Insomnia is a frequent finding in adults with Asperger syndrome

Tani, Pekka; Lindberg, Nina; Wendt, Taina Nieminen-von; Wendt, Lennart von; Alanko, Lauri; Appelberg, Björn; Porkka‐Heiskanen, Tarja

doi:10.1186/1471-244x-3-12

Cited by 73 publications

(85 citation statements)

References 21 publications

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“…We have reported a high prevalence of insomnia in AS adults assessed with a sleep questionnaire [8] and sleep diary [9]. The experience of insomnia may be associated with objective alteration of sleep architecture or, alternatively, with deviant perception of sleep due to psychological factors [10].…”

Section: Introductionmentioning

confidence: 99%

Sleep in Young Adults with Asperger Syndrome

et al. 2004

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Asperger syndrome (AS) is a neurodevelopmental disorder belonging to autism spectrum disorders. Both children and adults with AS have subjective impairment in the initiation and continuity of sleep, and studies using objective assessment are sparse. Twenty young AS adults with frequent complaints of low sleep quality were compared to 10 age-, gender- and education-matched controls without sleep complaints using polysomnography and spectral power analysis of slow-wave sleep. AS subjects displayed a similar polysomnographic profile as compared with controls. In spectral power analysis, a statistically nonsignificant trend towards decreased relative delta power and increased theta power in slow-wave sleep was found in the AS group. It seems that nonorganic insomnia, due to anxiety inherent in AS, is responsible for the low sleep quality in these subjects.

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Section: Introductionmentioning

confidence: 99%

Sleep in Young Adults with Asperger Syndrome

et al. 2004

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“…Comorbidity of ASD and sleep problems increases the risk of mood disorders, such as anxiety and depression (Tani et al, 2003). We tested the possibility of a mediating effect of anxiety and depressive symptoms on the association between sleep quality and discordant peer relationships but we did not find evidence of mediation in any of the tested models.…”

Section: Discussionmentioning

confidence: 97%

Poor sleep quality is associated with discordant peer relationships among adolescents with Autism Spectrum Disorder

Phung

Goldberg

2017

Research in Autism Spectrum Disorders

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A B S T R A C TBackground: Individuals with Autism Spectrum Disorder (ASD) experience impairments in social communication, and these deficits often make it difficult to form and maintain friendships with peers. Poor sleep quality and daytime sleepiness are common among adolescents with ASD, and consequences of poor sleep may make social interactions difficult. Connections between sleep quality and social relationships in ASD samples have been understudied; the current study addresses this gap. Method: Participants were community samples of 19 adolescents with ASD and 10 neurotypical (NT) adolescents. Adolescents completed questionnaires about closeness and discord in relationships with a same-gender peer, and they reported on sleep-wake problems, daytime sleepiness, and internalizing problems. Adolescents also wore an actigraph for 7-nights. Results: Pearson correlations revealed significant associations between adolescents' reports of sleep problems and discordant peer relationships; more sleep-wake problems and more daytime sleepiness were associated with more discord with peers in the sample with ASD, but not in the NT sample. The closeness aspect of peer relationships was not significantly associated with sleep quality. Internalizing problems did not mediate between sleep quality and discordant relationships. Conclusions: Adolescents' reports of more sleep problems and daytime sleepiness, but not actigraph indicators of sleep quality, were directly associated with discordant peer relationships. Adolescents who are already challenged in social interactions due to ASD may be especially vulnerable to intense negativity in peer relationships when they also experience poorer nighttime sleep and more daytime sleepiness. NT adolescents may be better able to regulate social interactions despite poor sleep and feeling tired.

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“…1,2 In the study by Tuisku et al, an increased daytime motor activity in the lower limbs was found in AS adults. 3 This finding raises an interesting question as to whether these patients would also display periodic leg movements during sleep (PLMS) or other abnormal motor phenomena during sleep.…”

Section: Letter To the Editormentioning

confidence: 99%

“…All AS patients fulfilled the DSM-IV criteria for chronic insomnia. 1 The control group consisted of healthy volunteers with no complaints of sleep problems. 1 In the AS group, 29% (4/14) and in controls, 33% (3/9) were female.…”

Section: Letter To the Editormentioning

confidence: 99%