Exploring the Relationship Between Age of Nap Cessation, Screen-Positive Autism Spectrum Disorder Traits and

Meghan Ellis1, Andrew T Jones2, Peter Rankin3

  • 1Metro South Addiction and Mental Health Services, Brisbane, Australia.

Insights

Early nap cessation in children may be linked to later Attention-Deficit Hyperactivity Disorder (ADHD) diagnosis and Autism Spectrum Disorder (ASD) traits. This finding suggests potential differences in sleep regulation, but nap timing is not a diagnostic marker.

Area of Science:

  • Developmental Pediatrics
  • Neurodevelopmental Disorders
  • Sleep Medicine

Background:

  • Understanding the developmental trajectory of sleep patterns is crucial for identifying potential neurodevelopmental indicators.
  • Daytime napping is a common behavior in early childhood, with cessation occurring at varying ages.

Purpose of the Study:

  • To investigate the association between the age of nap cessation and the presence of Autism Spectrum Disorder (ASD) traits or Attention-Deficit Hyperactivity Disorder (ADHD) diagnosis in children.
  • To explore whether early nap cessation serves as a potential indicator for later neurodevelopmental conditions.

Main Methods:

  • Retrospective cohort study utilizing data from the Avon Longitudinal Study of Parents and Children (ALSPAC).
  • Included 6,424 children with recorded nap patterns from 6 to 81 months.
  • Logistic regression analysis adjusted for multiple covariates to examine the relationship between nap cessation age and later ASD traits or ADHD diagnosis.

Main Results:

  • Children ceasing naps by 18 months showed significantly higher odds of an ADHD diagnosis at age seven compared to those ceasing at 30 months (OR = 5.54).
  • Nap cessation at 18 months was also associated with increased odds of ASD traits (OR = 1.81), though this finding was less statistically precise.
  • The study highlights a potential link between early nap cessation and later neurodevelopmental outcomes.

Conclusions:

  • Early nap cessation may be associated with a later ADHD diagnosis, potentially reflecting underlying differences in sleep regulation.
  • A possible association with elevated ASD traits was observed but requires further investigation and replication.
  • The age of nap cessation should not be used as an early screening or diagnostic tool for ASD or ADHD.
Abstract

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