Evaluation of the validity of psychological preparation for children undergoing polysomnography
| Autor: | Ikuko Mohri, Kumi Kato-Nishimura, Emi Murata, Masako Taniike |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Autism Spectrum Disorder Polysomnography 03 medical and health sciences Sleep Apnea Syndromes 0302 clinical medicine mental disorders Humans Medicine Child medicine.diagnostic_test business.industry Nocturnal polysomnography medicine.disease Scientific Investigations Sleep abnormalities nervous system diseases respiratory tract diseases Neurology Autism spectrum disorder Physical therapy Breathing Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | J Clin Sleep Med |
| ISSN: | 1550-9397 1550-9389 |
| DOI: | 10.5664/jcsm.8158 |
| Popis: | STUDY OBJECTIVES: Nocturnal polysomnography (PSG) is an essential diagnostic technique to assess sleep abnormalities, including sleep-disordered breathing (SDB). Although low in invasiveness, it is extremely difficult to conduct PSG with children who are not cooperative with wearing electrodes and sensors. Particularly, it is difficult to conduct PSG on children with autism spectrum disorder (ASD) because they have poor predictive ability, exhibit extreme anxiety about novel and unfamiliar things, and have difficulty understanding verbal instructions. Recently, the usefulness of psychological preparation was reported. The primary aim of this study was to assess the usefulness of psychological preparation for PSG. METHODS: The goal of our study was to assess the usefulness of psychological preparation for PSG. A total of 253 children were enrolled in the study: 131 in the control group (19 with ASD) and 122 selected for psychological preparation (51 with ASD). RESULTS: In the preparation group, 110 of 122 (90.2%) could undergo regular PSG, a significantly higher percentage than the control group at 104 of 131 (79.4%), P = .018. Regarding hypnotic drugs, in the preparation group 111 of 122 (91.0%) underwent PSG without hypnotic drugs, which was a significantly higher percentage than in the control group at 107 of 131 (81.7%), P = .032. Additionally, 45 of 51 children with ASD in the preparation group (88.2%) could undergo PSG without hypnotic drugs. CONCLUSIONS: This study indicated that psychological preparation was effective in facilitating PSG without hypnotic drugs in children who have difficulty cooperating with PSG, including those with ASD. CITATION: Murata E, Kato-Nishimura K, Taniike M, Mohri I. Evaluation of the validity of psychological preparation for children undergoing polysomnography. J Clin Sleep Med. 2020;16(2):167–174. |
| Databáze: | OpenAIRE |
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