Centre for Advanced Research and Excellence in Autism and Developmental Disorders, St. John's Medical College Hospital and St. John's Research Institute, Bengaluru, Karnataka, 560034, India.
J Autism Dev Disord. 2024 Dec;54(12):4761-4764. doi: 10.1007/s10803-024-06564-3. Epub 2024 Oct 3.
The Child Sleep Hygiene Questionnaire (CSHQ) and its adapted version for autistic children, known as CSHQ-Autism, have gained recognition as essential tools for studying pediatric sleep patterns. 67 autistic children were evaluated using these questionnaires. 52 children screened positive on the CSHQ while 18 were screened positive on the CSHQ-Autism. Notably, both tools showed elevated ratings in the domains of sleep anxiety and co-sleeping, which may hinder their ability to accurately distinguish sleep disturbances. However, the prevalence of sleep anxiety/co-sleeping in Indian culture was found to be linked to more severe sleep disorders, while also serving as a protective factor against separation anxiety and sudden infant death syndrome (SIDS). Therefore, while the CSHQ and CSHQ-Autism serve as valuable assessment tools, their scores may be inflated by ingrained cultural norms in the Indian context.
儿童睡眠卫生问卷（CSHQ）及其为自闭症儿童改编的版本，即 CSHQ-自闭症，已被公认为研究儿科睡眠模式的重要工具。67 名自闭症儿童使用这些问卷进行了评估。52 名儿童的 CSHQ 筛查呈阳性，18 名儿童的 CSHQ-自闭症筛查呈阳性。值得注意的是，这两个工具在睡眠焦虑和同睡两个领域的评分都较高，这可能会影响它们准确区分睡眠障碍的能力。然而，在印度文化中，睡眠焦虑/同睡的普遍存在与更严重的睡眠障碍有关，同时也作为分离焦虑和婴儿猝死综合征（SIDS）的保护因素。因此，虽然 CSHQ 和 CSHQ-自闭症是有价值的评估工具，但在印度背景下，其评分可能会受到根深蒂固的文化规范的影响。
