Insomnie chez les enfants avec un diagnostic de trouble du spectre de l'autisme: une étude transversale sur les corrélats cliniques et le stress parental

Aperçu: G.M.

Résumé
L'insomnie est l'un des troubles concomitants les plus courants chez les enfants avec un diagnostic de troubles du spectre de l'autisme (dTSA). Le but de cette étude de cohorte transversale de 270 enfants avec un dTSA était d'évaluer la prévalence de l'insomnie à l'aide de l'échelle d'impression globale clinique du sommeil pédiatrique et de corréler les problèmes de sommeil avec le niveau cognitif, le comportement adaptatif, le stress parental, les problèmes comportementaux et émotionnels, et sévérité des principaux symptômes. 

Nos résultats ont révélé qu'un tiers des enfants souffraient d'insomnie et étaient liés à des comportements adaptatifs réduits et à des niveaux plus élevés de stress parental et de problèmes comportementaux et émotionnels. L'insomnie doit être évaluée chez les enfants avec un dTSA afin de définir une intervention appropriée pour potentiellement atténuer la gravité des corrélats cliniques et le fardeau parental.

. 2022 Oct 30.

doi: 10.1007/s10803-022-05793-8. Online ahead of print.

Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress

Berloco Bianca  ^{1   2} , Guerrera Silvia  ¹ , Fucà Elisa  ¹ , Menghini Deny  ³ , Valeri Giovanni  ¹ , Nobili Lino  ^{2   4} , Vicari Stefano  ^{1   5}

Affiliations

• PMID: 36310306
• DOI: 10.1007/s10803-022-05793-8

Abstract

Insomnia is one of the most common co-occurring disorders in children with autism spectrum disorder (ASD). The purpose of this cross-sectional cohort study of 270 children with ASD was to assess the prevalence of insomnia using the Pediatric Sleep Clinical Global Impression Scale and to correlate sleep problems with cognitive level, adaptive behavior, parental stress, behavioral and emotional problems, and severity of core symptoms. Our findings revealed that one-third of children had insomnia and were related to reduced adaptive behaviors and higher levels of parental stress and behavioral and emotional problems. Insomnia must be evaluated in children with ASD to define an appropriate intervention to potentially alleviate the severity of clinical correlates and parental burden.

Keywords: Adaptive behaviors; Externalizing symptoms; Internalizing symptoms; Sleep.

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Trouble du sommeil familial et "trouble du spectre de l'autisme": une étude d'actigraphie pilote sur la qualité du sommeil, la qualité de vie et la détresse psychologique

Aperçu: G.M.

Objectifs:
Les problèmes de sommeil sont courants chez les enfants avec un diagnostic de "trouble du spectre de l'autisme (dTSA) et peuvent avoir un impact négatif sur le comportement et le fonctionnement de l'enfant pendant la journée. L'étude pilote actuelle a examiné des mesures objectives du sommeil des enfants et des parents en tant que facteurs associés au stress, à l'anxiété, aux symptômes dépressifs, au soutien social et à la qualité de vie des parents d'enfants avec un dTSA. 

Méthodes:
Les participants étaient neuf enfants avec un dTSA et leurs parents (neuf mères et trois pères). Les participants ont porté un actigraphe pendant 7 jours et nuits consécutifs. Des mesures des habitudes et de la qualité du sommeil ont été utilisées pour vérifier le sommeil des enfants et des parents. Des mesures du stress parental, de l'anxiété, des symptômes dépressifs, de la qualité de vie et du soutien social ont été rassemblées. 

Résultats:
Les résultats ont indiqué l'émergence d'un stress parental élevé, d'anxiété et de symptômes dépressifs. Des corrélations significatives ont été observées entre les symptômes dépressifs des parents et la qualité subjective du sommeil et les perturbations du sommeil des enfants. 

Conclusions:
La présente étude a révélé que le bien-être des parents est affecté par les problèmes de sommeil des enfants.

• 2021 May 11;1-11.  doi: 10.1017/ipm.2021.24. 

Familial sleep and autism spectrum disorder: a pilot actigraphy study of sleep quality, quality of life and psychological distress

Geraldine Leader  ¹ , Carmel Glynn  ¹ , Bernadette Kirkpatrick  ² , June L Chen  ³ , Páraic S O'Súilleabháin  ^{4   5} , Arlene Mannion  ¹

Affiliations

• PMID: 33973508
• DOI: 10.1017/ipm.2021.24

Abstract

Objectives: Sleep problems are common among children with autism spectrum disorder (ASD) and can have a negative impact on the child's behaviour and daytime functioning. The current pilot study examined objective measurements of child and parent sleep as factors associated with the stress, anxiety, depressive symptoms, social support and quality of life of parents of children with ASD.

Methods: Participants were nine children with ASD and their parents (nine mothers and three fathers). Participants wore an actigraph for 7 consecutive days and nights. Measures of sleep habits and quality were used to ascertain child and parent sleep. Measures of parenting stress, anxiety, depressive symptoms, quality of life and social support were collated.

Results: Results indicated the emergence of high parental stress, anxiety and depressive symptoms. Significant correlations were observed between parent depressive symptoms, and both subjective sleep quality and child sleep disruptions.

Conclusions: The present study found that parental well-being is affected by child sleep problems.

Keywords: Autism spectrum disorder; actigraphy; parents; quality of life; sleep problems.