Sommeil, anxiété et comportements difficiles chez les enfants présentant une déficience intellectuelle et/ou un trouble du spectre de l’autisme
Titre original en anglais : Sleep, anxiety and challenging behaviour in children with intellectual disability and/or autism spectrum disorder
Rzepecka, H., McKenzie, K., McClure, I., & Murphy, S. (2011). Sleep, anxiety and challenging behaviour in children with intellectual disability and/or autism spectrum disorder. Research in Developmental Disabilities, 32(6), 2758-2766. https://doi.org/10.1016/j.ridd.2011.05.034
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Résumé
Les enfants présentant une déficience intellectuelle (DI) et/ou un trouble du spectre de l’autisme (TSA) sont connus pour souffrir de beaucoup plus de problèmes de sommeil, d’anxiété et de comportements difficiles (CD) que les enfants au développement typique (DT), mais on sait peu de choses sur la relation entre ces facteurs dans la population d’enfants présentant une DI/un TSA. L’objectif de l’étude était d’examiner ces relations. Nous avons émis l’hypothèse qu’il y aurait des corrélations positives significatives entre les trois facteurs et que les problèmes de sommeil et l’anxiété prédiraient une proportion significative de la variance des niveaux de CD. Des mesures parentales des problèmes de sommeil, de l’anxiété et des CD ont été complétées par 187 parents d’enfants présentant une DI et/ou un TSA. Des associations positives significatives ont été trouvées entre les trois facteurs. Une régression multiple hiérarchique a montré que les médicaments, les problèmes de sommeil et l’anxiété expliquaient 42 % de la variance des CD, avec une taille d’effet importante. Ces résultats suggèrent que ces relations devraient être prises en compte dans la pratique clinique, en particulier dans le cas d’interventions concernant les CD lorsque des problèmes de sommeil et/ou de l’anxiété sont également présents.
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