自闭症谱系障碍儿童睡眠问题与父母心理健康和幸福感的关系。
Relationship between child sleep problems in autism spectrum disorder and parent mental health and well-being.
机构信息
University of Galway, Ireland.
University of Galway, Ireland.
出版信息
Sleep Med. 2023 Sep;109:4-10. doi: 10.1016/j.sleep.2023.05.009. Epub 2023 Jun 10.
Sleep problems are a common comorbidity in children and adolescents with autism spectrum disorder (ASD). The aim of this study is to determine how sleep problems affect not only the child with ASD, but parents also. Parents of 409 children and adolescents with ASD completed the Children's Sleep Habits Questionnaire, Pittsburgh Sleep Quality Index, Parenting Stress Index-Short Form, World Health Organization Quality of Life Abbreviated Version (WHOQOL-BREF), Hospital Anxiety and Depression Scale, and the Multidimensional Scale of Perceived Social Support. The majority (86.6%) of parents presented with poor sleep. The majority (95.3%; n = 387) of children presented with sleep problems, while 4.7% (n = 22) did not have sleep problems. A cross-sectional within-subjects research design was utilised, with the following analyses conducted: Pearson correlations, chi-square tests, t-tests, and MANOVAs. Relationships were found between child sleep problems and parent sleep problems, specifically child parasomnias, sleep duration, night wakings, and sleep onset delay. Parents of children with sleep problems experienced more parenting stress, specifically on the Difficult Child and Parent-Child Dysfunctional Interaction subscales of the Parenting Stress Index-Short Form. Parents of children and adolescents with sleep problems had significantly higher levels of anxiety and depression than parents of children and adolescents who did not have sleep problems. A relationship between sleep problems and lower quality of life was found. Parents of children with sleep problems received significantly lower scores on the WHOQOL-BREF domains of Physical Health, Psychological and Environment than parents of children without sleep problems. There was no significant difference found between parents of children with or without sleep problems on perceived social support. The current study demonstrated how child sleep affects parental well-being. While sleep problems are one comorbid condition in ASD, future research is needed to determine the impact of other comorbidities in parents of children and adolescents with ASD.
睡眠问题是自闭症谱系障碍(ASD)儿童和青少年的常见共病。本研究旨在确定睡眠问题不仅如何影响 ASD 儿童,还影响其父母。409 名 ASD 儿童和青少年的家长完成了儿童睡眠习惯问卷、匹兹堡睡眠质量指数、父母压力指数-短表、世界卫生组织生活质量简表(WHOQOL-BREF)、医院焦虑和抑郁量表以及多维感知社会支持量表。大多数(86.6%)家长睡眠质量较差。大多数(95.3%;n=387)儿童存在睡眠问题,而 4.7%(n=22)没有睡眠问题。采用了横截面的被试内研究设计,进行了以下分析:皮尔逊相关分析、卡方检验、t 检验和 MANOVAs。发现儿童睡眠问题与父母睡眠问题之间存在关系,特别是儿童睡眠障碍、睡眠时间、夜间觉醒和入睡潜伏期。有睡眠问题儿童的父母经历了更多的育儿压力,特别是在父母压力指数-短表的困难儿童和亲子功能障碍互动子量表上。有睡眠问题儿童和青少年的父母比没有睡眠问题的儿童和青少年的父母焦虑和抑郁程度更高。还发现了睡眠问题与生活质量较低之间的关系。有睡眠问题儿童的父母在 WHOQOL-BREF 身体、心理和环境领域的得分明显低于没有睡眠问题儿童的父母。有睡眠问题和没有睡眠问题儿童的父母在感知社会支持方面没有显著差异。本研究表明了儿童睡眠如何影响父母的幸福感。虽然睡眠问题是 ASD 的一种共病,但需要进一步研究来确定 ASD 儿童和青少年的父母中其他共病的影响。