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.

Sleep Medicine
|December 10, 2017
PubMed

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.
Abstract

Related Concept Videos

Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
1.3K
Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
600
Insomnia01:27

Insomnia

Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
507
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
1.9K
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
3.0K
Intellectual Disability01:29

Intellectual Disability

Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
803