Costa-Silva José Gabriel Victor, Paiva Saul Martins, Vargas-Ferreira Fabiana, Serra-Negra Júnia Maria Cheib, Vieira-Andrade Raquel Gonçalves
Departament of Oral Health for Children and Adolescents, Universidade Federal de Minas Gerais, Professor Moacir Gomes de Freitas Street, 688, room 3318, Pampulha, Belo Horizonte, Minas Gerais, 31270-901, Brazil.
Departament of Social and Preventive Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
J Autism Dev Disord. 2025 Mar 1. doi: 10.1007/s10803-025-06763-6.
To investigate associations between possible sleep bruxism (PSB) and sleep disorders in children/adolescents with autism spectrum disorder (ASD) as well as parental perceived stress.
A cross-sectional study was conducted involving children/adolescents with ASD five to 19 years of age and their parents at a public institution that supports disabled people in the city of João Pessoa in Northeast Brazil. The parents answered a form addressing sociodemographic characteristics and medical data (schooling, income, age, sex, support level and use of medications). PSB was recorded based on the reports of the parents. Parental stress was investigated using the Perceived Stress Scale (PSS-10). Sleep disorders in the children/adolescents were investigated using the Sleep Disturbance Scale for Children (SDSC). Data analysis involved descriptive, bivariate and Poisson regression analyses (95% CI; p < 0.05).
Fifty children/adolescents with ASD participated in the study. Boys accounted for 84.0% of the sample (n = 42). PSB in the children/adolescents was reported by 28.0% of the parents. The mean parental PSS-10 score was 20.3 ± 8.5 and the mean SDSC score was 48.8 ± 17.5. The adjusted Poisson model revealed associations between PSB and higher levels of perceived stress of the parents (PR = 1.05; 95% CI: 1.01-1.09), sleep breathing disorders (PR = 1.14; 95%CI: 1.05-1.24) and sleep-wake transition disorders (PR = 1.16; 95%CI: 1.00-1.36; p = 0.044).
The occurrence of PSB in children and adolescents with ASD was associated with higher levels of parental stress, higher scores for sleep breathing disorders and sleep-wake transition disorders.
探讨自闭症谱系障碍（ASD）儿童/青少年中可能的睡眠磨牙症（PSB）与睡眠障碍以及父母感知压力之间的关联。
在巴西东北部若昂佩索阿市一家为残疾人提供支持的公共机构中，对5至19岁的ASD儿童/青少年及其父母进行了一项横断面研究。父母填写了一份关于社会人口学特征和医疗数据（教育程度、收入、年龄、性别、支持水平和药物使用情况）的表格。根据父母的报告记录PSB情况。使用感知压力量表（PSS-10）调查父母的压力。使用儿童睡眠障碍量表（SDSC）调查儿童/青少年的睡眠障碍。数据分析包括描述性、双变量和泊松回归分析（95%置信区间；p<0.05）。
50名ASD儿童/青少年参与了该研究。男孩占样本的84.0%（n = 42）。28.0%的父母报告其孩子/青少年存在PSB。父母的PSS-10平均得分为20.3±8.5，SDSC平均得分为48.8±17.5。调整后的泊松模型显示，PSB与父母更高水平的感知压力（PR = 1.05；95%置信区间：1.01-1.09）、睡眠呼吸障碍（PR = 1.14；95%置信区间：1.05-1.24）以及睡眠-觉醒转换障碍（PR = 1.16；95%置信区间：1.00-1.36；p = 0.044）之间存在关联。
ASD儿童和青少年中PSB的发生与父母更高水平的压力、睡眠呼吸障碍和睡眠-觉醒转换障碍的更高得分相关。
