孤独症谱系障碍儿童睡眠问题及其影响因素研究

夏宏; 陈海燕; 马蕾

doi:10.3969/j.issn.1672-4933.2024.05.024

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孤独症谱系障碍儿童睡眠问题及其影响因素研究

孤独症儿童行为与语言发育干预研究 | 更新时间：2024-09-05

- 孤独症谱系障碍儿童睡眠问题及其影响因素研究
- The Current Situation and Influencing Factors of Sleep Problems in Children with Autism Spectrum Disorder
- 中国听力语言康复科学杂志 2024年22卷第5期页码：545-549
- 作者机构：
  
  1.海安市人民医院儿科海安 226600
  2.江苏省人民医院儿科南京 210029
- 作者简介：
  
  夏宏本科护师；研究方向：儿科疾病临床管理
  陈海燕，E-mail：yanyj188qh@163.com
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2024.05.024
  中图分类号： G76
- 纸质出版日期：2024-09-15，
  
  收稿日期：2023-06-25，
- 稿件说明：
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夏宏,陈海燕,马蕾.孤独症谱系障碍儿童睡眠问题及其影响因素研究[J].中国听力语言康复科学杂志,2024,22(05):545-549.

XIA Hong,CHEN Hai-yan,MA Lei.The Current Situation and Influencing Factors of Sleep Problems in Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):545-549.
夏宏,陈海燕,马蕾.孤独症谱系障碍儿童睡眠问题及其影响因素研究[J].中国听力语言康复科学杂志,2024,22(05):545-549. DOI： 10.3969/j.issn.1672-4933.2024.05.024.

XIA Hong,CHEN Hai-yan,MA Lei.The Current Situation and Influencing Factors of Sleep Problems in Children with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(05):545-549. DOI： 10.3969/j.issn.1672-4933.2024.05.024.

摘要

目的

探讨孤独症谱系障碍儿童（ASD）睡眠问题发生率及其影响因素。

方法

抽样选取海安市人民医院与江苏省人民医院272例ASD患儿及235例健康儿童，采用睡眠习惯问卷（children’s sleep habits questionnaire，CSHQ）对两组患儿的睡眠问题进行调查，采用儿童孤独症评定量表（childhood autism rating scale， CARS）、社交反应量表（social responsiveness scale， SRS）、孤独症儿童行为检查量表（autism behavior checklist， ABC）、修订版儿童神经心理与行为量表（the revised children neuropsychological and behavior scale， CNBS-R2016）、Gesell发育诊断量表（gesell developmental schedule，GDS）对ASD儿童的发育行为进行调查。

结果

ASD组患儿睡眠不良发生率为65.81%（179/272），健康儿童睡眠不良发生率为45.96%（108/235），两组比较有显著差异（

＜0.05）。将ASD组患儿中存在睡眠不良和睡眠正常的两组进行比较，不同年龄、居住环境、居住方式ASD患儿睡眠情况具有显著差异（

＜0.05）；睡眠不良组患儿CARS、SRS、ABC、GDS总分均显著高于睡眠正常组（

＜0.05），两组CNBS-R2016得分未见显著差异（

＞0.05）。

结论

ASD儿童睡眠不良发生率高于正常儿童，年龄、居住环境、居住方式是主要影响因素。睡眠问题可能与ASD患儿多种行为表现有关，但与神经发育无关。

Abstract

Objective

To explore the incidence of sleep problems in children with autism spectrum disorder (ASD) and its influencing factors.

Methods

272 children with ASD and 235 healthy children from two hospitals of Hai'an People's Hospital and Jiangsu Provincial People's Hospital were selected by convenient sampling. The children's sleep habits questionnaire (CSHQ) was used to investigate the sleep problems of the two groups of children

and the Child Autism Rating Scale (CARS) Social Response Scale (SRS)

Autism Behavior Checklist (ABC)

and the revised children's neuropsychological and behavior scale (CNBS-R2016)

gesell developmental schedule (GDS) were used to investigate the developmental behavior of children with ASD.

Results

The incidence of poor sleep in children with ASD was 65.81% (179/272)

and that in healthy children was 45.96% (108/235). The difference between the two groups was statistically significant (

0.05). We compared the two groups with poor sleep and normal sleep in the ASD group. The sleep status of ASD children with different age

living environment and living style was different (

0.05). The total scores of CARS

SRS

ABC and GDS in children with poor sleep were significantly higher than those in normal sleep group (

0.05). There was no statistical difference between the scores of CNBS-R2016 in the two groups (

0.05).

Conclusion

The incidence of poor sleep in children with ASD is higher than that in normal children. Age

living environment and living style are the influencing factors. Sleep problems may be related to multiple behavioral manifestations of children with ASD

but may not be related to neurodevelopment.

关键词

孤独症谱系障碍儿童睡眠行为发育

Keywords

Autism spectrum disorder childrenSleepBehavior development

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