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Updated: May 23, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Sleep disruption as a correlate to cognitive and adaptive behavior problems in autism spectrum disorders
Matthew A Taylor1, Kimberly A Schreck, James A Mulick
1The Ohio State University, Nationwide Children’s Hospital Developmental Assessment Program, 187 West Schrock Road, Westerville, OH 43081, USA. mat5386@psu.edu
Insights
Sleep duration impacts cognitive and adaptive skills in children with autism spectrum disorders (ASD) and PDD-NOS. Shorter sleep is linked to lower intelligence, adaptive functioning, and developmental skills.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Sleep problems are common in children with autism spectrum disorders (ASD).
- The impact of these sleep issues on daytime functioning remains less understood.
- Autism and PDD-NOS affect cognitive and adaptive behaviors.
Purpose of the Study:
- To investigate the relationship between sleep problems and cognitive/adaptive performance in children with ASD/PDD-NOS.
- To assess how sleep duration and disturbances correlate with intelligence and adaptive behaviors.
- To identify specific sleep issues linked to particular daytime deficits.
Main Methods:
- Utilized the Behavioral Evaluation of Disorders of Sleep (BEDS) scale.
- Assessed 335 children aged 1-10 years diagnosed with autism or PDD-NOS.
- Correlated BEDS scores with measures of intelligence and adaptive behavior.
Main Results:
- Fewer hours of sleep correlated with lower intelligence, verbal skills, adaptive functioning, daily living, socialization, and motor development.
- Nighttime awakenings alongside reduced sleep duration were associated with communication problems.
- Breathing-related sleep issues and shorter sleep duration were linked to perceptual task difficulties.
Conclusions:
- Sleep quality, particularly duration, may significantly affect daytime cognitive and adaptive functioning in children with ASD/PDD-NOS.
- Specific sleep problems correlate with distinct areas of daytime impairment.
- Further research is needed to fully elucidate these complex relationships.
Abstract:
Sleep problems associated with autism spectrum disorders (ASD) have been well documented, but less is known about the effects of sleep problems on day-time cognitive and adaptive performance in this population. Children diagnosed with autism or pervasive developmental disorder-not otherwise specified (PDD-NOS) (N = 335) from 1 to 10 years of age (M = 5.5 years) were evaluated for the relationships of Behavioral Evaluation of Disorders of Sleep (BEDS; Schreck, 1998) scores to measures of intelligence and adaptive behavior. Results suggested that children who slept fewer hours per night had lower overall intelligence, verbal skills, overall adaptive functioning, daily living skills, socialization skills, and motor development. Children who slept fewer hours at night with waking during the night had more communication problems. Breathing related sleep problems and fewer hours of sleep related most often to problems with perceptual tasks. The results indicate that quality of sleep--especially sleep duration--may be related to problems with day-time cognitive and adaptive functioning in children with autism and PDD-NOS. However, future research must be conducted to further understand these relationships.
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