Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Division of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Brain Dev. 2024 Nov;46(10):361-367. doi: 10.1016/j.braindev.2024.10.001. Epub 2024 Oct 15.
Sleep plays an important role in children's behavior, emotional control, and cognitive development. There is a higher prevalence of sleep problems in children with neurodevelopmental disorders (NDDs) compared to those without disease. There are a few studies regarding sleep problems among Thai preschoolers with NDDs. This study examined sleep problems in preschoolers with NDDs, compared with typically developing children (TD), and studied the association between sleep problems and behavioral problems among preschoolers with NDDs.
Sleep problems in 140 children aged 2 to 6 years with NDDs; autism spectrum disorders, attention deficit/hyperactivity disorder, global developmental delay, and developmental language disorder were evaluated by using the Thai version of Japanese Sleep Questionnaire for Preschoolers (TH-JSQ-P) and compared with 285 TD children at the same age. Behavioral problems in the NDDs group were evaluated by using the Child Behavioral Checklist (CBCL). Sleep and behavioral problem scores were analyzed by adjusted age, sex, underlying diseases, and medications used and compared between the two groups.
The study found that 48 % of the TD group and 71 % of the NDDs group were identified as having sleep problems. The NDDs group had significantly higher total TH-JSQ-P score and in five subscales, including obstructive sleep apnea, restless leg syndrome-motor, parasomnias, daytime behaviors, and insomnia/circadian rhythm disorders. Total TH-JSQ-P score was found to have a moderate correlation with internalizing and externalizing behavioral problems.
Findings suggest that sleep problems are more common in preschool children with NDDs than in TD children and are associated with internalizing and externalizing behavioral problems.
睡眠对儿童的行为、情绪控制和认知发展起着重要作用。与无疾病儿童相比，神经发育障碍（NDD）儿童的睡眠问题更为普遍。关于泰国学龄前 NDD 儿童睡眠问题的研究较少。本研究旨在调查 NDD 学龄前儿童的睡眠问题，并与正常发育儿童（TD）进行比较，同时研究 NDD 学龄前儿童睡眠问题与行为问题之间的关系。
通过使用泰语版日本学龄前儿童睡眠问卷（TH-JSQ-P）评估了 140 名 2 至 6 岁患有 NDD 的儿童（自闭症谱系障碍、注意缺陷多动障碍、全面发育迟缓、发育性语言障碍）的睡眠问题，并与年龄相同的 285 名 TD 儿童进行比较。采用儿童行为检查表（CBCL）评估 NDD 组的行为问题。通过调整年龄、性别、潜在疾病和使用的药物，对睡眠和行为问题评分进行分析，并比较两组之间的差异。
研究发现，48%的 TD 组和 71%的 NDD 组被确定为存在睡眠问题。NDD 组的 TH-JSQ-P 总分和五个子量表（阻塞性睡眠呼吸暂停、不安腿综合征-运动、睡眠相关行为障碍、日间行为和失眠/昼夜节律障碍）的评分显著更高。TH-JSQ-P 总分与内向和外向行为问题呈中度相关。
研究结果表明，NDD 学龄前儿童的睡眠问题比 TD 儿童更为常见，并且与内向和外向行为问题相关。
