Sleep quality, functional skills, and communication in preschool-aged children with autism spectrum disorder

Lamônica, Dionísia Aparecida Cusin; Giacheti, Célia Maria; Haduo, Michele Dias Hayssi; Santos, Maria Jaquelini Dias dos; Silva, Nathani Cristina da; Pinato, Luciana

doi:10.1016/j.ridd.2021.104024

Cited by 5 publications

(6 citation statements)

References 40 publications

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“…The results showed significant differences between the clinical groups and the TD group in most of the types of sleep difficulties, such as initiating and maintaining sleep, disorders of arousal, sleep-wake transition disorders and excessive somnolence. These findings are consistent with the higher prevalence of sleep problems in children with neurodevelopmental conditions, particularly ASD (Lamônica et al, 2021) and ADHD (Cortese et al, 2013;Yürümez & Kılıç, 2016), compared to children with TD (Al, 2023).…”

Section: Discussionsupporting

confidence: 84%

“…Sleep problems are highly prevalent among children with neurodevelopmental disorders (Al, 2023). Specifically, they are reported in 50%-80% of children with Autism Spectrum Disorder (ASD) (Lamônica et al, 2021), which are substantially higher rates than those found in children with typical development (TD; 20%-40%) (Sadeh et al, 2014). Studies using subjective measures have revealed significantly lower total sleep time, increased sleep onset latency, worse sleep efficiency, greater bedtime resistance, sleep anxiety, sleep-disordered breathing, parasomnias and higher daytime sleepiness (Díaz-Rom an et al, 2018).…”

Section: Sleep Problems In Neurodevelopmental Disorders: Asd and Adhdmentioning

confidence: 99%

“…Sleep has been identified as a modulator of general neurodevelopment by playing a crucial role in brain restoration, cognitive functioning and learning (Lamônica et al, 2021). It impacts cognitive functions such as attention, declarative learning and memory consolidation (Köse et al, 2017), which are key processes involved in language acquisition.…”

Section: Introductionmentioning

confidence: 99%

“…These findings have been recently corroborated in children with language disorders, as an association has also been demonstrated between linguistic ability described by parent report measures and sleep behaviors such as sleep duration, sleep anxiety, night wakings and parasomnias (Knowland et al, 2021). In contrast, when using direct observation of communication through play activities, no correlations have been found between scores on communicative behavior and sleep disorders in preschoolers with ASD (Lamônica et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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Sleep problems in children with autism spectrum disorder and attention‐deficit/hyperactivity disorder: A comparative study and effects on communication skills

Berenguer,

Baixauli,

Rosa

et al. 2023

Autism Research

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Sleep disturbances are highly prevalent among children with neurodevelopmental disorders, like Autism Spectrum Disorder (ASD) and Attention‐Deficit/Hiperactivity Disorder (ADHD). The first objective of this study is to examine the differences in sleep problems between a group of children with ASD without intellectual disabilities, a group with ADHD and a typically developing (TD) group. A second objective is aimed at analyzing the effects of sleep problems and symptom severity on their communication skills. Participants were 122 children between 7 and 12 years old distributed in three groups: 32 TD children, 47 children with ASD and 43 children with ADHD, matched on age and intelligence. Parents completed different questionnaires that measured sleep disturbances and communication skills. Findings show significant differences between the clinical groups and the TD group in most types of sleep disorders. Moreover, the group with ADHD showed significantly more sleep breathing disorders and hyperhidrosis in comparison with ASD and TD, as well as more total sleep problems. In contrast to ASD, the predictive power of sleep problems on communication difficulties was greater in the group with ADHD. The results of the mediation analysis indicate that in both groups, sleep problems partially mediate the relationship between symptoms and communication. This investigation highlights the need of considering sleep disorders when assessing communication skills in ASD and ADHD, given its indirect influence in this domain. Understanding the sleep dysfunctions of both conditions and their repercussions is crucial to develop adjusted interventions.

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Section: Discussionsupporting

confidence: 84%

Section: Sleep Problems In Neurodevelopmental Disorders: Asd and Adhdmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sleep problems in children with autism spectrum disorder and attention‐deficit/hyperactivity disorder: A comparative study and effects on communication skills

Berenguer,

Baixauli,

Rosa

et al. 2023

Autism Research

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“…The severity of the two core symptom groups of autism spectrum disorder (social interaction disorder, stereotyped and repetitive behaviors) increased in ASD children with sleep problems, which increased the di culty of treatment for ASD children and led to more adverse outcomes 9 . Early characterization is important because many of the negative repercussions of ASD can be reversed when these children are submitted to interventions to minimize and remedy such problems 10 . The negative effects of impaired sleep are not con ned to the period during which the individual child suffers from the disordered sleep, but seem to have a structural impact on development with residual negative effects on cognition and behavior existing even years after the sleep problems disappeared 11 .…”

Section: Introductionmentioning

confidence: 99%

Cross Sectional Study on Sleep Disorders for Autistic Children in Anhui Province of China

Zhang

Liu

et al. 2022

Preprint

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Objectives Sleep disorder is an important adverse factor affecting the prognosis of children with autism. This study focuses on the condition of sleep problems in children with autism spectrum disorder and its association to severity. Participants and methods: The Anhui disabled people' Federation has listed 153 autism training facilities. Half of them (5508 kids) are chosen using odd and even codes between the ages of 1 and 8 years. 1377 autistic kids in total were chosen at random for the questionnaire survey using a 1:4 (numerical code). The Children's Sleep Habit Questionnaire (CSHQ), the Childhood Autism Rating Scale (CARS) and the Autism Behavior Checklist (ABC) were looked into and assessed, respectively. Results A total of 1072 valid questionnaires were received, including 818 boys and 254 girls, with a male to female ratio of 3.22:1. A total of 98.60% of the kids, 568 kids (98.1%) in the mild to moderate ASD group, and 489 kids (99.18%) in the severe ASD group, reported having sleep issues. The overall mean CSHQ score for the entire sample was 51.57±7.16, with the severe group reporting higher scores than the mild to moderate group (51.58±8.05 vs 49.52±7.69, p<0.001). Similarly, subscales of CSHQ such as sleep on set delay (7.80 ± 1.61 vs 7.58 ± 1.52, p = 0.027), sleep resistance (3.69 ± 1.12 vs 3.40 ± 1.15, p < 0.001), sleep duration (6.27 ± 1.25 vs 6.03 ± 1.08, p = 0.001), sleep anxiety (4.21 ± 1.54 vs 3.99 ± 1.52, p = 0.019) and night waking (5.33 ± 1.82 vs 4.85 ± 1.55, p < 0.001) were more problematic among severe group compared to mild to moderate group. According to regression research, the type of caregiver and their educational background have an impact on the severity of sleep disturbances. Sleep difficulties are always negatively correlated with nurturing environment, whereas wake-up times are the contrary. Conclusions The high likelihood of sleep disturbances in Chinese ASD children calls for the urgent adoption of parental education and social support programs to lessen the effects of sleep issues in ASD families. Important risk variables that affect sleep disorders and the severity of autism include wake-up time, caregiver, and nurturing environment. ASD children's sleep quality may be dramatically improved by encouraging fathers to participate in sleep instruction, creating a healthy nurturing environment, and cutting back on wake-up time.

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Sleep disorders in neurological disorders and sleep-related movement disorders in children less than 2 years of age

Grigg-Damberger,

Wolfe

2025

Assessment and Treatment of Infant Sleep

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Sleep quality, functional skills, and communication in preschool-aged children with autism spectrum disorder

Cited by 5 publications

References 40 publications

Sleep problems in children with autism spectrum disorder and attention‐deficit/hyperactivity disorder: A comparative study and effects on communication skills

Sleep problems in children with autism spectrum disorder and attention‐deficit/hyperactivity disorder: A comparative study and effects on communication skills

Cross Sectional Study on Sleep Disorders for Autistic Children in Anhui Province of China

Sleep disorders in neurological disorders and sleep-related movement disorders in children less than 2 years of age

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