Sleep and Behavioral Problems in Children with Autism Spectrum Disorder
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Updated: Mar 26, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Micah O Mazurek1, Kristin Sohl2
1Department of Health Psychology, Thompson Center for Autism and Neurodevelopmental Disorders, University of Missouri, 205 Portland Street, Columbia, MO, 65211, USA. mazurekm@missouri.edu.
Insights
Sleep disturbances in children with autism spectrum disorder (ASD) are linked to behavioral issues like aggression and inattention. Night awakenings, in particular, strongly correlate with daytime behavior problems in children with ASD.
Area of Science:
- Neurodevelopmental disorders
- Pediatric sleep medicine
- Behavioral science
Background:
- Children with autism spectrum disorder (ASD) frequently experience sleep disturbances and behavioral dysregulation.
- The precise relationship between specific sleep problems and behavioral issues in ASD requires further elucidation.
Purpose of the Study:
- To investigate the associations between specific sleep problems and various behavioral dysregulations in children with ASD.
- To determine the extent to which sleep disturbances predict behavioral problems in this population.
Main Methods:
- The study analyzed data from 81 children diagnosed with autism spectrum disorder.
- Sleep patterns and behavioral problems were assessed to identify correlations.
Main Results:
- Significant associations were found between sleep problems and physical aggression, irritability, inattention, and hyperactivity in children with ASD.
- Sleep disturbances explained a substantial portion (22-32%) of the variance in behavior problems.
- Night awakenings demonstrated the most consistent and robust association with daytime behavioral issues, independent of age and sex.
Conclusions:
- Sleep disturbances are significantly associated with behavioral dysregulation in children with autism spectrum disorder.
- Targeting specific sleep problems, such as night awakenings, may be a crucial strategy for improving daytime behavior in children with ASD.
Abstract:
Children with autism spectrum disorder (ASD) are at high risk for sleep disturbance and behavioral dysregulation. However, the relationships between these difficulties are not fully understood. The current study examined the relationships between specific types of sleep and behavioral problems among 81 children with ASD. Sleep problems were significantly associated with physical aggression, irritability, inattention, and hyperactivity. In multivariate analyses, distinct sets of sleep problems accounted for between 22 and 32 % of the variance in behavior problems across models. These results indicate that sleep disturbance is associated with behavioral dysregulation among children with ASD. Of note, night awakenings had the most consistently strong association with daytime behavior problems, even after controlling for the effects of age and sex.
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