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.

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