Guller Baris, Yaylaci Ferhat
Department of Child and Adolescent Psychiatry, Bursa Dörtcelik Child Hospital, Bursa, Turkey.
Int J Dev Disabil. 2022 Jul 5;70(3):406-415. doi: 10.1080/20473869.2022.2095689. eCollection 2024.
This study aimed to evaluate the frequency of sleep and eating problems in children with autism spectrum disorder (ASD), the factors associated with these problems, and the relationship with the risk of developing depression and anxiety in their parents. In the study, 156 children with ASD and their parents were included. The Brief Autism Mealtime Behavior Inventory (BAMBI), the Children's Sleep Habits Questionnaire (CSHQ), the Hospital Anxiety Depression Scale (HADS) were completed by the parents. The Childhood Autism Rating Scale (CARS) was administered by the researchers to evaluate the severity of ASD in children. The mean age of children was 8.08 ± 2.84, and 87.2% of the children were male. The mean score of CARS was 41.25 ± 6.16, the mean score of BAMBI was 45.67 ± 11.87, and the mean score of CSHQ was 51.67 ± 10.17. According to the CSHQ, 83.3% of the children had sleep problems. The response rate above the cut-off point in the HAD-A subscale was 59.6%, whereas it was 67.3% in the HAD-D subscale. There was a positive correlation between CARS and BAMBI, CSHQ, HAD-A, and HAD-D subscales. There was a positive correlation between BAMBI and CHSQ, HAD-A, and HAD-D subscales. There was a positive correlation between the CSHQ, HAD-A, and HAD-D subscales. There was a negative correlation between the age of the child with ASD, food refusal, and resistance to bedtime. As sleeping and eating problems affect a large portion of children diagnosed with ASD and their caregivers, large population-based studies evaluating both these problems must be designed and carried out to understand factors affecting the prevalence, development, and persistence of sleeping and eating problems and to determine interventions to reduce these issues.
本研究旨在评估自闭症谱系障碍（ASD）儿童睡眠和饮食问题的发生率、与这些问题相关的因素，以及与他们父母患抑郁症和焦虑症风险的关系。在该研究中，纳入了156名患有ASD的儿童及其父母。父母完成了《自闭症用餐时间行为简短问卷》（BAMBI）、《儿童睡眠习惯问卷》（CSHQ）、《医院焦虑抑郁量表》（HADS）。研究人员使用《儿童自闭症评定量表》（CARS）评估儿童ASD的严重程度。儿童的平均年龄为8.08±2.84岁，87.2%的儿童为男性。CARS的平均得分为41.25±6.16，BAMBI的平均得分为45.67±11.87，CSHQ的平均得分为51.67±10.17。根据CSHQ，83.3%的儿童存在睡眠问题。HAD - A分量表中高于临界值的应答率为59.6%，而在HAD - D分量表中为67.3%。CARS与BAMBI、CSHQ、HAD - A和HAD - D分量表之间存在正相关。BAMBI与CSHQ、HAD - A和HAD - D分量表之间存在正相关。CSHQ与HAD - A和HAD - D分量表之间存在正相关。患有ASD的儿童年龄与食物拒绝和就寝抗拒之间存在负相关。由于睡眠和饮食问题影响了很大一部分被诊断为ASD的儿童及其照顾者，因此必须设计并开展大规模的基于人群的研究来评估这两个问题，以了解影响睡眠和饮食问题的患病率、发展和持续存在的因素，并确定减少这些问题的干预措施。
