José Gabriel Victor Costa-Silva, Saul Martins Paiva, Fabiana Vargas-Ferreira, Júnia Maria Cheib Serra-Negra, Raquel Gonçalves Vieira-Andrade
{"title":"自闭症谱系障碍儿童和青少年可能存在的睡眠磨牙症：与父母压力和睡眠障碍的关系。","authors":"José Gabriel Victor Costa-Silva, Saul Martins Paiva, Fabiana Vargas-Ferreira, Júnia Maria Cheib Serra-Negra, Raquel Gonçalves Vieira-Andrade","doi":"10.1007/s10803-025-06763-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate associations between possible sleep bruxism (PSB) and sleep disorders in children/adolescents with autism spectrum disorder (ASD) as well as parental perceived stress.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving children/adolescents with ASD five to 19 years of age and their parents at a public institution that supports disabled people in the city of João Pessoa in Northeast Brazil. The parents answered a form addressing sociodemographic characteristics and medical data (schooling, income, age, sex, support level and use of medications). PSB was recorded based on the reports of the parents. Parental stress was investigated using the Perceived Stress Scale (PSS-10). Sleep disorders in the children/adolescents were investigated using the Sleep Disturbance Scale for Children (SDSC). Data analysis involved descriptive, bivariate and Poisson regression analyses (95% CI; p < 0.05).</p><p><strong>Results: </strong>Fifty children/adolescents with ASD participated in the study. Boys accounted for 84.0% of the sample (n = 42). PSB in the children/adolescents was reported by 28.0% of the parents. The mean parental PSS-10 score was 20.3 ± 8.5 and the mean SDSC score was 48.8 ± 17.5. The adjusted Poisson model revealed associations between PSB and higher levels of perceived stress of the parents (PR = 1.05; 95% CI: 1.01-1.09), sleep breathing disorders (PR = 1.14; 95%CI: 1.05-1.24) and sleep-wake transition disorders (PR = 1.16; 95%CI: 1.00-1.36; p = 0.044).</p><p><strong>Conclusion: </strong>The occurrence of PSB in children and adolescents with ASD was associated with higher levels of parental stress, higher scores for sleep breathing disorders and sleep-wake transition disorders.</p>","PeriodicalId":15148,"journal":{"name":"Journal of Autism and Developmental Disorders","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Possible Sleep Bruxism in Children and Adolescents with Autism Spectrum Disorder: Association with Parental Stress and Sleep Disorders.\",\"authors\":\"José Gabriel Victor Costa-Silva, Saul Martins Paiva, Fabiana Vargas-Ferreira, Júnia Maria Cheib Serra-Negra, Raquel Gonçalves Vieira-Andrade\",\"doi\":\"10.1007/s10803-025-06763-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate associations between possible sleep bruxism (PSB) and sleep disorders in children/adolescents with autism spectrum disorder (ASD) as well as parental perceived stress.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving children/adolescents with ASD five to 19 years of age and their parents at a public institution that supports disabled people in the city of João Pessoa in Northeast Brazil. The parents answered a form addressing sociodemographic characteristics and medical data (schooling, income, age, sex, support level and use of medications). PSB was recorded based on the reports of the parents. Parental stress was investigated using the Perceived Stress Scale (PSS-10). Sleep disorders in the children/adolescents were investigated using the Sleep Disturbance Scale for Children (SDSC). Data analysis involved descriptive, bivariate and Poisson regression analyses (95% CI; p < 0.05).</p><p><strong>Results: </strong>Fifty children/adolescents with ASD participated in the study. Boys accounted for 84.0% of the sample (n = 42). PSB in the children/adolescents was reported by 28.0% of the parents. The mean parental PSS-10 score was 20.3 ± 8.5 and the mean SDSC score was 48.8 ± 17.5. The adjusted Poisson model revealed associations between PSB and higher levels of perceived stress of the parents (PR = 1.05; 95% CI: 1.01-1.09), sleep breathing disorders (PR = 1.14; 95%CI: 1.05-1.24) and sleep-wake transition disorders (PR = 1.16; 95%CI: 1.00-1.36; p = 0.044).</p><p><strong>Conclusion: </strong>The occurrence of PSB in children and adolescents with ASD was associated with higher levels of parental stress, higher scores for sleep breathing disorders and sleep-wake transition disorders.</p>\",\"PeriodicalId\":15148,\"journal\":{\"name\":\"Journal of Autism and Developmental Disorders\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Autism and Developmental Disorders\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1007/s10803-025-06763-6\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, DEVELOPMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Autism and Developmental Disorders","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10803-025-06763-6","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
Possible Sleep Bruxism in Children and Adolescents with Autism Spectrum Disorder: Association with Parental Stress and Sleep Disorders.
Purpose: To investigate associations between possible sleep bruxism (PSB) and sleep disorders in children/adolescents with autism spectrum disorder (ASD) as well as parental perceived stress.
Methods: A cross-sectional study was conducted involving children/adolescents with ASD five to 19 years of age and their parents at a public institution that supports disabled people in the city of João Pessoa in Northeast Brazil. The parents answered a form addressing sociodemographic characteristics and medical data (schooling, income, age, sex, support level and use of medications). PSB was recorded based on the reports of the parents. Parental stress was investigated using the Perceived Stress Scale (PSS-10). Sleep disorders in the children/adolescents were investigated using the Sleep Disturbance Scale for Children (SDSC). Data analysis involved descriptive, bivariate and Poisson regression analyses (95% CI; p < 0.05).
Results: Fifty children/adolescents with ASD participated in the study. Boys accounted for 84.0% of the sample (n = 42). PSB in the children/adolescents was reported by 28.0% of the parents. The mean parental PSS-10 score was 20.3 ± 8.5 and the mean SDSC score was 48.8 ± 17.5. The adjusted Poisson model revealed associations between PSB and higher levels of perceived stress of the parents (PR = 1.05; 95% CI: 1.01-1.09), sleep breathing disorders (PR = 1.14; 95%CI: 1.05-1.24) and sleep-wake transition disorders (PR = 1.16; 95%CI: 1.00-1.36; p = 0.044).
Conclusion: The occurrence of PSB in children and adolescents with ASD was associated with higher levels of parental stress, higher scores for sleep breathing disorders and sleep-wake transition disorders.
期刊介绍：
The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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