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自闭症儿童睡眠问题与情绪及行为障碍之间的关联:一项网络分析

The Connection Between Sleep Problems and Emotional and Behavioural Difficulties in Autistic Children: A Network Analysis.

作者信息

Sommers Lucy, Papadopoulos Nicole, Fuller-Tyszkiewicz Matthew, Sciberras Emma, McGillivray Jane, Howlin Patricia, Rinehart Nicole

机构信息

School of Psychology, Faculty of Health, Deakin University, 1 Gheringhap Street, Geelong, VIC, 3220, Australia.

School of Psychology, Deakin University, 221 Burwood Hwy, Burwood, VIC, 3125, Australia.

出版信息

J Autism Dev Disord. 2025 Apr;55(4):1159-1171. doi: 10.1007/s10803-024-06298-2. Epub 2024 Mar 25.

DOI:10.1007/s10803-024-06298-2
PMID:38526802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11933199/
Abstract

The interactions between sleep problems, autism symptoms and emotional and behavioural difficulties were explored using network analysis in 240 autistic children (mean age: 8.8 years, range 5-13 years) with moderate to severe sleep problems. Findings revealed a highly connected and interpretable network, with three separate clusters identified of the modelled variables. Depression, anxiety and behavioural difficulties were the most central variables of the network. Depression, anxiety and restricted repetitive and stereotyped patterns behaviours (RRBs) were the strongest bridging variables in the network model, transmitting activation both within and between other symptom clusters. The results highlight that depression and anxiety were highly connected symptoms within the network, suggesting support in these areas could be helpful, as well as future research.

摘要

在240名患有中度至重度睡眠问题的自闭症儿童(平均年龄:8.8岁,范围5 - 13岁)中,运用网络分析探究了睡眠问题、自闭症症状以及情绪和行为困难之间的相互作用。研究结果揭示了一个高度关联且可解释的网络,在所建模的变量中识别出三个独立的聚类。抑郁、焦虑和行为困难是该网络中最核心的变量。抑郁、焦虑和局限的重复刻板行为(RRBs)是网络模型中最强的桥梁变量,在其他症状聚类内部和之间传递激活。结果突出表明,抑郁和焦虑是网络中高度关联的症状,这表明在这些领域提供支持可能会有所帮助,同时也为未来研究提供了方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/b0cb0f647483/10803_2024_6298_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/fe73e89b3c42/10803_2024_6298_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/b2a9ebf93248/10803_2024_6298_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/b0cb0f647483/10803_2024_6298_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/fe73e89b3c42/10803_2024_6298_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/b2a9ebf93248/10803_2024_6298_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28cc/11933199/b0cb0f647483/10803_2024_6298_Fig3_HTML.jpg

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Associations between sleep problems and domains relevant to daytime functioning and clinical symptomatology in autism: A meta-analysis.睡眠问题与自闭症日间功能和临床症状相关领域的关联:一项荟萃分析。
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Evaluating sleep quality using the CSHQ-Autism.
使用 CSHQ-Autism 评估睡眠质量。
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Sleep problems in children with autism spectrum disorder: a multicenter survey.自闭症谱系障碍儿童的睡眠问题:一项多中心调查。
BMC Psychiatry. 2021 Aug 16;21(1):406. doi: 10.1186/s12888-021-03405-w.
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Sleep Disorders in Children and Adolescents with Autism Spectrum Disorder: Diagnosis, Epidemiology, and Management.儿童和青少年自闭症谱系障碍中的睡眠障碍:诊断、流行病学和管理。
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