Sleep problems are more frequent and associated with problematic behaviors in preschoolers with autism spectrum

Ikuko Hirata1, Ikuko Mohri2, Kumi Kato-Nishimura3

  • 1Department of Pediatrics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan.

Insights

Children with autism spectrum disorder (ASD) experience more sleep problems, including obstructive sleep apnea and insomnia, which are linked to behavioral issues. Addressing sleep difficulties in ASD may improve behavior.

Area of Science:

  • Developmental Psychology
  • Pediatric Sleep Medicine
  • Autism Spectrum Disorder Research

Background:

  • Sleep problems are prevalent in children with autism spectrum disorder (ASD), often co-occurring with behavioral challenges.
  • Limited research exists on sleep disturbances among children with ASD in Japan.

Purpose of the Study:

  • To compare sleep problems in Japanese preschoolers with and without ASD.
  • To investigate the relationship between sleep problems and behavioral issues in preschoolers with ASD.

Main Methods:

  • Sleep problems were assessed using the Japanese Sleep Questionnaire for Preschoolers in 965 community and 193 ASD preschoolers.
  • Behavioral problems were evaluated in 107 ASD preschoolers using the Child Behavior Checklist.

Main Results:

  • ASD preschoolers exhibited significantly higher rates of sleep problems, including obstructive sleep apnea and parasomnias, compared to community controls.
  • ASD preschoolers with sleep problems demonstrated more behavioral problems.
  • The severity of sleep problems, particularly insomnia, strongly correlated with behavioral issues in ASD preschoolers.

Conclusions:

  • Sleep problems, notably obstructive sleep apnea, are more frequent in Japanese preschoolers with ASD.
  • Sleep disturbances, especially insomnia, are associated with problematic behaviors in this population, highlighting the need for targeted interventions.
Abstract

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