Parental report of sleep problems in children with autism

K A Schreck1, J A Mulick

  • 1Penn State-Harrisburg, Middletown, Pennsylvania 17057-4898, USA.

Insights

Parents of children with autism report typical sleep duration but perceive more sleep difficulties and lower quality compared to other developmental disorder groups.

Area of Science:

  • Developmental Psychology
  • Sleep Medicine
  • Behavioral Pediatrics

Background:

  • Sleep disturbances are common in children with developmental disorders.
  • Parental perception of sleep can significantly impact family well-being.
  • Understanding sleep patterns in autism spectrum disorder (ASD) is crucial for targeted interventions.

Purpose of the Study:

  • To compare parent-reported sleep behaviors in children with autism versus other developmental diagnoses.
  • To investigate differences in perceived sleep quality and difficulties among these groups.
  • To assess the validity of the Behavioral Evaluation of Disorders of Sleep (BEDS) scale in diverse pediatric populations.

Main Methods:

  • Parental reports on sleep behaviors using the 28-item, five-factor Behavioral Evaluation of Disorders of Sleep (BEDS) scale.
  • Inclusion of four groups: children with autism/pervasive developmental disorders, general mental retardation, special education, and a neurotypical control group.
  • Diagnostic classification confirmed via parent report, school records, and the Gilliam Autism Rating Scale.

Main Results:

  • Children with autistic characteristics exhibited typical sleep quantities, as reported by parents.
  • Parents of children with autism reported significantly greater sleep difficulties and poorer sleep quality compared to all other groups.
  • The BEDS scale effectively differentiated perceived sleep issues across developmental diagnoses.

Conclusions:

  • While sleep duration may be typical, parental perception of sleep problems is heightened in children with autism.
  • Parental perception of sleep quality and difficulties warrants clinical attention in pediatric autism care.
  • Further research should explore the underlying reasons for these perceptual differences in sleep for children with ASD.

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