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自闭症服务犬到来后家庭睡眠的变化。

Changes in Sleep of Families After the Arrival of an Autism Service Dog.

作者信息

Simard Valérie, Aubry-Guzzi Marie-Aude, Chapleau Isabelle, Moënner Marina, François Nathe, Champagne Noël

机构信息

Departement of Psychology, Université de Sherbrooke, 150 Place Charles-Le Moyne, Bureau 200, Longueuil, QC, J4K 0A8, Canada.

Charles-Le Moyne Research Center, Longueuil, QC, Canada.

出版信息

J Autism Dev Disord. 2024 Sep 9. doi: 10.1007/s10803-024-06546-5.

DOI:10.1007/s10803-024-06546-5
PMID:39249574
Abstract

This study aimed to investigate the changes in sleep quality and quantity among families following the arrival of an autism service dog. We hypothesized that the sleep of the child or adolescent with autism spectrum disorder (assessed objectively with actigraphy and subjectively with a parent-reported sleep diary), and of both parents (assessed by self-reported diaries) would improve after the dog's arrival. The sleep of 18 youths (15 boys) aged from 5 to 16 years (M = 8.86), and of their parents (14 mothers, 11 fathers) was assessed for a 5- to 7-day period before (pretest) and eight to ten weeks after the dog's arrival (posttest). A designated parent (the same at the pretest and posttest) completed the sleep diary of the child, who wore an actiwatch in the meantime. Significant improvement in most sleep parameters was observed from pretest to posttest for the child and the mother, as reported in the sleep diaries. However, there was no improvement in the child's sleep when assessed objectively. Fathers' sleep duration increased after the dog's arrival, when adjusting for the child's age. All significant effects had medium to large sizes. This study provides the first quantitative evidence of the positive effect of autism service dogs on the sleep of families. These findings suggest that the dog's presence may increase the sense of safety for the child, who would resume sleeping faster or stay in the bedroom after nocturnal awakenings, leading to improved parents' sleep.

摘要

本研究旨在调查自闭症服务犬到来后家庭中睡眠质量和数量的变化。我们假设,患有自闭症谱系障碍的儿童或青少年(通过活动记录仪客观评估,通过家长报告的睡眠日记主观评估)以及父母双方(通过自我报告的日记评估)在狗狗到来后睡眠会得到改善。对18名年龄在5至16岁(平均年龄8.86岁)的青少年(15名男孩)及其父母(14名母亲,11名父亲)在狗狗到来前5至7天(预测试)和到来后八至十周(后测试)的睡眠情况进行了评估。一名指定的家长(预测试和后测试时相同)完成孩子的睡眠日记,与此同时孩子佩戴活动记录仪。如睡眠日记中所报告,从预测试到后测试,孩子和母亲的大多数睡眠参数都有显著改善。然而,客观评估时孩子的睡眠并无改善。在调整孩子年龄后,狗狗到来后父亲的睡眠时间增加。所有显著影响的效应大小为中等至较大。本研究首次提供了定量证据,证明自闭症服务犬对家庭睡眠有积极影响。这些发现表明,狗狗的存在可能会增加孩子的安全感,孩子会更快重新入睡或在夜间醒来后留在卧室,从而改善父母的睡眠。

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本文引用的文献

1
Brief Report: Above and Beyond Safety: Psychosocial and Biobehavioral Impact of Autism-Assistance Dogs on Autistic Children and their Families.简要报告:超越安全:自闭症援助犬对自闭症儿童及其家庭的心理社会和生物行为影响。
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Sleep and anxiety: From mechanisms to interventions.睡眠与焦虑:从机制到干预。
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Outcomes of assistance dog placement in the home for individuals with autism spectrum disorder and their families: A pilot study.
为患有自闭症谱系障碍的个人及其家庭提供家庭辅助犬的效果:一项试点研究。
Aust Occup Ther J. 2022 Feb;69(1):50-63. doi: 10.1111/1440-1630.12768. Epub 2021 Sep 9.
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A systematic review of the association between sleep health and stress biomarkers in children.系统评价儿童睡眠健康与应激生物标志物的关系。
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Presleep Arousal and Sleep in Early Childhood.婴幼儿期的睡前觉醒和睡眠。
J Genet Psychol. 2021 Jul-Aug;182(4):236-251. doi: 10.1080/00221325.2021.1905596. Epub 2021 Apr 19.
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The effect of sleep on the salivary cortisol response to acute stressors: a review and suggestions.睡眠对唾液皮质醇对急性应激源反应的影响:综述与建议
Sleep Med. 2021 Jan;77:35-44. doi: 10.1016/j.sleep.2020.11.026. Epub 2020 Nov 24.
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Autism Spectrum Disorder and Sleep.自闭症谱系障碍与睡眠
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8
Associations Between Child Sleep Problem Severity and Maternal Well-Being in Children with Autism Spectrum Disorder.自闭症谱系障碍儿童睡眠问题严重程度与母亲幸福感的关联。
J Autism Dev Disord. 2021 Jul;51(7):2500-2510. doi: 10.1007/s10803-020-04726-7.
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Supplementing sleep actigraphy with button pressing while awake.在清醒时用按钮按压来补充睡眠活动描记法。
PLoS One. 2020 Jun 18;15(6):e0234060. doi: 10.1371/journal.pone.0234060. eCollection 2020.
10
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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