The role of screen exposure in preschool children with autism spectrum disorders
Objective:To explore the role of screen exposure in sleep in preschool children with Autism Spectrum Disorder(ASD).Methods:100 preschool children with ASD admitted to our hospital from January 2024 to June 2024 were selected as the study objects.According to the 2016 recommendation of the American Academy of Pediatrics on screen exposure,the preschool children with ASD were divided into high exposure group and low exposure group,with 50 cases in each group.The teaching level,self-directed learning ability and teaching effect of the two groups were compared.Results:The screen exposure time control,meal screen exposure time,bedtime screen exposure time,daily average screen exposure time and frequency of using electronic products in the high exposure group were lower than those in the exposed group.The rate of insufficient sleep time,bad bedtime habits,sleep anxiety rate,continuous sleep disturbance rate,prolonged sleep latency rate,sleep disapnea rate,daytime sleepiness rate,anomalic sleep rate and night wake rate of the high exposure group were higher than those of the low exposure group,while the daily average sleep time of the high exposure group was lower than that of the low exposure group(P<0.05).Univariate analysis showed that age,ASD disease and primary sleep disorder in the high exposure group were higher than those in the low exposure group(P<0.05).Multivariate Logistic regression analysis showed that age,ASD disease status and primary sleep disorder were risk factors for sleep duration and sleep quality of preschool children with ASD(P<0.05).In the high exposure group,the rate of insufficient sleep time,poor bedtime habits,sleep anxiety,continuous sleep disturbance,prolonged sleep latency,sleep disapnea,daytime sleepiness,anomalic sleep and night wake were lower than before intervention,while the average daily sleep time was shorter than after intervention(P<0.05).Conclusion:Screen exposure has a greater impact on sleep in preschool children with ASD,so intervention is needed.