持续性抽动障碍患儿的睡眠障碍、睡眠药物使用及睡眠干扰的预测因素
Sleep Disorders, Sleep Medication Use, and Predictors of Sleep Disturbance in Children with Persistent Tic Disorders.
作者信息
Swisher Valerie, Tooker Maya, Qu Christine, Burgess Helen J, Coles Meredith E, Bennett Shannon, Piacentini John, Colwell Christopher S, Ricketts Emily J
机构信息
Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles.
Department of Biological Sciences, Columbia University.
出版信息
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。
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