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注意缺陷多动障碍、焦虑症和抑郁症中的认知脱离综合征与儿童睡眠问题

Cognitive Disengagement Syndrome and Child Sleep Problems in ADHD, Anxiety and Depression.

作者信息

Cano-Crespo Almudena, Moreno-García Inmaculada, Servera Mateu, Morales-Ortiz Manuel

机构信息

Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Seville, 41018 Seville, Spain.

Institut Universitari d'Investigació en Ciències de la Salut, Fundación Instituto de Investigación Sanitaria Islas Baleares, University of Illes Balears, 07122 Palma, Spain.

出版信息

Healthcare (Basel). 2023 Jul 14;11(14):2022. doi: 10.3390/healthcare11142022.

Abstract

The main objective of this study was to analyse the relationship and differential contribution of Cognitive Disengagement Syndrome (CDS) and sleep problems in children in different psychopathological measures. A total of 1133 participants (612 fathers/mothers and 521 children aged 7-13 years in Years 3-6 of Primary Education) completed the scales on CDS, sleep problems, depression (DEP), anxiety (ANX) and attention deficit and hyperactivity disorder (ADHD). Similar and significant correlations were identified in the measures of CDS and sleep problems between fathers and mothers, obtaining a high coefficient between the two parents. However, weak correlations were found between fathers/mothers and children. The scores of CDS and the sleep disturbance scale for children (SDSC) significantly predicted the internalising measures and ADHD, especially between SDSC and DEP. It was confirmed that sleep problems had a greater presence in the group of children with the highest ADHD scores, and especially in CDS and ADHD jointly. To conclude, the data indicate the importance of sleep problems in understanding CDS and its relationship with other psychopathological measures, especially ADHD, although to a greater extent with internalising symptoms, especially DEP.

摘要

本研究的主要目的是分析认知脱离综合征(CDS)与睡眠问题在不同心理病理学指标下对儿童的关系及差异贡献。共有1133名参与者(612名父亲/母亲以及521名处于小学3至6年级、年龄在7至13岁的儿童)完成了关于CDS、睡眠问题、抑郁(DEP)、焦虑(ANX)以及注意力缺陷多动障碍(ADHD)的量表。在父亲和母亲关于CDS及睡眠问题的测量中发现了相似且显著的相关性,父母双方之间的系数较高。然而,在父亲/母亲与孩子之间发现的相关性较弱。儿童的CDS得分和睡眠障碍量表(SDSC)显著预测了内化指标和ADHD,尤其是SDSC与DEP之间。证实睡眠问题在ADHD得分最高的儿童组中更为常见,尤其是在CDS和ADHD共同出现的情况下。总之,数据表明睡眠问题在理解CDS及其与其他心理病理学指标,尤其是ADHD的关系中具有重要性,尽管在更大程度上与内化症状,尤其是DEP相关。

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