父母报告与儿童睡眠-呼吸障碍的客观行为测量对比
Daniel C Fong1, Nithya Navarathna1,2, Sophia Uddin1
1Department of Otorhinolaryngology-Head and Neck Surgery University of Maryland School of Medicine Baltimore Maryland USA.
Laryngoscope investigative otolaryngology
|November 20, 2025
概括
父母对睡眠呼吸障碍 (SDB) 儿童的行为问题报告显示,与客观响应抑制测试的联系很弱. 儿科SDB的临床决定应该包括客观的评估,而不仅仅是家长的反.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 神经心理学 神经心理学
- 儿童心理学 儿童心理学
背景情况:
- 儿童的睡眠呼吸障碍 (SDB) 可以影响行为和执行功能.
- 父母报告的行为问题经常被用来指导儿科SDB的临床决策.
- 父母报告的行为与执行功能的客观指标 (如响应抑制) 之间的关系尚不清楚.
研究的目的:
- 研究父母报告的问题行为与被诊断为SDB的儿童客观测量的反应抑制之间的关联.
- 为了确定家长报告是否与衡量抑制控制的任务的客观绩效保持一致.
- 通过澄清儿科SDB主观和客观行为评估之间的一致性,为临床决策提供信息.
主要方法:
- 一项前性观察性研究,涉及84名5至11岁儿童,患有SDB症状.
- 父母报告的问题行为使用执行功能的行为评分清单 (BRIEF) 进行评估,重点关注抑制T-score.
- 客观响应抑制使用阻断性控制和注意力的Flanker测试来测量.
- 用皮尔森相关性和线性回归分析来检查关系,并对共变量进行调整.
主要成果:
- 在未经调整的分析中,在父母报告的抑制性问题和客观反应抑制之间发现了一个小而具有统计学意义的相关性 (r = -0.23,p = 0.04).
- 在调整了人口统计和社会经济因素后,这种关联得到了减弱.
- 父母报告解释了客观得分的最小差异 (调整后R2=0.140.16),表明一致性有限.
结论:
- 父母报告的行为问题与SDB儿童反应抑制的客观测量有有限的一致性.
- 仅仅依靠父母报告的行为症状来决定儿科SDB的治疗可能是不够的.
- 建议将客观评估与主观报告相结合,以便对儿科SDB进行全面评估和有效的临床管理.
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