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睡前屏幕时间与自闭症谱系障碍学龄前儿童行为的关系及睡眠的中介作用。

The relationship between screen time before bedtime and behaviors of preschoolers with autism spectrum disorder and the mediating effects of sleep.

机构信息

Department of Developmental and Behavioral Pediatrics, The First Hospital of Jilin University, Changchun, 130021, China.

出版信息

BMC Psychiatry. 2023 Aug 30;23(1):635. doi: 10.1186/s12888-023-05128-6.

DOI:10.1186/s12888-023-05128-6
PMID:37648993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466770/
Abstract

BACKGROUND

There are overlapping effects of screen time and sleep on children's behavior. The purpose of this study was to explore the relationship of screen time with behavior problems in children with autism spectrum disorder (ASD) and the probable mediating effects of sleep, in order to provide evidence for the need for clinical identification and intervention.

METHODS

A sample of 358 preschoolers with ASD were included. We investigated the children's basic characteristics of sex and age, ASD symptoms (ABC, CARS, and ADOS-2), neurodevelopment (GDS-C), sleep habits (CSHQ), and behavior (CBCL). Pearson correlation tests were used to determine the direct correlations among children's screen time, CBCL, and CSHQ. Linear regression analysis was used to explore whether screen time predicted total score of CBCL. Multi-step linear regression analysis was used to investigate the mediating effect of sleep on the relationship between screen time and total score of CBCL.

RESULTS

Screen time before bedtime was correlated with CBCL and CSHQ, which indicated that screen time before bedtime was correlated with sleep and behavior in children with ASD. Screen time before bedtime was a predictor of CBCL total score (indicating children's behavior), and CSHQ total score (indicating children's sleep habits) played a partial mediating role between screen time before bedtime and children's behavior.

CONCLUSION

Clinicians should support and educate parents of children with ASD, which should focus on managing screen time, especially screen time before bedtime.

摘要

背景

屏幕时间和睡眠对儿童行为都有重叠影响。本研究旨在探讨自闭症谱系障碍（ASD）儿童屏幕时间与行为问题的关系，以及睡眠的可能中介作用，为临床识别和干预提供依据。

方法

纳入 358 名学龄前 ASD 儿童。我们调查了儿童的基本特征，包括性别和年龄、ASD 症状（ABC、CARS 和 ADOS-2）、神经发育（GDS-C）、睡眠习惯（CSHQ）和行为（CBCL）。采用 Pearson 相关检验确定儿童屏幕时间、CBCL 和 CSHQ 之间的直接相关性。采用线性回归分析探讨屏幕时间是否预测 CBCL 的总分。采用多步线性回归分析探讨睡眠对屏幕时间与 CBCL 总分之间关系的中介作用。

结果

睡前屏幕时间与 CBCL 和 CSHQ 相关，表明睡前屏幕时间与 ASD 儿童的睡眠和行为相关。睡前屏幕时间是 CBCL 总分（表示儿童行为）的预测因子，CSHQ 总分（表示儿童睡眠习惯）在睡前屏幕时间与儿童行为之间起部分中介作用。

结论

临床医生应支持和教育 ASD 儿童的家长，重点是管理屏幕时间，特别是睡前屏幕时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/496e/10466770/80ee1632babe/12888_2023_5128_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/496e/10466770/80ee1632babe/12888_2023_5128_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/496e/10466770/80ee1632babe/12888_2023_5128_Fig1_HTML.jpg

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