Murata Emi, Kato-Nishimura Kumi, Taniike Masako, Mohri Ikuko
United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University School of Medicine, Chiba University and University of Fukui, Osaka, Japan.
Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
J Clin Sleep Med. 2020 Feb 15;16(2):167-174. doi: 10.5664/jcsm.8158. Epub 2020 Jan 13.
Nocturnal polysomnography (PSG) is an essential diagnostic technique to assess sleep abnormalities, including sleep-disordered breathing (SDB). Although low in invasiveness, it is extremely difficult to conduct PSG with children who are not cooperative with wearing electrodes and sensors. Particularly, it is difficult to conduct PSG on children with autism spectrum disorder (ASD) because they have poor predictive ability, exhibit extreme anxiety about novel and unfamiliar things, and have difficulty understanding verbal instructions. Recently, the usefulness of psychological preparation was reported. The primary aim of this study was to assess the usefulness of psychological preparation for PSG.
The goal of our study was to assess the usefulness of psychological preparation for PSG. A total of 253 children were enrolled in the study: 131 in the control group (19 with ASD) and 122 selected for psychological preparation (51 with ASD).
In the preparation group, 110 of 122 (90.2%) could undergo regular PSG, a significantly higher percentage than the control group at 104 of 131 (79.4%), P = .018. Regarding hypnotic drugs, in the preparation group 111 of 122 (91.0%) underwent PSG without hypnotic drugs, which was a significantly higher percentage than in the control group at 107 of 131 (81.7%), P = .032. Additionally, 45 of 51 children with ASD in the preparation group (88.2%) could undergo PSG without hypnotic drugs.
This study indicated that psychological preparation was effective in facilitating PSG without hypnotic drugs in children who have difficulty cooperating with PSG, including those with ASD.
夜间多导睡眠图（PSG）是评估睡眠异常（包括睡眠呼吸障碍（SDB））的重要诊断技术。尽管侵入性较低，但对于不配合佩戴电极和传感器的儿童进行PSG检查极为困难。特别是，对于自闭症谱系障碍（ASD）儿童进行PSG检查很困难，因为他们预测能力差，对新奇和不熟悉的事物表现出极度焦虑，并且难以理解口头指令。最近，有报道称心理准备有一定作用。本研究的主要目的是评估PSG心理准备的作用。
我们研究的目的是评估PSG心理准备的作用。共有253名儿童参与研究：131名在对照组（19名患有ASD），122名被选作进行心理准备（51名患有ASD）。
在准备组中，122名中有110名（90.2%）能够进行常规PSG检查，这一比例显著高于对照组的131名中的104名（79.4%），P = 0.018。关于催眠药物，在准备组中，122名中有111名（91.0%）在未使用催眠药物的情况下进行了PSG检查，这一比例显著高于对照组的131名中的107名（81.7%），P = 0.032。此外，准备组中51名患有ASD的儿童中有45名（88.2%）在未使用催眠药物的情况下能够进行PSG检查。
本研究表明，心理准备对于帮助难以配合PSG检查的儿童（包括患有ASD的儿童）在不使用催眠药物的情况下顺利进行PSG检查是有效的。
