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Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Sleep problems in children with autism spectrum disorder and intellectual disability without autism spectrum disorder
Sezen Köse1, Helin Yılmaz1, F Tuna Ocakoğlu1
1Ege University School of Medicine, Department of Child and Adolescent Psychiatry, Turkey.
Insights
Children with autism spectrum disorder (ASD) and intellectual disability (ID) experience more sleep problems than typically developing children (TDC). Co-sleeping and family history of sleep issues significantly increase this risk.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Sleep disturbances are prevalent in children with neurodevelopmental disorders.
- Understanding the specific risk factors for sleep problems in Autism Spectrum Disorder (ASD) and Intellectual Disability (ID) is crucial for targeted interventions.
Purpose of the Study:
- To compare sleep problems in children with ASD, ID, and typically developing children (TDC).
- To identify correlations and risk factors associated with sleep disturbances in these groups.
Main Methods:
- A cross-sectional study involving 142 children aged 2-18 years.
- Participants were categorized into ASD, ID (without ASD), and TDC groups.
- The Childhood Sleep Habits Questionnaire (CSHQ) was administered to parents to assess sleep disturbances.
Main Results:
- Children with ASD and ID exhibited higher mean CSHQ scores compared to TDC, indicating more frequent sleep disturbances.
- While not statistically significant, children with ID had slightly higher sleep disturbance scores than those with ASD.
- Key risk factors for sleep disturbance included neurodevelopmental disorders, parental sleep disorder history, psychiatric comorbidity, and co-sleeping.
Conclusions:
- Sleep disturbances are significantly more common in children with ASD and ID compared to TDC.
- Co-sleeping and a family history of sleep problems are significant risk factors for sleep disturbances in children.
- Behavioral interventions targeting co-sleeping and parental sleep habits may improve sleep in children with ASD and ID.
Objective:
The objective of this study was to evaluate the sleep problems and their correlations in children with autism spectrum disorder (ASD), intellectual disability without ASD (ID), and typically developing children (TDC).
Methods:
This study included 142 children (48 with ASD, 46 with ID, 48 with TDC) aged between 2 and 18 years old. Parents of the children completed the Childhood Sleep Habits Questionnaire (CSHQ) in order to evaluate sleep disturbances. The sociodemographic and clinical information were noted on a data form for each child.
Results:
The mean total score of CSHQ was 41.56, 47.89 and 51.78 respectively in TDC, ASD and ID groups. While the total CSHQ score was significantly lower in TDC, there was no significant difference between ID and ASD groups (p = 0.09). It was revealed that children having a neurodevelopmental disorder had a 2.8-fold increased risk of sleep disturbance, history of sleep disorder in the parents had a 3.1-fold increased risk, psychiatric comorbidity in the child had a 3.3-fold increased risk, and co-sleeping with parents had 13.1-fold increased risk. However, in the binary regression analysis, co-sleeping with parents and family history of sleep problems significantly increased the risk of sleep disturbance.
Conclusion:
Sleep disturbances are more frequent in children with ASD and ID than TDC. Co-sleeping with parents and family history of sleep problems increase the risk of sleep disturbances. Thus, behavioral techniques especially focusing on co-sleeping problems and focusing on parents' sleep habits may improve the sleep disturbances in children with ID and ASD.
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