Sleep Problems and Their Relationship to Maladaptive Behavior Severity in Psychiatrically Hospitalized Children with

Elise M Sannar1, Tamara Palka2, Carol Beresford3

  • 1Children's Hospital Colorado, 13123 E. 16th Ave., B-130, Aurora, CO, 80045, USA. elise.sannar@childrenscolorado.org.

Insights

Shorter sleep duration during hospitalization correlated with increased irritability, stereotypy, and hyperactivity in youth with Autism Spectrum Disorder (ASD) and behavioral issues. Sleep quality impacts behavior in this population.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Clinical Psychiatry

Background:

  • Autism Spectrum Disorder (ASD) is a neurodevelopmental condition often accompanied by behavioral disturbances.
  • Sleep problems are frequently observed in individuals with ASD, potentially exacerbating behavioral challenges.
  • Understanding the interplay between sleep and behavior is crucial for effective interventions in hospitalized youth with ASD.

Purpose of the Study:

  • To investigate the association between sleep duration and awakenings with behavioral measures in hospitalized youth diagnosed with ASD and behavioral disturbance.
  • To explore the relationship between sleep patterns and scores on the Aberrant Behavior Checklist-Community (ABC-C) and Autism Diagnostic Observation Schedule (ADOS-2).

Main Methods:

  • A cohort of 106 hospitalized youth with ASD and behavioral disturbance, with stays of at least 10 nights, was studied.
  • Sleep duration and awakenings were objectively recorded by staff observation during hospitalization.
  • Behavioral assessments included Aberrant Behavior Checklist-Community (ABC-C) and Autism Diagnostic Observation Schedule (ADOS-2) scores at admission.

Main Results:

  • Higher admission scores on the ABC-C irritability, stereotypy, and hyperactivity subscales were significantly linked to reduced sleep duration in the final five nights of hospitalization.
  • No significant association was found between the total number of awakenings and ABC-C scores.
  • No significant association was found between total awakenings and ADOS-2 comparison scores.

Conclusions:

  • Reduced sleep duration during hospitalization is associated with increased maladaptive behaviors in youth with ASD and behavioral disturbance.
  • Sleep quality appears to be a significant factor influencing behavioral outcomes in this patient population.
  • Further research into sleep-behavior relationships is vital for developing targeted interventions for hospitalized youth with ASD.

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