Sleep Disturbance in Children with Autism Spectrum Disorder: A Cross Sectional Study

G K Kundu1, C R Tabassum, E R Nandi

  • 1Dr Gopen Kumar Kundu, Associate Professor, Paediatric Neurology. Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh;

Insights

Sleep disturbances are common in children with Autism Spectrum Disorder (ASD). This study found significant associations between sleep patterns, like awakening and starting times, and ASD severity.

Area of Science:

  • Pediatric Neurology
  • Autism Spectrum Disorder Research
  • Sleep Medicine

Background:

  • Sleep problems are prevalent in children with Autism Spectrum Disorder (ASD).
  • Sensory issues and anxiety are potential contributing factors to sleep disturbances in ASD.
  • Understanding sleep patterns is crucial for managing ASD symptoms.

Purpose of the Study:

  • To investigate the patterns and severity of sleep disturbances in children diagnosed with ASD.
  • To identify specific sleep characteristics associated with ASD.

Main Methods:

  • A descriptive, cross-sectional study was conducted with 59 children (aged 3-15) diagnosed with ASD.
  • Sleep disturbances were assessed using a standard questionnaire.
  • Data collected from October 2017 to September 2018 at IPNA and Bangabandhu Sheikh Mujib Medical University, Dhaka.

Main Results:

  • The mean age of participants was 49.78±20.69 months, with a male to female ratio of approximately 4:1.
  • Over two-thirds (69.2%) of patients experienced sleep awakenings, with higher prevalence in mild ASD.
  • More than half (56.4%) had delayed sleep onset (12 am-2 am), more common in mild ASD.
  • Both sleep awakening and sleep starting times showed a statistically significant association with ASD severity (p<0.05).

Conclusions:

  • Sleep awakening and sleep starting times are significantly linked to the severity of Autism Spectrum Disorder.
  • These findings highlight the importance of addressing sleep disturbances in the management of ASD.
  • Further research into the underlying mechanisms of sleep problems in ASD is warranted.

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