Characterisation of Sleep Problems in Angelman Syndrome: A Systematic Review

IF 2.9 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Review Journal of Autism and Developmental Disorders Pub Date : 2024-05-18 DOI:10.1007/s40489-024-00458-x
Nakita O’Rourke, Ross Haverty, Arlene Mannion, Sally Whelan, Geraldine Leader
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Abstract

Studies have reported high prevalence rates of sleep problems in Angelman Syndrome (AS), relating to abnormal sleep–wake cycles and reduced sleep duration. This systematic review aimed to characterise sleep problems in AS, investigate how they are assessed and identify the treatments/interventions prescribed. A systematic search of PsycINFO, PubMed and Psychology & Behavioral Sciences Collection was conducted using pre-determined search terms. Relevant studies published between 2016 and mid-2020 were included to expand on earlier reviews. Seven articles quantifying sleep problems, assessment and treatment/intervention in children and adults with AS were reviewed (N = 266). Findings demonstrated reduced total sleep duration (M = 538 min), longer night-awakenings (M = 67 min) and reduced sleep efficiency (78%) in AS compared with typically developing peers. Medication was highly prescribed historically/currently (n = 176, 66.2%). This review highlights the clinically significant presence of sleep problems with the majority of individuals requiring medical intervention. Decreased sleep duration, sleep efficiency and increased night-awakenings represent the most significant sleep problems across studies. Findings suggest sleep problems begin in infancy but improve in adulthood. This finding should be considered with caution as only two studies included an adult sample. Priorities for future research should focus on longitudinal studies to determine whether sleep problems improve with age in AS.

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安杰尔曼综合征睡眠问题的特征:系统回顾
研究报告显示,安杰尔曼综合症(AS)患者的睡眠问题发生率很高,与睡眠-觉醒周期异常和睡眠时间缩短有关。本系统综述旨在描述安杰尔曼综合症患者睡眠问题的特征,调查如何评估这些问题,并确定所采取的治疗/干预措施。我们使用预先确定的检索词对 PsycINFO、PubMed 和 Psychology & Behavioral Sciences Collection 进行了系统检索。纳入了 2016 年至 2020 年中期发表的相关研究,以扩展之前的综述。共审查了七篇文章,这些文章对患有强直性脊柱炎的儿童和成人的睡眠问题、评估和治疗/干预进行了量化(N = 266)。研究结果表明,与发育正常的同龄人相比,强直性脊柱炎患者的总睡眠时间缩短(M = 538 分钟),夜醒时间延长(M = 67 分钟),睡眠效率降低(78%)。历史/当前处方药物较多(n = 176,66.2%)。本研究强调了临床上存在的严重睡眠问题,其中大多数人需要医疗干预。睡眠时间缩短、睡眠效率降低和夜醒次数增加是各项研究中最显著的睡眠问题。研究结果表明,睡眠问题始于婴儿期,但在成年后会有所改善。由于只有两项研究包含成人样本,因此应谨慎考虑这一发现。未来研究的重点应放在纵向研究上,以确定强直性脊柱炎患者的睡眠问题是否会随着年龄的增长而改善。
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来源期刊
CiteScore
8.40
自引率
0.00%
发文量
51
期刊介绍: The Review Journal of Autism and Developmental Disorders publishes original articles that provide critical reviews of topics across the broad interdisciplinary research fields of autism spectrum disorders. Topics range from basic to applied and include but are not limited to genetics, neuroscience, diagnosis, applied behavior analysis, psychopharmacology, incidence, prevalence, etiology, differential diagnosis, treatment, measurement of treatment effects, education, perception and cognition. Topics across the life span are appropriate. In addition, given the high rates of comorbid conditions, the interface of sleep disorders, feeding problems, motor difficulties, ADHD, anxiety, depression and other disorders with autism spectrum disorders are appropriate. The Journal aims for an international audience as reflected in the editorial board.
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