Sleep problems as possible predictors of intensified symptoms of autism*1

Schreck, Kimberly A.; Mulick, James A.; Smith, Angela

doi:10.1016/j.ridd.2003.04.007

Cited by 365 publications

(233 citation statements)

References 24 publications

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“…Sleep problems, common in ASD, have been associated with increased behavioral problems as measured by the CBCL. [12][13][14] We examined variables from the CBCL to determine associations with clusters of behaviors apart from comorbid psychiatric diagnoses. Although we found no influence of internalizing problems, there was a relationship with clinically significant scores on the externalizing problems scale and the CBCL Total Score.…”

Section: Discussionmentioning

confidence: 99%

Use of Psychotropic Medication in Children and Adolescents With Autism Spectrum Disorders

et al. 2012

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OBJECTIVES: The goal of this study was to examine rates of psychotropic medication use and identify associated child and family characteristics among children and adolescents with autism spectrum disorder (ASD) enrolled in an autism registry maintained by the Autism Treatment Network (ATN). METHODS:The sample, derived from the ATN registry, consists of 2853 children aged 2 to 17 years with diagnoses of ASD supported by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and the Autism Diagnostic Observation Schedule with available data on medication use. As part of initial enrollment in the registry, parents completed questionnaires on current psychotropic medication use, psychiatric and medical conditions, and demographics. RESULTS:Of the 2853 children, 763 (27%) were taking $1 psychotropic medication; 15% were prescribed 1 medication, 7.4% received 2 medications, and 4.5% received $3. Among children aged 3 to 5 years, 11% were taking $1 psychotropic medication; among 6-to 11-year-old children, 46%; and 66% of adolescents aged 12 to 17 years were taking at $1 psychotropic medication. A parent report of comorbid diagnosis of attention-deficit/hyperactivity disorder, bipolar disorder, obsessive-compulsive disorder, depression, or anxiety was associated with a high rate of use, with 80% receiving $1 psychotropic medication. Only 15% of children with no comorbid psychiatric disorder were taking psychotropic medication. Psychotropic medication use was also related to sleep and gastrointestinal problems. CONCLUSIONS:The prescription of psychotropic medications in this registry sample is highly related to comorbid psychiatric disorder. Other factors associated with use include medical comorbidities, race, ethnicity, and older age. Pediatrics 2012;130:S69-S76

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Section: Discussionmentioning

confidence: 99%

Use of Psychotropic Medication in Children and Adolescents With Autism Spectrum Disorders

et al. 2012

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confidence: 94%

“…Schreck et al (2004) found that fewer hours of sleep per night predicted overall autism severity scores and social skills deficits. Similarly, stereotypic behavior was predicted by fewer hours of sleep per night and screaming during the night (Schreck et al, 2004). Poor sleepers with ASD have a higher percentage of behavioral problems than good sleepers with ASD (Goldman, McGrew, Johnson, Richdale, Clemons & Malow, 2011).…”

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confidence: 94%

“…Relationships have been found between sleep problems in children with ASD and increased rates of overactivity (Hoshino, Watanabe, Yashima, Kaneko & Kumashiro, 1984), disruptive behavior (Patzold, Richdale & Tonge, 1998), communication difficulties (Segawa, Katoh, Katoh & Nomura, 1992), social difficulties (Segawa et al, 1992) and difficulties with breaking routines (Segawa et al, 1992) (as cited in Schreck, Mulick & Smith, 2004). Schreck et al (2004) found that fewer hours of sleep per night predicted overall autism severity scores and social skills deficits.…”

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confidence: 99%

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An investigation of comorbid psychological disorders, sleep problems, gastrointestinal symptoms and epilepsy in children and adolescents with Autism Spectrum Disorder

Mannion

Leader

Healy

2013

Research in Autism Spectrum Disorders

173

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“…For example, sleep problems can exacerbate and worsen repetitive and stereotypic behaviors, 51 inattention and hyperactivity, and other problematic daytime behaviors. [52][53][54] Sleep problems can also interfere with learning …”

Section: Figurementioning

confidence: 99%

Media Use and Sleep Among Boys With Autism Spectrum Disorder, ADHD, or Typical Development

2013

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WHAT'S KNOWN ON THIS SUBJECT: Children with autism spectrum disorders (ASD) or attention-deficit/hyperactivity disorder (ADHD) are at increased risk for sleep disturbances and excessive media use. However, the relationship between media use and sleep in children with ASD or ADHD has not been studied. WHAT THIS STUDY ADDS:In-room access to screen-based media and video game hours were associated with less sleep among boys with ASD. The relationships between media use and sleep were much more pronounced among boys with ASD than among boys with ADHD or typical development.abstract OBJECTIVE: The current study examined the relationships between media use (television, computer, and video games) and sleep among boys with autism spectrum disorder (ASD) compared with those with attentiondeficit/hyperactivity disorder (ADHD) or with typical development (TD). METHODS:Participants included parents of boys with ASD (n = 49), ADHD (n = 38), or TD (n = 41) (ages 8-17 years). Questionnaires assessed daily hours of media use, bedroom access to media, and average sleep hours per night. RESULTS:Bedroom media access was associated with less time spent sleeping per night, irrespective of diagnostic group. Bedroom access to a television or a computer was more strongly associated with reduced sleep among boys with ASD compared with boys with ADHD or TD. Multivariate models showed that, in addition to bedroom access, the amount of time spent playing video games was uniquely associated with less sleep among boys with ASD. In the ASD group only, the relationship between bedroom access to video games and reduced sleep was mediated by hours of video game play. CONCLUSIONS:The current results suggest that media-related variables may be an important consideration in understanding sleep disturbances in children with ASD. Further research is needed to better characterize the processes by which media use may affect sleep among individuals with ASD. Overall, the current findings suggest that screen-based media time and bedroom media access should be routinely assessed and may be important intervention targets when addressing sleep problems in children with ASD.

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Sleep problems as possible predictors of intensified symptoms of autism*1

Cited by 365 publications

References 24 publications

Use of Psychotropic Medication in Children and Adolescents With Autism Spectrum Disorders

Use of Psychotropic Medication in Children and Adolescents With Autism Spectrum Disorders

An investigation of comorbid psychological disorders, sleep problems, gastrointestinal symptoms and epilepsy in children and adolescents with Autism Spectrum Disorder

Media Use and Sleep Among Boys With Autism Spectrum Disorder, ADHD, or Typical Development

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