患焦虑症的儿童和青少年的睡眠相关问题要点分析.docVIP

患焦虑症的儿童和青少年的睡眠相关问题 CANDICE A. ALFANO, PH.D., GOLDA S. GINSBURG, PH.D., AND JULIE NEWMAN KINGERY, PH.D. 目的：本项研究的目的是考察大样本（n = 128）青少年焦虑症患者（如一般型、分离型、社会型）的睡眠相关问题(SRPs)。根据不同年龄、性别、焦虑症类型、焦虑严重程度以及功能性损伤，对八种特殊SRPs的发生频率进行了研究。同时，还评价了药物治疗（）对SRPs的缓解作用。方法：在这项大样本、双盲、随机对照试验中(Research Units on Pediatric Psychopharmacology Anxiety Study Group)，在治疗前后，临床医生以及父母对这些儿童和青少年（6-17岁）的SRPs进行了报告。结果：88%的青少年至少患有一种SRP，大多数（55%）患有三种或更多。所有的SRPs均与焦虑症的严重程度呈正相关，同时影响着家庭功能。与对照组相比，SRPs。结论：这些结果表明SRPs常伴随着儿童焦虑症患者，在研究和临床治疗需要对这些问题进行评价并给与关注。关键词：睡眠问题；儿童焦虑症；焦虑严重度；损伤；治疗 Sleep-Related Problems Among Children andAdolescents With Anxiety Disorders CANDICE A. ALFANO, PH.D., GOLDA S. GINSBURG, PH.D., AND JULIE NEWMAN KINGERY, PH.D. [ABSTRACT] Objective: The present study examined sleep-related problems (SRPs) among a large sample (n = 128) of youth with anxiety disorders (i.e., generalized, separation, and social). The frequency of eight specific SRPs was examined in relation to age, gender, type of anxiety disorder, anxiety severity, and functional impairment. The impact of pharmacological treatment (fluvoxamine versus pill placebo) in reducing SRPs also was examined. Method: As part of a large, double-blind, randomized, controlled trial (Research Units on Pediatric Psychopharmacology Anxiety Study Group), clinician and parentreports of SRPs were examined among children and adolescents, ages 6 to 17 years, before and after treatment. Results: Eighty-eight percent of youth experienced at least one SRP, and a majority (55%) experienced three or more.Total SRPs were positively associated with anxiety severity and interference in family functioning. Significantly greater reductions in SRPs were found among children treated with fluvoxamine compared with placebo. Conclusions: These findings indicate that SRPs are commonly associated with childhood anxiety disorders and suggest a need for the assessment of and attention to these problems in research and clinical settings. Key Words: sleep problems, childhood anxiety, anxiety