讨睡眠问题在口吃儿童中是否也更常见。方法 数据来自2012年全国健康访谈调查。纳入分析的儿童是那些其照顾者明确回答样本儿童在过去12个月内是否口吃，以及其照顾者明确回答有关过去12个月内失眠或睡眠困难、白天嗜睡和白天疲劳问题的儿童。该样本包括203名口吃儿童和10005名非口吃儿童（CWNS）。结果 与非口吃儿童相比，口吃儿童出现失眠或睡眠困难（OR = 3.72，p <.001）、白天嗜睡（OR = 2.20，p <.001）和白天疲劳（OR = 2.87，p <.001）的几率更高。此外，与无共存残疾的口吃儿童相比，有共存残疾的口吃儿童出现睡眠问题的几率更高。最后，与无共存残疾的非口吃儿童相比，无共存残疾的口吃儿童出现失眠的几率更高。结论 口吃儿童有出现睡眠问题的风险。此外，睡眠问题从幼儿期到青春期持续存在。这些发现的意义尚不清楚，不过未来的研究应探索睡眠问题对口吃的影响。
