患有神经发育障碍的亚洲学龄前儿童的睡眠问题
Mantita Tippawanich1, Lunliya Thampratankul2, Jariya Chuthapisith1
1Division of Developmental and Behavioral Pediatrics, Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Brain & development
|October 15, 2024
概括
患有神经发育障碍 (NDD) 的儿童比正常发育的儿童有更多的睡眠问题. 这些睡眠问题与NDD的学龄前儿童的行为挑战有关.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 神经发育障碍 神经发育障碍
- 儿童心理学 儿童心理学
背景情况:
- 睡眠对儿童的行为,情绪调节和认知发展至关重要.
- 患有神经发育障碍 (NDD) 的儿童与典型发育的同龄人相比,睡眠障碍的患病率更高.
- 有限的研究存在于NDD的泰国学龄前儿童的睡眠问题.
研究的目的:
- 为了调查泰国学前儿童的睡眠问题与NDDs.
- 为了比较学龄前儿童的睡眠问题与NDD与典型发育 (TD) 儿童.
- 检查NDD的学龄前儿童的睡眠问题和行为问题之间的关联.
主要方法:
- 评估了140名患有NDD (自闭症谱系障碍,多动症,全球发育迟缓,发育语言障碍) 的儿童 (2-6岁) 的睡眠问题,使用泰国版的"日本学龄前儿童睡眠问卷" (TH-JSQ-P).
- 与285名TD儿童的睡眠数据进行比较.
- 使用儿童行为检查表 (CBCL) 评估NDD组的行为问题.
- 分析和比较睡眠和行为得分,根据年龄,性别,潜在疾病和药物进行调整.
主要成果:
- 71%的NDD儿童报告睡眠问题,而TD儿童的这一比例为48%.
- NDDs组在TH-JSQ-P上显示出显著更高的得分,特别是在阻塞性睡眠呼吸暂停,不安腿综合征-运动,睡眠障碍,白天行为和失眠/昼夜节律障碍方面.
- 在总TH-JSQ-P得分和内部化和外部化行为问题之间观察到适度的相关性.
结论:
- 患有NDD的学龄前儿童比TD儿童更频繁地经历睡眠问题.
- 患有NDD的儿童的睡眠障碍与内化和外化行为问题有关.
- 这些发现凸显了解决睡眠问题的重要性,以应对幼儿的NDD.
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