患有多动症儿童的睡眠问题:与内化症状和体力活动的关联
Xiao Liang1,2, Mengping Zhao3, Li Su3
1Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China. shawn.liang@polyu.edu.hk.
Journal of autism and developmental disorders
|November 1, 2024
概括
患有注意力缺陷多动症 (ADHD) 的儿童经历睡眠问题也显示了中度至强烈的身体活动减少和增加内部化症状. 解决睡眠问题和促进体育活动可能有助于减轻ADHD儿童的这些挑战.
科学领域:
- 儿科心理学 儿科心理学
- 神经发育障碍 神经发育障碍
- 睡眠医学 睡眠医学
背景情况:
- 注意缺陷多动症 (ADHD) 经常与睡眠障碍并发.
- 患有多动症的孩子面临更高的风险内化问题,如抑郁症,焦虑和压力.
- 在ADHD中,睡眠,体力活动和内化症状之间的相互作用需要进一步调查.
研究的目的:
- 研究睡眠问题和身体活动水平与被诊断为ADHD的儿童内化症状之间的联系.
- 确定与睡眠和体力活动相关的特定因素,与内化症状相关.
主要方法:
- 一项涉及188名ADHD儿童的横截面研究 (平均年龄8.60±1.38岁,78.7%是男孩).
- 使用匹兹堡睡眠质量指数 (PSQI) 评估睡眠问题,得分>5表明存在.
- 通过ActiGraph加速度计在7天内测量身体活动;使用抑郁焦虑压力表21 (DASS 21) 评估内部化症状.
主要成果:
- 59%的ADHD儿童报告有睡眠问题 (PSQI>5).
- 患有睡眠障碍的儿童表现出明显较低的中度至强度体力活动 (MVPA) 和减少对世卫组织体力活动指南的遵守.
- 睡眠问题与更高水平的抑郁,焦虑和压力有关;特别是,白天功能障碍 (PSQI) 和MVPA指南的实现与内化症状有关.
结论:
- 睡眠问题在患有多动症的儿童中很普遍,并且与减少体力活动和增加内化症状有关.
- 睡眠质量的白天功能障碍是更严重的内化症状的重要相关因子.
- 在这个人群中,遵守体育活动指南可能会对抑郁和焦虑产生保护作用,因此需要对干预措施进行进一步的研究.
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