대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제21권2호
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  • Pages.69-83
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  • 2023
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  • 1738-0405(pISSN)
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  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
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수면장애 아동을 위한 사회적 이야기 중재 효과: 체계적 고찰

A Systematic Study of the Intervention Effect of Social Stories in Children with Sleep Disorders

  • 김지호 (연세대학교 일반대학원 작업치료학과) ;
  • 유은영 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Kim, Ji-Ho (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Yoo, Eun-Young (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 투고 : 2023.06.28
  • 심사 : 2023.09.20
  • 발행 : 2023.09.30
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초록

목적 : 본 연구는 수면장애 아동을 대상으로 사회적 이야기(social story)를 적용한 연구를 대상으로 중재효과를 체계적으로 고찰하고자 하였다. 연구방법 : 본 연구는 2001년에서 2022년까지 데이터베이스 Scopus, ScienceDirect, psycArticles, Pubmed에 게재된 문헌들을 대상으로 하였다. 검색어는 'social story' OR 'social stories' AND 'sleep' OR 'sleep disorders' OR 'sleep wake disorder bedtimes' OR 'sleep initiation' and 'maintenance disorders' OR 'sleep wake disorder' OR 'sleep arousal disorder'을 사용하였다. 선정 기준에 따라 최종적으로 6편의 실험연구를 선정하여 분석을 실시하였다. 결과 : 분석 대상 문헌은 무작위 대조 실험연구는 2편, 개별 실험연구가 3편, 사례연구가 1편이었다. 대상자는 진단별로는 자폐스펙트럼 아동, 연령별로는 학령기와 청소년기가 가장 많았다. 중재유형은 사회적 이야기와 다른 중재를 함께 포함한 복합중재가 많았고, 중재 기간은 1일부터 40일 이상으로 다양하였다. 중재 효과로는 수면의 질에 긍정적인 효과를 보였으며, 그중에서도 야간 각성(night walking), 수면 시작 지연(sleep onset delay), 수면 불안(sleep anxiety)이 개선되었다. 사회적 이야기의 효과를 평가하는 도구로는 표준화된 평가에서는 아동 수면 습관 설문지(children's sleep habits questionnaire)와 아동 행동 체크리스트(child behavior checklist)를 가장 많이 사용하였고, 비표준화된 평가로는 인터뷰(interview), 수면일기 (Sleep diary)를 사용한 연구가 많았다. 결론 : 본 연구는 수면장애가 있는 아동 및 청소년에게 사회적 이야기를 적용함으로써 임상에서 적용할 수 있는 수면 중재 방향을 모색하는 것에 의의가 있다. 사회적 이야기의 중재 효과로는 야간 각성(night wakings), 수면 시작 지연(sleep onset delay), 수면 불안(sleep anxiety) 영역이 개선된 연구들이 큰 비중을 차지하였다. 수면의 질의 세부 효과 영역은 대부분의 연구에서 중재 전후 유의한 개선을 나타냈으며, 본 연구에서 분석한 6편의 연구에서는 추적검사를 통해서 중재 효과에 대한 지속을 확인할 수 있었다. 따라서 본 연구는 사회적 이야기(social story)를 적용한 수면장애 아동의 중재 효과, 결과 평가 도구, 중재 기간을 제시함으로써 수면장애 아동을 대상으로 사회적 이야기(social story)를 임상에서 적용할 때 도움이 될 것으로 판단된다.

Objective : This study sought to systematically examine the intervention effect of social stories when applied in relation to children with sleep disorders. Methods : Studies available in the SCOPUS, ScienceDirect, PsycArticles, and PubMed databases that were published from 2001 to 2022 were searched. The keywords used for the search were as follows: ("social story" OR "social stories") AND ("sleep" OR "sleep disorders" OR "sleep wake disorder bedtimes" OR "sleep initiation and maintenance disorders" OR "sleep wake disorder" OR "sleep arousal disorders"). Based on the selection criteria, six experimental studies were selected and analyzed. Results : The selected studies were two randomized controlled trials, three individual trials, and one case study. The subjects were mostly children diagnosed with autism spectrum disorder who were school-aged or adolescent. The intervention types were often complex interventions, including social stories and other interventions, while the durations of the interventions varied from one day to more than 40 days. The interventions had a positive effect on the subjects' sleep quality, with night wakings, sleep onset delay, and sleep anxiety all being improved. As standardized assessment tools to evaluate the effectiveness of social stories, the Child Sleep Habits Questionnaire and the Child Behavior Checklist were used in two papers each, and were the most commonly used. As non-standardized assessment tools, each of the four papers used turbulence and sleep diaries as assessment tools. Conclusion : The effect of social story mediation can be divided into sleep quality and sleep-related behavior. In terms of sleep quality, studies showing improvements in night wakings, sleep onset delay, and sleep anxiety accounted for a large proportion of the sample. The detailed effect area of sleep quality showed a significant improvement after the interventions in most studies, and in all six studies analyzed in the present study, the continuation of the effect after the intervention was confirmed via follow-up tests. Thus, the findings of this study are expected to be helpful when applying social stories in children with sleep disorders in clinical practice due to presenting the intervention effects, outcome evaluation tools, and intervention periods in children with sleep disorders in prior investigations involving social stories.

키워드

참고문헌

  1. Acar, C., Tekin-Iftar, E., & Yikmis, A. (2017). Effects of mother-delivered social stories and video modeling in teaching social skills to children with Autism Spectrum Disorders. Journal of Special Education, 50(4), 215-226. doi:10.1177/0022466916649164
  2. Alkinj, I., Pereira, A., & Santos, P. C. (2022). The effects of an educational program based on modeling and social stories on improvements in the social skills of students with autism. Heliyon, 8(5), e09289. doi:10.1016/j.heliyon.2022.e09289.
  3. American Occupational Therapy Association. (2008). Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy, 62(6), 625-683. doi:10.5014/ajot.62.6.625
  4. Arbesman, M., Scheer J., & Lieberman D. (2008). Using AOTA's critically appraised topic and critically appraised paper series to link evidence to practice. OT Practice, 13(5), 18-22.
  5. Bae, J. I. (2014). Infant problem behaviors and adaptation in child care centers: The influences of a mother and infant sleep problems. Journal of Korea Open Association for Early Childhood Education, 19(4), 125-143.
  6. Beebe, D. W. (2011). Cognitive, behavioral, and functional consequences of inadequate sleep in children and adolescents. Pediatric Clinics, 58(3), 649-665. https://doi.org/10.1016/j.pcl.2011.03.002
  7. Benish, T. M., & Bramlett, R. K. (2011). Using social stories to decrease aggression and increase positive peer interactions in normally developing preschool children. Educational Psychology in Practice, 27(1), 1-17.
  8. Bernier, A., Beauchamp, M. H., Bouvette-Turcot, A. A., Carlson, S. M., & Carrier, J. (2013). Sleep and cognition in preschool years: Specific links to executive functioning. Child Development, 84(5), 1542-1553. doi:10.1111/cdev.12063
  9. Brown, L. K. (2008). The Harvard Medical School guide to a good night's sleep. Journal of Clinical Sleep Medicine, 4(4), 381-382. https://doi.org/10.5664/jcsm.27241
  10. Bucholz, J. L. (2012). Social StoriesTM for children with Autism: A review of the literature. Journal of Research in Education, 22(2), 48-73.
  11. Camilleri, L. J., Maras, K., & Brosnan, M. (2022). The impact of using digitally-mediated social stories on the perceived competence and attitudes of parents and practitioners supporting children with autism. Plos One, 17(1), e0262598.
  12. Case-Smith, J., & O'Brien, J. C. (2014). Occupational therapy for children and adolescents e-book. St. Louis: Elsevier Health Sciences.
  13. Choi, J. H., & Kim, D. Y. (2017). A meta-analysis of single-case research using social storiesTM: Comparison between South Korea and other countries. Journal of the Korean Association for Persons with Autism, 17(1), 75-101.
  14. Culatta, R. A., Tompkins, J. R., & Werts, M. G. (2003). Fundamentals of special education. Upper Saddle River, NJ: Merrill.
  15. Cuomo, B. M., Vaz, S., Lee, E. A. L., Thompson, C., Rogerson, J. M., & Falkmer, T. (2017). Effectiveness of sleep based interventions for children with autism spectrum disorder: A meta-synthesis. Pharmacotherapy: Journal of Human Pharmacology and Drug Therapy, 37(5), 555-578. doi:10.1007/s41252-021-00224-8
  16. Garwood, J. D., & Van Loan, C. L. (2019). Using social stories with students with social, emotional, and behavioral disabilities: The promise and the perils. Exceptionality, 27(2), 133-148. https://doi.org/10.1080/09362835.2017.1409118
  17. Goldman, S. E., Richdale, A. L., Clemons, T., & Malow, B. A. (2012). Parental sleep concerns in autism spectrum disorders: Variations from childhood to adolescence. Journal of Autism and Developmental Disorders, 42, 531-538. https://doi.org/10.1007/s10803-011-1270-5
  18. Gray, C. A. (2010). Social StoriesTM 10.1 definition, criteria, & sample Stories. Jenison Public Schools.
  19. Gray, C. A., & Garand. J. D.(1993). Social stories: Improving responses of students with accurate social information. Focus on Autistic Behavior, 8(1), 1-10. https://doi.org/10.1177/108835769300800101
  20. Gregory, A. M., & Sadeh, A. (2012). Sleep, emotional and behavioral difficulties in children and adolescents. Sleep Medicine Reviews, 16(2), 129-136. doi:10.1016/j.smrv.2011.03.007
  21. Hadi, S., Djuliawanti, M., Marjianto, A., & Jumriani, J. (2022). Appropriate learning methods for Autistic children in improving tooth brushing skills: A review. International Journal of Advanced Health Science and Technology, 2(2), 122-129. https://doi.org/10.35882/ijahst.v2i2.12
  22. Health Insurance Review & Assessment Service. (2021). Health insurance review & assessment service. 23 August 2023. Retrieved from http://opendata.hira.or.kr/op/opc/olapMfrnIntras IlnsInfoTab1.do.
  23. Hodge, D., Carollo, T. M., Lewin, M., Hoffman, C. D., & Sweeney, D. P. (2014). Sleep patterns in children with and without autism spectrum disorders: Developmental comparisons. Research in Developmental Disabilities, 35(7), 1631-1638. https://doi.org/10.1016/j.ridd.2014.03.037
  24. Hunter, J. E., McLay, L. K., France, K. G., & Blampied, N. M. (2021). Sleep and stereotypy in children with autism: Effectiveness of function-based behavioral treatment. Sleep Medicine, 80, 301-304. https://doi.org/10.1016/j.sleep.2021.01.062
  25. Hutchins, T. L., & Prelock, P. A. (2013). Parents' perceptions of their children's social behavior: The social validity of social storiesTM and comic strip conversations. Journal of Positive Behavior Interventions, 15(3), 156-168. https://doi.org/10.1177/1098300712457418
  26. Israelsen, L. J. (2020). Evaluation of social stories in sleep treatment for children with Autism Spectrum Disorder: A feasibility study (Doctoral dissertation). UT Southwestern Graduate School of Biomedical Sciences, Texas.
  27. Johnson, C. R., Turner, K. S., Foldes, E. L., Malow, B. A., & Wiggs, L. (2012). Comparison of sleep questionnaires in the assessment of sleep disturbances in children with autism spectrum disorders. Sleep Medicine, 13(7), 795-801. https://doi.org/10.1016/j.sleep.2012.03.005
  28. Klett, L. S., & Turan, Y. (2012). Generalized effects of social stories with task analysis for teaching menstrual care to three young girls with autism. Sexuality and Disability, 30, 319-336. https://doi.org/10.1007/s11195-011-9244-2
  29. Koegel, L. K., Koegel, R. L., Frea, W., & Green-Hopkins, I. (2003). Priming as a method of coordinating educational services for students with autism. Language, Speech & Hearing Services in Schools, 34, 228-235. https://doi.org/10.1044/0161-1461(2003/019)
  30. Kokina, A., & Kern, L. (2010). Social storyTM interventions for students with autism spectrum disorders: A meta-analysis. Journal of Autism and Developmental Disorders, 40, 812-826. doi:10.1007/s10803-009-0931-0
  31. KOSIS. (2023). Survey on children and youth human rights (Korea). 1 June 2023. Retrieved from http://kosis.kr/statHtml/statHtml. statHtml.do?orgId=402&tblId=DT_ES2017_031&conn_path=I2
  32. Kotagal, S., & Broomall, E. (2012). Sleep in children with autism spectrum disorder. Pediatric Neurology, 47(4), 242-251. https://doi.org/10.1016/j.pediatrneurol.2012.05.007
  33. Kripke, D. F., Langer, R. D., & Kline, L. E. (2012). Hypnotics' association with mortality or cancer: A matched cohort study. BMJ Open, 2(1), e000850.
  34. Lee, E. (2020). Cognitive behavior therapy for insomnia. Journal of Korean Medical Association, 63(8), 477-483. doi:10.5124/jkma.2020.63.8.477
  35. Lozoff, B., Wolf, A. W., & Davis, N. S. (1985). Sleep problems seen in pediatric practice. Pediatrics, 75(3), 477-483. https://doi.org/10.1542/peds.75.3.477
  36. Malow, B. A., Crowe, C., Henderson, L., McGrew, S. G., Wang, L., Song, Y., & Stone, W. L. (2009). A sleep habits questionnaire for children with autism spectrum disorders. Journal of Child Neurology, 24(1), 19-24.
  37. Malow, B., Adkins, K. W., McGrew, S. G., Wang, L., Goldman, S. E., Fawkes, ... Burnette. C. (2012). Melatonin for sleep in children with autism: A controlled trial examining dose, tolerability, and outcomes. Journal of Autism and Developmental Disorders, 42(8), 1729-1737. https://doi.org/10.1007/s10803-011-1418-3
  38. Mazzone, L., Postorino, V., Siracusano, M., Riccioni, A., & Curatolo, P. (2018). The relationship between sleep problems, neurobiological alterations, core symptoms of autism spectrum disorder, and psychiatric comorbidities. Journal of Clinical Medicine, 7(5), doi:10.3390/jcm7050102.
  39. McLay, L. K., France, K. G., Knight, J., Blampied, N. M., & Hastie, B. (2019). The effectiveness of function-based interventions to treat sleep problems, including unwanted co sleeping, in children with autism. Behavioral Interventions, 34(1), 30-51. doi:10.1002/bin.1651
  40. Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151(4), 264-269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135
  41. More, C. M., Sileo, N. M., Higgins, K., Tandy, R. D., & Tannock, M. (2013). The effects of social story interventions on preschool age children with and without disabilities. Early Child Development and Care, 183(1), 1-16. https://doi.org/10.1080/03004430.2011.651081
  42. National Sleep Foundation. (2017). Sleep in America poll. Exploring connections with communication technology use and sleep. Washington, D. C.: National Sleep Foundation.
  43. O'Donoghue, N., & McKay, E. A. (2012). Exploring the impact of sleep apnoea on daily life and occupational engagement. British Journal of Occupational Therapy, 75(11), 509-516. doi: 10.4276/030802212X13522194759932
  44. Owens, J. A., Spirito, A., McGuinn, M., & Nobile, C. (2000). Sleep habits and sleep disturbance in elementary school-aged children. Journal of Developmental and Behavioral Pediatrics, 21(1), 27-36. https://doi.org/10.1097/00004703-200002000-00005
  45. Rana, M., Kothare, S., & DeBassio, W. (2021). The assessment and treatment of sleep abnormalities in children and adolescents with autism spectrum disorder: A review. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 30(1), 25.
  46. Rao, P. A., Beidel, D. C., & Murray, M. J. (2008). Social skills interventions for children with Asperger's syndrome or high-functioning autism: A review and recommendations. Journal of Autism and Developmental Disorders, 38, 353-361. https://doi.org/10.1007/s10803-007-0402-4
  47. Reid, G. J., Hong, R. Y., & Wade, T. J. (2009). The relation between common sleep problems and emotional and behavioral problems among 2 and 3 year olds in the context of known risk factors for psychopathology. Journal of Sleep Research, 18(1), 49-59.
  48. Reynolds, A. M., & Malow, B. A. (2011). Sleep and autism spectrum disorders. Pediatric Clinics, 58(3), 685-698.
  49. Sansosti, F. J., Powell-Smith, K., & Kincaid, D. (2004). A research synthesis of social story interventions for children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 19(4), 194-204. https://doi.org/10.1177/10883576040190040101
  50. Schreck, K. A., & Schreck, R. E. (2020). The unique association of autism spectrum disorder with sleep problems. Sleep difficulties and disorders in autism spectrum disorder, 3-28.
  51. Simola, P., Liukkonen, K., Pitkaranta, A., Pirinen, T., & Aronen, E. T. (2014). Psychosocial and somatic outcomes of sleep problems in children: A 4-year follow-up study. Child: Care, Health and Development, 40(1), 60-67. https://doi.org/10.1111/j.1365-2214.2012.01412.x
  52. Styles, A. (2011). Social StoriesTM: Does the research evidence support the popularity? Educational Psychology in Practice, 27(4), 415-436. doi:10.1080/02667363.2011.624312
  53. Teglasi, H., & Rothman, L. (2001). Stories a classroom-based program to reduce aggressive behavior. Journal of School Psychology, 39(1), 71-94. https://doi.org/10.1016/S0022-4405(00)00060-1
  54. Test, D. W., Richter, S., Knight, V., & Spooner, F. (2011). A comprehensive review and meta-analysis of the social stories literature. Focus on Autism and Other Developmental Disabilities, 26(1), 49-62. https://doi.org/10.1177/1088357609351573
  55. Touchette, E., Petit, D., Seguin, J. R., Boivin, M., Tremblay, R. E., & Montplaisir, J. Y. (2007). Associations between sleep duration patterns and behavioral/cognitive functioning at school entry. Sleep, 30(9), 1213-1219. doi:10.1007/s41252-019-00123-z
  56. Van Deurs, J. R., Mclay, L. K., France, K. G., Blampied, N. M., Lang, R. B., & Hunter, J. E. (2019). Behavioral sleep intervention for adolescents with autism spectrum disorder: A pilot study. Advances in Neurodevelopmental Disorders, 3(4), 397-410. doi:10.1007/s41252-019-00123-z
  57. Wiggs, L., & Stores, G. (2004). Sleep patterns and sleep disorders in children with autistic spectrum disorders: Insights using parent report and actigraphy. Developmental Medicine and Child Neurology, 46(6), 372-380. https://doi.org/10.1017/S0012162204000611
  58. Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., ... Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders, 45, 1951-1966. https://doi.org/10.1007/s10803-014-2351-z
  59. Yoo, H. S. (2009). The effects of social story Intervention under integrated setting on social engagement during free play in preschoolers with and without disabilities. Early Childhood Education Research and Review, 13(4), 163-185.
  60. Zhou, N., Wong, H. M., & McGrath, C. (2020). Efficacy of social story intervention in training toothbrushing skills among special-care children with and without autism. Autism Research, 13(4), 666-674.  https://doi.org/10.1002/aur.2256