Swisher Valerie, Tooker Maya, Qu Christine, Burgess Helen J, Coles Meredith E, Bennett Shannon, Piacentini John, Colwell Christopher S, Ricketts Emily J
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Department of Biological Sciences, Columbia University.
Child Health Care. 2024;53(1):23-40. doi: 10.1080/02739615.2023.2175682. Epub 2023 Feb 25.
The present study examined rates of sleep disorders and sleep medication use, and predictors of sleep disturbance in children with persistent tic disorders (PTD). Sixty-three parents of children aged 10 to 17 years with PTDs completed an internet survey evaluating sleep patterns and clinical symptoms. Insomnia (19.4%), nightmares (16.1%), and bruxism (13.1%) were the most commonly reported lifetime sleep disorders. Fifty-two percent endorsed current sleep medication use. Higher ADHD severity, overall life impairment, and female sex predicted greater sleep disturbance. Findings suggest the utility of clinical management of co-occurring ADHD and impairment to mitigate sleep disturbance in children with PTDs.
本研究调查了持续性抽动障碍（PTD）患儿的睡眠障碍发生率、睡眠药物使用情况以及睡眠障碍的预测因素。63名10至17岁患有PTD的患儿家长完成了一项网络调查，评估睡眠模式和临床症状。失眠（19.4%）、噩梦（16.1%）和磨牙症（13.1%）是最常报告的终生睡眠障碍。52%的家长认可目前使用睡眠药物。注意力缺陷多动障碍（ADHD）严重程度较高、整体生活受损以及女性性别预示着更大的睡眠障碍。研究结果表明，对同时存在的ADHD和功能损害进行临床管理，有助于减轻PTD患儿的睡眠障碍。
