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Updated: Oct 8, 2025

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
The relationship between autism spectrum and sleep-wake traits
Stacey D Elkhatib Smidt1,2,3, Arpita Ghorai4, Sara C Taylor4,5
1Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Autism spectrum traits in adults are linked to disrupted sleep-wake patterns, including circadian rhythm and physical activity. These sleep disturbances correlate with social impairments and executive dysfunction, suggesting a shared underlying mechanism.
Area of Science:
- Neuroscience
- Sleep Medicine
- Developmental Psychology
Background:
- Sleep disturbances are common in autistic individuals, impacting quality of life.
- The connection between sleep-wake patterns and autism spectrum traits requires further investigation.
- Understanding these relationships may reveal shared biological mechanisms.
Purpose of the Study:
- To investigate the association between sleep-wake patterns and autism spectrum traits.
- To examine relationships concerning sleep, physical activity, and circadian rhythm with autism traits.
- To explore the link between executive function, social impairment, and sleep-wake disturbances.
Main Methods:
- Utilized actigraphy to measure sleep-wake parameters in 267 individuals with autistic traits and family members.
- Assessed autism spectrum traits using the Social Responsiveness Scale (SRS).
- Evaluated executive function with the Behavior Rating Inventory of Executive Function (BRIEF).
Main Results:
- In adults, core autism spectrum traits and executive dysfunction correlated with disrupted sleep-wake parameters, especially circadian rhythm.
- Executive dysfunction was associated with poorer sleep quality and reduced physical activity.
- Findings indicate an interplay between daytime functioning and disrupted sleep-wake patterns.
Conclusions:
- Disrupted sleep-wake patterns, particularly circadian rhythm disturbances, are associated with autism spectrum traits and executive dysfunction in adults.
- The study highlights a potential link between sleep perturbations and social/executive functioning in autism.
- Further research into common mechanistic underpinnings is warranted.
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