睡眠问题与神经发育障碍儿童受限和重复行为的轨迹。
Sleep Problems and Trajectories of Restricted and Repetitive Behaviors in Children with Neurodevelopmental Disabilities.
机构信息
Department of Speech and Hearing Science, UW Autism Center, University of Washington, Box 957920, Seattle, WA, 98195, USA.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
出版信息
J Autism Dev Disord. 2020 Nov;50(11):3844-3856. doi: 10.1007/s10803-020-04438-y.
Abstract
Sleep problems are prevalent in children with neurodevelopmental disabilities and are associated with the expression of restricted and repetitive behaviors (RRBs). Children (n = 57) with autism spectrum disorder (ASD, n = 38) or developmental delay (DD, n = 19) participated in multiple assessments of intellectual ability, ASD symptoms, and RRBs (3 timepoints for ASD, 2 for DD). Sleep problems assessed at age 4 via parent report were associated with trajectories of higher-order RRBs (sameness/ritualistic/compulsive behaviors) from age 2-6 in the ASD group, and from age 2-4 in the DD group, even after controlling for intellectual ability, social-affective symptoms, and anxiety. Trajectories of stereotyped/restricted behaviors were unrelated to sleep problems. Sleep problems were associated with trajectories of higher-order (but not lower-order) RRBs in a transdiagnostic sample.
摘要
睡眠问题在患有神经发育障碍的儿童中很常见，并且与受限和重复行为（RRBs）的表达有关。自闭症谱系障碍（ASD，n=38）或发育迟缓（DD，n=19）的儿童（n=57）参与了多次智力能力、ASD 症状和 RRBs 的评估（ASD 有 3 个时间点，DD 有 2 个时间点）。通过家长报告在 4 岁时评估的睡眠问题与 ASD 组从 2 岁到 6 岁、DD 组从 2 岁到 4 岁的高阶 RRBs（同一性/仪式性/强迫性行为）轨迹相关，即使在控制了智力能力、社会情感症状和焦虑之后也是如此。刻板/受限行为的轨迹与睡眠问题无关。在跨诊断样本中，睡眠问题与高阶（而非低阶）RRBs 的轨迹相关。
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