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Published on: March 27, 2012
Sleep Problems in Young Children with Autism Spectrum Disorders: A Study of Parenting Stress, Mothers' Sleep-Related
1Department of Counseling and Human Development, University of Haifa, Haifa, Israel.
Insights
Children with autism spectrum disorder (ASD) experience more sleep problems, increasing maternal stress. Addressing sleep issues and cognitions is crucial for supporting families with ASD.
Area of Science:
- Child Psychology
- Neurodevelopmental Disorders
- Sleep Medicine
Background:
- Disrupted sleep is a prevalent issue in children with autism spectrum disorder (ASD).
- Parenting stress is a significant concern for caregivers of children with ASD.
- Understanding the factors contributing to sleep problems and stress is vital for effective interventions.
Purpose of the Study:
- To investigate the link between sleep problems and parenting stress in children with ASD compared to typically developing (TD) children.
- To examine maternal sleep-related cognitions and behaviors in both ASD and TD groups.
- To identify potential targets for intervention to alleviate stress in parents of children with ASD.
Main Methods:
- Mothers of 34 children with ASD and 31 TD children completed validated questionnaires.
- Measures included maternal stress, sleep-related cognitions, bedtime interactions, and child sleep problems.
- ASD group mothers also completed a measure of symptom severity.
Main Results:
- Children with ASD exhibited more sleep problems than TD children, with higher maternal stress reported.
- In the ASD group, sleep problems significantly contributed to maternal stress, independent of symptom severity.
- Maternal cognitions and bedtime routines were strongly associated with children's sleep difficulties across both groups.
Conclusions:
- Sleep problems in children with ASD are a significant contributor to maternal parenting stress.
- Maternal cognitions and bedtime interactions play a crucial role in managing children's sleep.
- Clinicians should routinely assess and address sleep issues in consultations with parents of children with ASD.
Introduction:
Disrupted sleep is common among children with autism spectrum disorder (ASD).
Aims:
Our goal was to (1) examine the contribution of sleep problems to parenting stress in children with ASD as compared to typically developing (TD) and (2) to address maternal sleep-related cognitions and behaviors in both groups.
Methods:
Mothers of 34 ASD (mean age = 39.29 months, SD = 5.22) and 31 TD children (mean age = 36.23 months, SD = 5.75) completed questionnaires measuring maternal stress, sleep-related cognitions and settling to sleep interactions, and the child's sleep problems; mothers in the ASD group completed a symptom severity questionnaire.
Results:
In accord with previous research, children with ASD had more sleep problems compared to the TD group, and their mothers reported higher levels of stress. In the ASD group, sleep problems contributed to the experience of maternal stress, over and above symptom severity. Across groups, maternal cognitions and bedtime interactions were significantly associated with children's sleep problems.
Conclusion:
The results highlight the interplay between sleep-related cognitions, bedtime interactions, and sleep problems and underscore the contribution of disrupted sleep to mothers' experience of parenting stress. As sleep problems in ASD children are common, clinicians are advised to include sleep in consultations with parents.
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