Sleep quality, functional skills, and communication in preschool-aged children with autism spectrum disorder

Dionísia Aparecida Cusin Lamônica1, Celia Maria Giacheti2, Michele Dias Hayssi Haduo1

  • 1Department of Speech, Language and Hearing Sciences, University of São Paulo, (USP), Bauru, SP, Brazil.

Insights

Sleep disorders are common in children with Autism Spectrum Disorder (ASD) and negatively impact their functional skills and independence. Addressing sleep issues is crucial for improving the quality of life for children with ASD.

Area of Science:

  • Neurodevelopmental disorders
  • Pediatric sleep medicine
  • Child psychology

Background:

  • Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition affecting social interaction and communication.
  • Sleep disturbances are frequently reported in children with ASD, but their impact on functional skills requires further investigation.

Purpose of the Study:

  • To examine the relationship between sleep quality and functional skills (mobility, self-care, social function), communication, independence, and ASD severity in young children.
  • To understand the clinical implications of sleep disturbances in the context of Autism Spectrum Disorder.

Main Methods:

  • The study included 58 children aged 3 to 5 years and 11 months diagnosed with ASD.
  • Sleep quality was assessed using the Sleep Disturbance Scale for Children.
  • Functional abilities, independence, and ASD severity were evaluated using the Pediatric Evaluation of Disability Inventory and the Childhood Autism Rating Scale.

Main Results:

  • A significant proportion of children (68.9%) exhibited signs of sleep disorders.
  • No correlation was found between sleep disorders and communication abilities.
  • Sleep disorders were negatively correlated with functional performance and positively correlated with the severity of ASD.

Conclusions:

  • Sleep disturbances are prevalent in young children with ASD and are associated with poorer functional skills and greater ASD severity.
  • These findings highlight the importance of assessing and managing sleep problems in children with ASD to improve their overall functioning and quality of life.
  • Interventions targeting sleep disturbances may positively impact the developmental trajectory and well-being of children with ASD and their families.
Abstract

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