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自闭症谱系障碍儿童的睡眠障碍:发育影响与干预策略

Sleep Disorders in Children with Autism Spectrum Disorder: Developmental Impact and Intervention Strategies.

作者信息

Albertini Maria Ludovica, Spoto Giulia, Ceraolo Graziana, Fichera Maria Flavia, Consoli Carla, Nicotera Antonio Gennaro, Di Rosa Gabriella

机构信息

Unit of Child Neurology and Psychiatry, Department of Human Pathology of the Adult and Developmental Age "Gaetano Barresi", University of Messina, 98125 Messina, Italy.

Unit of Child Neurology and Psychiatry, Department of Biomedical Sciences, Dental Sciences & Morphofunctional Imaging, University of Messina, 98125 Messina, Italy.

出版信息

Brain Sci. 2025 Sep 13;15(9):983. doi: 10.3390/brainsci15090983.

Abstract

Sleep disorders are highly prevalent in children with Autism Spectrum Disorder (ASD), profoundly impacting their neurodevelopment and daily functioning. Alterations in sleep architecture and regulatory mechanisms contribute to difficulties with sleep onset, maintenance, and overall sleep quality. Sensory processing differences, commonly observed in ASD, may further exacerbate these disturbances by affecting arousal regulation and environmental responsiveness during sleep. Given the fundamental role of sleep in brain maturation, its disruption negatively impacts synaptic plasticity and neurological development, particularly during critical periods. These sleep-related alterations can influence cognitive and behavioral outcomes and may serve as early indicators of ASD, highlighting their potential value in early diagnosis and intervention. Understanding the neurobiological mechanisms linking sleep and ASD is essential for developing targeted therapeutic strategies. Ongoing research increasingly focuses on pharmacological, nutraceutical, and behavioral interventions aimed at mitigating sleep disorders and their cascading effects on neurodevelopment. Optimizing these therapeutic approaches through a multidisciplinary lens is crucial for enhancing clinical outcomes and improving overall quality of life in children with ASD.

摘要

睡眠障碍在自闭症谱系障碍(ASD)儿童中非常普遍,对他们的神经发育和日常功能产生深远影响。睡眠结构和调节机制的改变导致入睡困难、维持睡眠困难以及整体睡眠质量下降。在ASD中常见的感觉处理差异,可能通过影响睡眠期间的唤醒调节和环境反应性,进一步加剧这些干扰。鉴于睡眠在大脑成熟中的基本作用,其破坏会对突触可塑性和神经发育产生负面影响,尤其是在关键时期。这些与睡眠相关的改变会影响认知和行为结果,并且可能作为ASD的早期指标,凸显了它们在早期诊断和干预中的潜在价值。了解连接睡眠和ASD的神经生物学机制对于制定有针对性的治疗策略至关重要。正在进行的研究越来越多地关注旨在减轻睡眠障碍及其对神经发育的连锁反应的药物、营养补充剂和行为干预措施。通过多学科视角优化这些治疗方法对于提高临床效果和改善ASD儿童的整体生活质量至关重要。

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