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首页> 外文OA文献 >Asperger syndrome and high-functioning autism in school-age children : the children's sleep and behaviour, and aspects of their parents' well-being
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Asperger syndrome and high-functioning autism in school-age children : the children's sleep and behaviour, and aspects of their parents' well-being

机译：学龄儿童的阿斯伯格综合症和自闭症高发：儿童的睡眠和行为，以及父母的幸福感

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Asperger syndrome (AS) and high-functioning autism (HFA) are pervasivedevelopmental disorders (PDD) in children of normal range intelligence.Individuals with AS/HFA have impairments in social interaction,communication, and restricted behavioural repertoire, deficits thatsignificantly interfere with their well-being and ability to adapt toordinary everyday life. Moreover, AS and HFA are presumed to befrequently accompanied by co-existing psychiatric problems and disturbedsleep. Such comorbidities may impose further distress on the children andmay increase caregiver burden.Two main objectives of this thesis were to explore if children with ASand HFA have disturbed sleep, and if their parents have impairedhealth-related quality of life (HRQL).Thirty-two 8-12-year-olds with AS/HFA, 28 boys and 4 girls, and 32 age-and gender- matched typically developing children participated. Sleeppatterns of the children were assessed at baseline, and at a follow-up,2-3 years later, by parental questionnaire and by one-week sleep diaryand actigraphy.Paper I compared sleep patterns of the children with AS/HFA and thecontrols at baseline. The AS/HFA group had more parent-reported sleepproblems, earlier sleep timing (bed- and get up time) at weekends,prolonged sleep latencies during the whole week, and lower sleepefficiencies on school days. Separate analyses within the AS/HFA groupshowed longer sleep latencies, and greater night-to-night variability ofsleep latency in children with, compared to those without parent-reportedsleep problems.Paper II detailed a wide range of sleep-wake behaviour and symptoms ofpaediatric insomnia at baseline. Children with AS/HFA had moredifficulties initiating sleep, and more daytime sleepiness than controls,and 10/32 children in the AS/HFA group, but none of the controls,fulfilled current criteria for paediatric insomnia. Within the AS/HFAgroup, children with insomnia had higher scores of parent-reportedautistic and emotional symptoms, and more teacher-reported emotional andhyperactivity symptoms than those children without insomnia.Paper III examined development of sleep patterns from baseline to afollow-up in 23/32 of the children with AS/HFA and in 22/32 of thecontrols. Results indicated that persisting parentreported sleep problemswere much more common in the children with AS/HFA than in the controls;10/23 versus 1/22, respectively. Also, prolonged actigraphic sleeplatencies on school days, and earlier sleep timing (get up time) onweekends were persistent in a significant proportion of children withAS/HFA.Paper IV investigated the self-reported HRQL of the parents of thechildren with AS/HFA and of the parents of the controls. The mothers ofthe children with AS/HFA had poorer physical health than control mothers,and than fathers of both groups. Maternal HRQL in the AS/HFA group wasalso related to co-existing behaviour problems in the child.Conclusion: In childhood AS/HFA, difficulties initiating and maintainingsleep are common and distressing symptoms, and mothers of children withAS/HFA frequently report impaired physical well-being.
机译：阿斯伯格综合症（AS）和高功能自闭症（HFA）是具有正常范围智力的儿童的普遍性发育障碍（PDD）.AS / HFA的个体在社交互动，沟通和行为库方面存在障碍，缺陷严重影响了他们的健康和适应日常生活的能力。此外，假定AS和HFA经常伴有精神病和睡眠障碍。这种合并症可能给孩子带来进一步的困扰，并可能增加照料者的负担。本论文的两个主要目的是探讨患有AS和HFA的孩子是否会干扰睡眠，以及他们的父母是否会损害健康相关的生活质量（HRQL）。参加了AS / HFA的8-12岁儿童，28名男孩和4名女孩以及32位年龄和性别相匹配的典型发育中的儿童参加了比赛。在儿童基线期和2-3年后的随访中，通过父母问卷调查以及一周的睡眠日记和书法来评估儿童的睡眠模式。论文I比较了患有AS / HFA的儿童和对照组在基线时的睡眠模式。 AS / HFA组的父母报告的睡眠问题更多，周末的睡眠时间（床和起床时间）更早，整周的睡眠时间延长，而上学日的睡眠效率较低。 AS / HFA组的单独分析显示，与没有父母报告的睡眠问题的儿童相比，有睡眠的儿童的睡眠潜伏期更长，夜间潜伏性夜夜变化更大。论文II详细介绍了广泛的睡眠-觉醒行为和小儿失眠症状在基线。患有AS / HFA的儿童比对照组有更多的开始睡眠的困难，白天的嗜睡更多，而AS / HFA组中有10/32的儿童，但没有一个对照组符合当前儿童失眠的标准。在AS / HFA组中，失眠儿童的父母报告的口语和情绪症状得分更高，而老师报告的情绪和活动过度症状则比没有失眠的儿童得分更高。论文III检查了从基线到随访的睡眠方式的发展23 /患有AS / HFA的儿童中有32名和对照组的22/32中。结果表明，持续性父母报告的AS / HFA患儿的睡眠问题比对照组多得多；分别为10/23和1/22。此外，相当大比例的AS / HFA儿童持续上学时间的活动性睡眠延迟以及周末更早的睡眠时间（起床时间）持续存在。第四部分调查了AS / HFA儿童和控件的父母。患有AS / HFA的孩子的母亲的身体健康状况比对照母亲和两组的父亲都差。结论：在儿童AS / HFA中，开始和维持睡眠困难是常见且令人痛苦的症状，AS / HFA儿童的母亲经常报告身体健康受损-存在。

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    Allik, Hiie;

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  • 年度 2006
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  • 正文语种 eng
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