焦虑和抑郁影响睡眠质量:对自闭症和非自闭症成年人的众包样本进行初步调查
Derek D Reed1,2, Brian D Greer3,4,5, Megan L Wenzell6
1Institutes for Behavior Resources, Inc, 2104 Maryland Ave., Baltimore, MD, 21218, USA. dreed@ibrinc.org.
Journal of autism and developmental disorders
|January 27, 2025
概括
自闭症成年人报告更多的睡眠问题,但这与更高的抑郁和焦虑有关,而不是自闭症本身. 解决心理健康问题是改善自闭症患者睡眠的关键.
科学领域:
- 神经发育障碍 神经发育障碍
- 睡眠医学 睡眠医学
- 心理健康研究 心理健康研究
背景情况:
- 在自闭症成年人中,睡眠问题很常见.
- 同时出现的抑郁和焦虑在自闭症患者中很普遍.
- 自闭症状态对睡眠质量的具体影响,独立于精神健康并发症,需要进一步调查.
研究的目的:
- 为了比较自闭症和非自闭症成年人之间的睡眠质量,同时出现抑郁和焦虑.
- 为了确定自闭症状态是否影响睡眠质量,在考虑了抑郁和焦虑之后.
- 为了测试自闭症成年人报告更高水平的抑郁,焦虑和睡眠问题的假设.
主要方法:
- 通过众包招募了208名成年人 (99名自闭症患者,109名非自闭症患者).
- 管理的验证问卷:匹兹堡睡眠质量指数,流行病学研究中心抑郁症量表和全局焦虑障碍7项量表.
- 使用曼-惠特尼U测试和统计分析的通用线性模型.
主要成果:
- 自闭症成年人报告的抑郁和焦虑症状明显高于非自闭症成年人.
- 当抑郁症和焦虑症得到控制时,自闭症状态不会显著影响整体睡眠质量.
- 在这两组中,较高的抑郁和焦虑程度与睡眠质量较差有很强的关联.
结论:
- 自闭症成年人的睡眠问题与同时出现的抑郁症和焦虑症有显著的联系.
- 针对抑郁和焦虑的干预措施可以改善自闭症患者的睡眠质量.
- 需要进一步的研究,以确定在这个人群中导致睡眠障碍的具体因素.
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