Randomised Controlled Trial of a Behavioural Sleep Intervention, ‘Sleeping Sound’, for Autistic Children: 12-Month Outcomes and Moderators of Treatment

作者：Emily Pattison, Nicole Papadopoulos, Matthew Fuller-Tyszkiewicz, Emma Sciberras, Harriet Hiscock, Katrina Williams, Jane McGillivray, Cathrine Mihalopoulos, Susannah T. Bellows, Deborah Marks, Patricia Howlin & Nicole Rinehart

摘要：

This study examined the sustained and moderating effects of a behavioural sleep intervention for autistic children in a randomised controlled trial. Autistic children (5–13 years) with sleep problems were randomised to the Sleeping Sound intervention or Treatment as Usual (TAU). At 12-month follow-up (n = 150), caregivers of children in the Sleeping Sound group reported greater reduction in child sleep problems compared to TAU (p < .001, effect size: − 0.4). The long-term benefits of the intervention were greater for children taking sleep medication, children of parents who were not experiencing psychological distress, and children with greater autism severity. The Sleeping Sound intervention demonstrated sustained improvements in child sleep. Identified moderators may inform treatment by indicating which subgroups may benefit from further support.

这项研究在一项随机对照试验中检查了行为睡眠干预对自闭症儿童的持续和调节作用。有睡眠问题的自闭症儿童（5-13岁）被随机分配到睡眠声音干预或常规治疗（TAU）组。在 12 个月的随访 （n = 150） 中，与 TAU 相比，睡眠声音组儿童的照顾者报告的儿童睡眠问题减少幅度更大（p < .001，效应量：− 0.4）。对于服用睡眠药物的儿童、父母没有经历心理困扰的孩子以及自闭症严重程度更高的儿童，干预的长期益处更大。“睡眠之声”干预措施对儿童睡眠有持续改善。已确定的调节者可以通过指出哪些亚组可能从进一步支持中受益来告知治疗。