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Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2021, Número 6

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Salud Mental 2021; 44 (6)


Evaluation of the first-night effect of polysomnographic recording on cardiac autonomic activity in children with autism spectrum disorder

Mateos SEL, Ayala GF, Rueda SAJ, del Olmo ABE

Idioma: Ingles.
Referencias bibliográficas: 44
Paginas: 307-314
Archivo PDF: 240.20 Kb.


RESUMEN

Introducción. El efecto de la primera noche (EPN) es la tendencia a tener una calidad y cantidad de sueño inferior a la usual durante un primer registro de polisomnografía (PSG). El EPN se presenta en el trastorno del espectro autista (TEA) y en estos pacientes se ha propuesto que la modulación autonómica cardiaca presenta alteraciones. Objetivo.Evaluar si el EPN influye en la actividad autonómica de participantes con TEA y con desarrollo típico (DT). Método. Se realizaron dos PSGs a 13 participantes con TEA y con DT. El EPN se evaluó con ocho variables del sueño y la actividad autonómica mediante la arritmia sinusal respiratoria (ASR) y la frecuencia-baja (LF). Los análisis estadísticos incluyeron comparaciones intra-sujeto e inter-sujeto. Resultados. El EPN se presentó en ambos grupos y afecto más al grupo con TEA. No hubo diferencias significativas entre ambos registros en ASR y LF. De la comparación inter-sujeto hubo diferencias significativas en algunas variables del sueño, principalmente de la primera noche. Al comparar ASR y LF entre las fases N2, N3 y el sueño MOR, el grupo de DT tuvo diferencias significativas en ambas medidas, el grupo TEA solamente en LF de la primera noche. Discusión y conclusión. Se corrobora la presencia del EPN sobre las características cuantitativas del sueño en los grupos con TEA y con DT, pero no en ASR y LF. Cuando se considera la actividad de la ASR y LF entre fases de sueño se observa un patrón diferente entre los dos registros.


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