儿童早期睡眠困难与随后的精神疾病之间的关联
Eric Pease1, Julia Shekunov1, Samuel T Savitz2,3
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.
概括
早期儿童睡眠障碍可能会影响精神健康. 多睡眠学 (PSG) 发现和家长报告几乎没有达成一致,这表明预测幼儿以后的精神疾病的临床实用性有限.
科学领域:
- 儿科睡眠药物 儿童睡眠药物
- 儿童精神病学 儿童精神病学
- 临床神经生理学 临床神经生理学
背景情况:
- 慢性儿童睡眠障碍与精神疾病患病率的增加有关.
- 早期检测和干预至关重要,因为缓解的睡眠问题可能会否定以后的精神病风险.
- 临床医生目前依赖于护理人员的报告来诊断和管理儿童睡眠问题.
研究的目的:
- 调查多睡眠图 (PSG) 的发现是否能为儿童睡眠困难提供洞察力.
- 确定PSG结果是否与随后精神疾病的风险相关.
- 为了比较PSG的发现与护理人员报告的睡眠问题.
主要方法:
- 确定了一组348名5岁及以下的儿童,他们患有临床睡眠问题.
- 对护理人员报告,PSG结果和随后的精神病诊断的回顾性审查.
- 统计分析包括千平方,费舍尔的精确测试,和科恩的卡帕协议.
主要成果:
- 对PSG发现和随后的精神病诊断之间的比较在很大程度上是无意义的.
- 护理人员报告的睡眠问题与PSG发现之间的一致性从轻微到相当.
- 护理人员的报告无法可靠地预测PSG的结果.
结论:
- 父母的主观睡眠问题表明PSG检测到的病理不同.
- 将PSG添加到护理人员报告中对评估幼儿精神疾病风险的临床实用性有限.
- 可能需要进一步的研究来完善早期儿童睡眠障碍和相关精神病风险的诊断工具.
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