交付方式是否重要? 睡眠声音的随机对照试验 干预:预测ADHD儿童的睡眠结果
Maya K Malkani1, Andrew M C Sheridan1, Alison J Crichton2
1School of Psychological Science, University of Western Australia, Perth, Australia.
Journal of attention disorders
|November 26, 2025
概括
对注意力缺陷多动症 (ADHD) 睡眠问题的远程医疗干预措施与面对面的治疗一样有效. 附着安全和家庭功能影响ADHD儿童的睡眠.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童心理学 儿童心理学
- 行为健康干预 行为健康干预
背景情况:
- 行为干预有效地改善了注意力缺陷多动症 (ADHD) 儿童的睡眠.
- 大多数ADHD睡眠干预都是亲自进行的,对远程医疗有效性的研究有限.
- 远程医疗方法可以改善面临地理或结构障碍的家庭的获取.
研究的目的:
- 评估ADHD Sleeping Sound©干预措施,比较面对面和远程医疗交付方式.
- 通过症状呈现,依恋安全性和家庭功能来调查ADHD儿童的基线睡眠问题和治疗反应是否被预测.
主要方法:
- 一项随机对照试验,涉及患有多动症的5-12岁儿童.
- 参与者接受了面对面 (n=40) 或远程医疗 (n=38) 治疗.
- 在基线,干预后和随访时,使用主观 (儿童睡眠习惯问卷) 和客观 (动图) 措施来评估睡眠.
主要成果:
- 在两种治疗方式中,主观睡眠障碍在治疗后显著改善,在面对面和远程医疗之间没有显著差异.
- 更高的依恋不安全感和较低的家庭功能与更大的基线主观睡眠问题有关.
- 依恋安全性预测了睡眠时间的变化,强调了关系家庭因素的作用.
结论:
- 远程医疗的ADHD睡眠干预是面对面治疗的可行和有效替代方案.
- 远程医疗提高了健康公平性,并为面临面对个人护理障碍的家庭提供了机会.
- 考虑关系性家庭因素对于优化ADHD儿童的睡眠干预至关重要.
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