The Association and Mediators Between Sleep Problems in Autistic Children and Parenting Stress.

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychology Research and Behavior Management Pub Date : 2025-04-12 eCollection Date: 2025-01-01 DOI:10.2147/PRBM.S495629

Meiling Tang, Min Li, Meijiao Huang, Lu Liu, Linping Zhu, Yongjun Chen

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引用次数: 0

Abstract

Purpose: To investigate the association among sleep problems in autistic children, emotional symptom in autistic children and parenting stress.

Methods: This study recruited a total of 292 children with autism in two special education schools in Hunan province, China. The average age of the autistic children in this study was 6.5 ± 2.8 years. Sleep problems in autistic and parenting stress were measured by Youth Self-Rating Insomnia Scale (YSIS), Sleep Disturbance Scale for Children (SDSC), and The Parenting Stress Index-Short Form (PSI-SF-15). The main analysis included latent profile analysis, multivariate logistic regression analysis, and mediation analysis.

Results: The prevalence for sleep disturbance and insomnia symptoms in autistic children were 38.7% and 13.0%, respectively. Parenting stress was divided into three groups: low-risk group (81 participants, 28%), middle-risk group (134 participants, 46%), and high-risk group (77 participants, 26%). Sleep problems (insomnia and sleep disturbance) and emotional symptoms (anxiety and depression) in children with autism were risk factors for parental stress. Depressive symptom in autistic children was significant in mediating the relationship between insomnia symptoms and parenting stress.

Conclusion: There is a significant effect of sleep problems in autistic children, as these sleep issues can substantially increase parental stress, with depressive symptoms in autistic children serving as a positive mediator.

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自闭症儿童睡眠问题与养育压力之间的关联与中介。

目的：探讨自闭症儿童睡眠问题、自闭症儿童情绪症状与父母教养压力的关系。方法：本研究在湖南省两所特殊教育学校共招募292名自闭症儿童。本研究自闭症儿童的平均年龄为6.5±2.8岁。采用青少年失眠症自评量表（YSIS）、儿童睡眠障碍量表（SDSC）和育儿压力指数简表（PSI-SF-15）测量自闭症患者的睡眠问题和育儿压力。主要分析包括潜在特征分析、多变量logistic回归分析和中介分析。结果：自闭症儿童出现睡眠障碍和失眠症状的比例分别为38.7%和13.0%。将家长压力分为低危组（81人，占28%）、中危组（134人，占46%）和高危组（77人，占26%）。自闭症儿童的睡眠问题（失眠和睡眠障碍）和情绪症状（焦虑和抑郁）是父母压力的危险因素。孤独症儿童抑郁症状在失眠症状与父母教养压力之间具有显著中介作用。结论：睡眠问题对自闭症儿童有显著的影响，因为这些睡眠问题会大大增加父母的压力，而自闭症儿童的抑郁症状是一个积极的中介。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.