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Published on: October 2, 2019
Parental perception of sleep problems in children of normal intelligence with pervasive developmental disorders:
Jennifer L Couturier1, Kathy N Speechley, Margaret Steele
1Department of Psychiatry, University of Western Ontario, London, Ontario, Canada. jlcoutur@uwo.ca
Insights
Parents report significantly more sleep problems in children with pervasive developmental disorders (PDDs) compared to typically developing children. These sleep issues, including onset delay and anxiety, require clinical attention.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Sleep Medicine
Background:
- Sleep disturbances are common in children.
- Pervasive Developmental Disorders (PDDs) encompass a range of neurodevelopmental conditions.
- Understanding sleep patterns in children with PDDs is crucial for their well-being.
Purpose of the Study:
- To compare parental perceptions of sleep problems in children with PDDs versus a control group.
- To assess the prevalence, severity, and specific patterns of sleep issues in children with PDDs.
Main Methods:
- Utilized the Children's Sleep Habits Questionnaire.
- Surveyed parents of children (5-12 years) diagnosed with PDDs and matched controls.
- Employed chart review for PDD diagnosis confirmation (Autism Diagnostic Interview-Revised).
Main Results:
- Parents reported significantly higher prevalence (78% vs. 26%) and severity of sleep problems in the PDD group.
- Sleep onset delay, duration, anxiety, and parasomnias were significantly more frequent in children with PDDs.
- High response rates achieved in both PDD (82.2%) and comparison (55.8%) groups.
Conclusions:
- Sleep problems are more prevalent and severe in children with PDDs than typically developing children.
- The pattern of sleep disturbances in PDDs is diverse and warrants further investigation.
- Clinical attention and research are needed for sleep issues in children with PDDs.
Objective:
This study compares parents' perceptions of the prevalence, severity, and pattern of sleep problems in children of normal intelligence with pervasive developmental disorders (PDDs) with a normative comparison group of children.
Method:
A survey including the Children's Sleep Habits Questionnaire was mailed to a sample of parents of children (age range 5-12 years) with PDDs (diagnosed by the Autism Diagnostic Interview-Revised) obtained by chart review of the past 7 years and to parents of comparison children matched on age, gender, and postal code.
Results:
The response rate in the PDD group was 82.2% (37/45) and 55.8% (43/77) in the comparison group. By individually matching, 23 pairs were obtained. The prevalence of sleep problems in the PDD group was reported by parents as being significantly higher than in the comparison group (78% and 26%, respectively; p < .002), as was the severity (mean score 48.2 and 39.0, respectively; p < .001). Values for four of eight sleep subscales including sleep onset delay, sleep duration, sleep anxiety, and parasomnias were significantly higher in the PDD group.
Conclusions:
Parents report that sleep problems are significantly more prevalent and severe in children of normal intelligence with PDDs compared with normally developing children, and the pattern appears diverse. Sleep problems in children with PDDs require further research and clinical attention.
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