Assessment of Sleep in Children with Autism Spectrum Disorder

Moore, Makeda; Evans, Victoria; Hanvey, Grace Ann; Johnson, Cynthia R.

doi:10.3390/children4080072

Cited by 79 publications

(59 citation statements)

References 128 publications

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“…Sleep disturbances appear in 40-80% of children with ASD [2][3][4][5] , as compared with 20-40% of typically developing children 6,7 . Symptoms include prolonged sleep latency, shorter sleep duration, and increased wake periods during the night, as reported by both subjective parental questionnaires and actigraphy measures [8][9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Reduced sleep pressure in young children with autism

Arazi

Meiri

Danan

et al. 2019

Preprint

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Study Objectives: Sleep disturbances and insomnia are highly prevalent in children with Autism Spectrum Disorder (ASD). Sleep homeostasis, a fundamental mechanism of sleep regulation that generates pressure to sleep as a function of wakefulness, has not been studied in children with ASD so far, and its potential contribution to their sleep disturbances remains unknown. Here, we examined whether slow wave activity (SWA), a measure that is indicative of sleep pressure, differs in children with ASD. Methods:In this case-control study, we compared overnight electroencephalogram (EEG) recordings that were performed during Polysomnography (PSG) evaluations of 29 children with ASD and 23 typically developing children.Results: Children with ASD exhibited significantly weaker SWA power, shallower SWA slopes, and a decreased proportion of slow wave sleep in comparison to controls. This difference was largest during the first two hours following sleep onset and decreased gradually thereafter. Furthermore, SWA power of children with ASD was significantly, negatively correlated with the time of their sleep onset in the lab and at home, as reported by parents. Conclusions:These results suggest that children with ASD may have a dysregulation of sleep homeostasis that is manifested in reduced sleep pressure. The extent of this dysregulation in individual children was apparent in the amplitude of their SWA power, which was indicative of the severity of their individual sleep disturbances. We, therefore, suggest that disrupted homeostatic sleep regulation may contribute to sleep disturbances in children with ASD. Statement of significance:Sleep disturbances are apparent in 40-80% of children with autism. Homeostatic sleep regulation, a mechanism that increases the pressure to sleep as a function of prior wakefulness, has not been studied in children with autism. Here, we compared Polysomnography exams of 29 children with autism and 23 matched controls. We found that children with autism exhibited reduced slow-wave-activity power and shallower slopes, particularly during the first two hours of sleep. This suggests that they develop less pressure to sleep. Furthermore, the reduction in slow-wave-activity was associated with the severity of sleep disturbances as observed in the laboratory and as reported by parents. We, therefore, suggest that disrupted homeostatic sleep regulation may contribute to sleep disturbances of children with autism.

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Section: Introductionmentioning

confidence: 99%

Reduced sleep pressure in young children with autism

Arazi

Meiri

Danan

et al. 2019

Preprint

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“…It was observed that the most prevalent sleep problems indicated in individuals with developmental disabilities are in the "insomnia" category. The current data demonstrates that these problems are generally behavioral problems that cause the individual to sleep less such as resistance to going to bed/sleep, difficulty to sleep, sleeping together, waking up at night, waking up very early in the morning (Moore, Evans, Hanvey and Johnson, 2017). The causes of sleep problems can vary and are influenced by biological, developmental, psychological, environmental and cultural factors.…”

Section: Sleep Problems In Individuals With Developmantal Disabilitiesmentioning

confidence: 81%

“…Sleep questionnaires are used for providing information from the parents for their children's sleep behaviors. It gives data about sleeping problems as resistance to sleep, sleep onset delay, early waking, night waking, sleep terror, parasomnia, sleep duration, bedtime routines, bedtime habits and parent behaviors (Moore et al, 2017). One of that surveys is Children's Sleep Habits Questionnaire (CSHQ) and brief Turkish form of CSHQ's validity and reliability analysis were studied by Perdahlı Fiş and her colleagus (2010).…”

Section: Assessment Of Sleeping Problemsmentioning

confidence: 99%

“…Sleep diaries are also useful tool to get sleep habits on individuals by getting information from parents. It gives data about the sleeping and waking time, sleep duration, sleep onset time, frequency of night waking, resistance to sleep or going to bed, sleep together, sleep habits, routines and parents behaviors (Moore et al, 2017).…”

Section: Assessment Of Sleeping Problemsmentioning

confidence: 99%

See 1 more Smart Citation

Gelişimsel Yetersizliği Olan Çocuklarda Uyku Sorunları Ve Davranışsal Müdahale Yöntemleri

Toper

2018

Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi

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ÖzYeterli uyku uyuyamama kişilerin gündelik hayatını son derece olumsuz bir şekilde etkilediği gibi, çeşitli sağlık sorunlarını da beraberinde getirebilmektedir. Normal gelişim gösteren çocuklarla karşılaştırıldığında, otizm spektrum bozukluğu ve zihinsel yetersizlik gibi gelişimsel yetersizliği olan çocuklarda uyku sorunları daha fazla gözlenmektedir. Bu durum uyku sorunu yaşayan bireylerin gündelik aktivitelerini olumsuz yönde etkilediği gibi, bakımlarından sorumlu olan diğer aile üyelerini de olumsuz yönde etkilemekte ve stres düzeylerini arttırmaktadır. Bu nedenle uyku sorunlarının giderilmesine yönelik uygun müdahalelerin gerçekleştirilmesi önemlidir. Uluslararası alan yazında gelişimsel yetersizliği olan çocukların uyku sorunlarının incelenmesine ve davranışsal müdahale yöntemlerinin etkililiğine yönelik çeşitli araştırmalar bulunmakla birlikte, ülkemizde özellikle özel eğitim alanında uyku sorunlarının çözümüne yönelik davranışsal müdahale araştırmalarına rastlanmamaktadır. Bu gereksinimden yola çıkarak bu çalışmada, gelişimsel yetersizliği olan bireylerde gözlenen davranışsal uyku sorunlarının neler olduğuna ve davranışsal müdahale yöntem ve stratejilerine ilişkin bilgilere yer verilmesi amaçlanmıştır. Bu amaçla, uyku sorunlarının çözülmesinde kullanılan davranışsal müdahale yöntemleri ile uyku eğitimi programlarının içeriğine yönelik alanyazın taraması gerçekleştirilerek, elde edilen bilgiler derlenmiştir. Çalışmada yer verilen bilgilerin özellikle gelişimsel yetersizliği olup uyku sorunu yaşayan çocuk sahibi ailelere ve özel eğitim alanında çalışan eğitimcilere rehberlik etmesi, aynı zamanda ileriye yönelik planlanacak olan araştırma ve uygulamalara katkı sağlayacağı düşünülmektedir.Anahtar sözcükler: Uyku sorunları, uyku bozuklukları, davranışsal yaklaşım, davranışsal uyku problemleri, uyku eğitimi. Önerilen Atıf ŞekliToper, Ö. (2018). Otizm spektrum bozukluğu ve zihin yetersizliği olan çocuklarda uyku sorunları ve davranışsal müdahale yöntemleri.

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“…Although objective measures provide more diagnostic evidence, determining different sleep variables, however, these methods have several limitations which make them less practical in clinical settings and in large clinical research trials, such as dependence on the applying of devices or equipment that may malfunction, being expensive, need expert data download and interpretation, and being uneasy or onerous to children at bedtime, especially for autistic children who exhibit sensory difficulties. In addition, polysomnography is commonly conducted in laboratory situations and has not yet been extensively approved in paediatric research and practice [10]. Interdevice reliability was also found to be poor [11]; therefore, results will not be compared among studies that have used different devices [12].…”

Section: Subjective or Objective Measures Of Sleep Disorder?mentioning

confidence: 99%