精神科住院部儿童的睡眠与心理特征
Sleep and psychological characteristics of children on a psychiatric inpatient unit.
作者信息
Sadeh A, McGuire J P, Sachs H, Seifer R, Tremblay A, Civita R, Hayden R M
机构信息
E. P. Bradle Hospital/Brown University, Providence, RI, USA.
出版信息
J Am Acad Child Adolesc Psychiatry. 1995 Jun;34(6):813-9. doi: 10.1097/00004583-199506000-00023.
OBJECTIVE
To assess the association of objective measures of sleep-wake patterns and psychological status and abuse history of children hospitalized in a psychiatric inpatient unit.
METHOD
Thirty-nine inpatient children participated in the study. They were monitored for one to three consecutive nights with miniature wrist activity monitors for objective assessment of sleep-wake patterns. In addition, a thorough psychiatric and psychosocial assessment was completed with each child and the parents.
RESULTS
Children's self-ratings of depression, hopelessness, and low self-esteem were significantly correlated with objective sleep measures indicating poorer sleep quality. No significant correlations between intelligence scores and sleep measures were found. Nonabused and sexually abused children had better sleep quality than physically abused children.
CONCLUSIONS
Sleep quality during hospitalization is strongly associated with self experiences of depression, hopelessness, and low self-esteem in children with severe behavior disorders.
目的
评估精神科住院患儿的睡眠-觉醒模式客观测量指标与心理状态及虐待史之间的关联。
方法
39名住院儿童参与了该研究。使用微型手腕活动监测仪对他们进行连续一至三个晚上的监测，以客观评估睡眠-觉醒模式。此外，还对每个儿童及其父母进行了全面的精神和心理社会评估。
结果
儿童对抑郁、绝望和自卑的自我评分与表明睡眠质量较差的客观睡眠测量指标显著相关。未发现智力得分与睡眠测量指标之间存在显著相关性。未受虐待和遭受性虐待的儿童比遭受身体虐待的儿童睡眠质量更好。
结论
住院期间的睡眠质量与严重行为障碍儿童的抑郁、绝望和自卑自我体验密切相关。
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