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Published on: July 31, 2017
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.
Background:
Children with autism spectrum disorder (ASD) often suffer from sleep problems that in turn correlate with behavioral problems. However, in Japan, there have been few studies of sleep problems in children with ASD.
Aims:
This study compared sleep problems in preschoolers from the community and preschoolers with ASD in Japan, and examined whether sleep problems were related to problematic behaviors in ASD preschoolers.
Methods And Procedures:
Sleep problems were assessed in 965 community and 193 ASD preschoolers using the Japanese Sleep Questionnaire for Preschoolers, which was developed to assess sleep problems in Japanese preschoolers. Behavioral problems were assessed in 107 ASD preschoolers using the Child Behavior Checklist.
Outcomes And Results:
Compared with community preschoolers, ASD preschoolers experienced significantly more sleep problems, including obstructive sleep apnea and parasomnias. ASD preschoolers with sleep problems exhibited more behavioral problems than those without sleep problems. The severity of sleep problems, especially insomnia, was significantly correlated with behavioral problems in ASD preschoolers.
Conclusions And Implications:
The present study suggests that sleep problems, especially obstructive sleep apnea, are more common in ASD preschoolers than in community preschoolers. The study also shows that sleep problems, especially insomnia, are related to problematic behavior in ASD preschoolers.
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