认知行为治疗对自闭症儿童与同时出现焦虑症的睡眠问题的影响
Holly K Harris1,2, Minjee Kook3, Peter Boedeker3,4
1Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA. Holly.Harris@bcm.edu.
Journal of autism and developmental disorders
|April 1, 2024
概括
认知行为疗法 (CBT) 通过减少焦虑症状,改善了自闭症儿童的睡眠行为. 需要进一步的研究来确认焦虑症.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童精神病学 儿童精神病学
- 睡眠医学 睡眠医学
背景情况:
- 自闭症谱系障碍 (ASD) 经常与焦虑和睡眠障碍有关.
- 认知行为疗法 (CBT) 是自闭症青少年焦虑的常见干预方法.
- 在这个人群中,减少焦虑和改善睡眠之间的相互作用需要进一步研究.
研究的目的:
- 调查在接受CBT的自闭症儿童中焦虑症状严重程度和睡眠行为之间的关系.
- 探索焦虑减轻是否调解CBT持续时间对睡眠质量的影响.
主要方法:
- 对93名自闭症儿童 (4-14岁) 的二次数据分析,这些儿童参加了24周的CBT.
- 使用儿科焦虑评分表 (PARS) 评估的焦虑症状.
- 在多个时间点使用儿童睡眠习惯问卷 (CSHQ-SF) 评估睡眠行为.
主要成果:
- 增加CBT的持续时间显著与减少焦虑症状严重程度有关.
- 较长的治疗时间与改善的睡眠行为相关.
- 虽然减少焦虑与更好的睡眠有关,但通过减少焦虑治疗时间对睡眠的间接影响在统计学上并不显著.
结论:
- 长时间参与CBT与自闭症儿童的焦虑减轻和睡眠改善有关.
- 减少焦虑症状可能有助于改善睡眠问题,但需要对更大群体进行进一步的研究.
- 研究结果强调了CBT在解决自闭症伴随性焦虑和睡眠问题的潜力.
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