Sleep disturbances and associated factors among 2-6-year-old male children with autism in Bhubaneswar, India

Samanta, Priyadarsini; Panigrahi, Ansuman; Mishra, Jayanti; Senapati, Laxman K; Ravan, Jayaprakash Russell

doi:10.1016/j.sleep.2019.11.1244

Cited by 23 publications

(19 citation statements)

References 27 publications

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“…In India, the prevalence in 2 to 6 years old children with ASD was 93%. The four with the highest prevalence were sleep resistance (95%), sleep anxiety (85%), sleep duration (81%) and sleep onset delay (66%), the lowest two were night awakening (50%) and daytime sleepiness (27%) [ 43 ]. Although they have similar sleep patterns to ours, the prevalence is significantly different.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, due to the behavioral characteristics of ASD children and cultural differences, ASD children in China and even Asia have more sleep hygiene or sleep behavior problems, which leads to a high prevalence of sleep resistance. For example, co-sleeping is common in many Asian countries [ 43 , 53 , 54 ]. Although children had lower ABC language and CARS scores when there was bedtime resistance, there was a trend of higher scores in other sub-scales.…”

Section: Discussionmentioning

confidence: 99%

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Sleep problems in children with autism spectrum disorder: a multicenter survey

et al. 2021

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Background High prevalence of sleep problems have been reported in children with Autism Spectrum Disorder (ASD). This study aims to investigate the sleep conditions of ASD children in China, and explore the relationship between the common sleep problems and core symptoms and developmental levels. Methods Using a cross-sectional design, we included 2 to 7-year-old children from 13 cities in China: 1310 with ASD and 1158 with typically-developing (TD) children. The neurodevelopmental level was evaluated with the revised Children Neuropsychological and Behavior Scale (CNBS-R2016). ASD were diagnosed with DSM-5 and Child Autism Rating Scale (CARS). the Social Responsiveness Scale (SRS), the Autism Behavior Checklist (ABC) and the communication warning behavior sub-scale in CNBS-R2016 valued autism behaviors. The children’ s sleep habits questionnaire (CSHQ) assessed sleep conditions. Results The prevalence of sleep disorders in ASD children was significantly higher than that in TD (67.4% vs. 51%, p < 0.01), and among them the four dimensions with the highest prevalence of sleep problems were bedtime resistance (25.6%), sleep anxiety (22.7%), sleep onset delay (17.9%) and daytime sleepiness (14.7%). ASD children with sleep onset delay or sleep anxiety had higher ABC, SRS scores and higher scores on communication warning behavior with sleep anxiety, with daytime sleepiness had higher ABC, SRS and CARS scores, and with bedtime resistance had higher SRS total scores. Differences in the neurodevelopmental level were not significant. Conclusion Children with ASD have a higher prevalence of sleep problems. Bedtime resistance, anxiety, sleep onset delay and daytime sleepiness may be related to the core symptoms, but not be related to the developmental level in ASD children. In the clinic, sleep assessment should be included in the routine of ASD visits, and during the intervention, sleep hygiene education is as important as the treatment of biological factors. Trial registration The study was approved by the ethics committee of the Children’s Hospital of Chongqing Medical University, Approval Number: (2018) IRB (STUDY) NO. 121, and registered in the Chinese Clinical Trial Registry (Registration number: ChiCTR2000031194).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sleep problems in children with autism spectrum disorder: a multicenter survey

et al. 2021

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“…Moreover, children in families with lower socioeconomic status were found to exhibit a later rise time, longer time in bed, more nocturnal awakening, and more night-to-night variability in bedtime and time spent asleep [38]. However, in preschool children, there is insu cient data on abnormalities in the circadian rhythm, except regarding neurodevelopmental disorders, such as autism spectrum disorder [39,40,41] and attention-de cit/hyperactivity disorder [42].…”

Section: Discussionmentioning

confidence: 99%

Mental Health and Sleep Habits/Problems in Children at 3–4 Years of Age: A General Population Study

Horiuchi

Kawabe

Oka

et al. 2020

Preprint

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Background: Sleep is essential for mental health at all ages, but few studies have investigated the importance of sleep for mental health in early childhood. Therefore, this study examined the association between mental health and sleep habits/problems in children at 3-4 years of age. Methods: Children aged 3 to 4 years who were living in the community (n = 415; 211/204 boys/girls) were recruited in this study. Their mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ), and their sleep habits/problems were evaluated using the Child and Adolescent Sleep Checklist. Results: Based on the total difficulties score of the SDQ, the children were divided into two groups: a poor mental health group (n = 76) and a control group (n = 339). In terms of sleep habits, which included total sleep time, bedtime, wake time, and nap conditions, there were no differences between the two groups. Regarding sleep-related problems, however, anxiety before going to sleep (p = 0.026), abnormality in the circadian rhythm (p = 0.014), and sleepiness during classes outside of naptimes (p = 0.031) were significantly higher in the poor mental health group than in the control group. Multiple regression analysis showed that poor mental health status was significantly associated with sleepiness and snoring (p = 0.017 and p = 0.018, respectively). Conclusions: The mental health status of 3-year-old children is associated with sleep-related problems, namely sleepiness and snoring. Healthcare providers should pay attention to children’s irregular sleep-wake patterns; moreover, interventions for appropriate sleep hygiene will reduce the psychological burden on both children and their families.

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“…Even very young children with ASD have serious sleep problems. In a recent study conducted in India, sleep problems in preschool children with ASD were severe [31]. This study targeted preschool children between the ages of 2 and 6.…”

Section: Sleep Problems and Asdmentioning

confidence: 99%

“…This study targeted preschool children between the ages of 2 and 6. The overall prevalence of sleep disturbances was 93% and the prevalent symptoms were bedtime resistance (95%), sleep anxiety (85%), and sleep duration (81%) [31]. The most common sleep problems may differ at different ages [32].…”

Section: Sleep Problems and Asdmentioning

confidence: 99%

Melatonin and Sleep Problems in Children with Autism Spectrum Disorder

Park

2020

Chronobiol Med

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Autism spectrum disorder (ASD) is a neurodevelopmental disorder that develops during early childhood. It is characterized by social communication deficits, restricted interests, and repetitive behaviors. The various comorbid problems affect the daily functioning and quality of life of patients and their families. In particular, sleep problems, including insomnia, negatively affect the children's social interactions, emotions, and behavior. Melatonin is the most commonly prescribed drug for sleep problems related to ASD during childhood and adolescence, and the link between decreased melatonin concentration and the pathogenesis of sleep disturbances in ASD has been focused on recently. It is essential to evaluate sleep problems in children with ASD and to make appropriate therapeutic interventions. This article reviews the findings on the sleep-melatonin relationship in patients with ASD.

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Sleep disturbances and associated factors among 2-6-year-old male children with autism in Bhubaneswar, India

Cited by 23 publications

References 27 publications

Sleep problems in children with autism spectrum disorder: a multicenter survey

Sleep problems in children with autism spectrum disorder: a multicenter survey

Mental Health and Sleep Habits/Problems in Children at 3–4 Years of Age: A General Population Study

Melatonin and Sleep Problems in Children with Autism Spectrum Disorder

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