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父母的抑郁症状是否与发育障碍儿童的睡眠质量和身体活动有关?

Are parental depressive symptoms related to the sleep quality and physical activity of their children with developmental disabilities?

机构信息

Greater Good Science Center, University of California, Berkeley, Berkeley, CA, USA; Department of Pediatrics, School of Medicine, University of California, Irvine, Irvine, CA, USA; Center for Autism and Neurodevelopmental Disorders, School of Medicine, University of California, Irvine, Irvine, CA, USA.

School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland.

出版信息

Res Dev Disabil. 2021 Dec;119:104091. doi: 10.1016/j.ridd.2021.104091. Epub 2021 Oct 9.

Abstract

BACKGROUND

Parenting young children with developmental disabilities presents unique opportunities and challenges. Parents can experience meaningful priority shifts in and appreciation for their lives, but they can also be at greater risk for diminished emotional health. Physiological child factors warrant further investigation as correlates for parent risk of or protection from depression.

AIM

This study examined the relations between parental depressive symptoms and the (1) sleep quality and (2) physical activity in their children with developmental disabilities adjusting for parent- and child-level factors.

METHODS AND PROCEDURES

Children and parents were recruited for participation in this study from a university-based neurodevelopmental clinic. Parents completed questionnaires about themselves including measures of depressive symptoms and about their children including measures of sleep quality and physical activity. Researchers administered developmental measures to the children and physicians completed children's diagnostic evaluations. Participants were 147 children (32 ± 4 months old) mostly with autism spectrum disorder (ASD) and their parents (mostly mothers). Factors associated with parent-reported depressive symptoms were analyzed with a generalized linear model.

OUTCOMES AND RESULTS

An R value of 43 % confirmed that there was a substantial, moderate-to-large sized, improvement in the proportion of variance explained by the final model when compared with a null, or intercept-only, model. Depressive symptoms were approximately two times higher for parents of children with above average sleep disturbances and one and half times higher for parents whose children engaged in above average physical activity.

CONCLUSION AND IMPLICATIONS

Our study demonstrates the importance of considering children's sleep and physical activity in supporting children's developmental disabilities because they may offer pathways to enhanced family resilience and well-being.

摘要

背景

养育有发育障碍的幼儿会带来独特的机遇和挑战。父母可能会经历生活中重要的优先事项转变和对生活的欣赏,但他们也可能面临更大的情绪健康风险。生理儿童因素值得进一步研究,作为父母抑郁风险或保护的相关因素。

目的

本研究考察了父母抑郁症状与(1)子女睡眠质量和(2)子女身体活动之间的关系,同时调整了父母和子女层面的因素。

方法和程序

从一所大学神经发育诊所招募儿童及其父母参与本研究。父母完成了关于自己的问卷,包括抑郁症状的测量,以及关于他们孩子的问卷,包括睡眠质量和身体活动的测量。研究人员对儿童进行了发展性评估,医生完成了儿童的诊断评估。参与者为 147 名儿童(32±4 个月大),主要患有自闭症谱系障碍(ASD),以及他们的父母(主要是母亲)。使用广义线性模型分析与父母报告的抑郁症状相关的因素。

结果和结论

R 值为 43%,证实了最终模型与空模型(即仅截距模型)相比,解释方差的比例有实质性的、中到大的改善。与睡眠正常的儿童的父母相比,睡眠障碍程度较高的儿童的父母抑郁症状大约高出两倍,而孩子身体活动水平较高的父母的抑郁症状大约高出 1.5 倍。

本研究表明,考虑儿童的睡眠和身体活动在支持儿童发育障碍方面的重要性,因为它们可能为增强家庭适应能力和幸福感提供途径。

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