Sleep Problems Influence Emotional/Behavioral Symptoms and Repetitive Behavior in Preschool-Aged Children With Autism Spectrum Disorder in the Unique Social Context of China

Kang, Yu-Qi; Song, Xiao-Rong; Wang, Geng-Fu; Su, Yuanyuan; Li, Peiying; Zhang, Xin

doi:10.3389/fpsyt.2020.00273

Cited by 28 publications

(25 citation statements)

References 54 publications

(108 reference statements)

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“…Some studies have reported that girls with ASD may exhibit reduced sleep duration 41 , 42 ; however, this is not consistent with our present findings. Other demographic factors (for example, parental education levels) seemed to be unrelated to the presence of sleep problems in our cohort.…”

Section: Discussioncontrasting

confidence: 99%

Sleep Problems in Children with Autism Spectrum Disorder in Bangladesh: A Case–Control Study

Sultana¹,

Asaduzzaman²,

Al‐Mamun³

et al. 2021

NSS

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Background: Sleep problems in children with Autism Spectrum Disorder (ASD) are highly prevalent, but little information is available on this issue in low-to middle-income countries (LMIC) such as Bangladesh. Therefore, the present study investigated the prevalence and socio-demographic determinants of ASD sleep disturbances in a comparison with typically developing children (TDC). Methods: A cross-sectional interview study was carried out within a total of 446 Bangladeshi mothers, whose children's mean age was 8.1±2.9 years (151 ASD [8.5±2.7 years] and 295 TDC [7.9±2.9 years]); in addition to socio-demographics, the Child Sleep Habit Questionnaire (CSHQ) was used, and a cut-off score of 41 out of 93 points considered as reflecting sleep problems. Results: About 89.7% of the children reported having problems in sleep, with ASD reporting higher frequency vs TDC (94.00% vs 87.50%; χ 2 =4.678, p=0.031). The overall mean CSHQ score was 48.7±7.6 in total sample, whereas ASD children reported higher scores compared to TDCs (50.9±8.1 vs 47.5±7.0, p<0.001). Similarly, subscales of CSHQ such as sleep duration (4.23±1.56 vs 3.90±1.31, p=0.017), sleep anxiety (7.23±2.05 vs 6.45 ±1.92, p<0.001), night waking (3.82±1.07 vs 3.17±1.89, p<0.001), parasomnias (8.86±2.06 vs 7.85±2.27, p<0.001), and sleep disordered breathing (4.02±2.92 vs 3.43±2.07, p=0.014) were more problematic among ASD compared to TDC. Lastly, 28.5% of ASD reported taking sleep-related medications vs 0.3% for TDC (n=1). Conclusion: Bangladeshi ASD children are highly likely to manifest sleep disturbances, which warrant urgent implementation of parental educational and support programs to mitigate the impact of sleep problems in ASD families.

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Section: Discussioncontrasting

confidence: 99%

Sleep Problems in Children with Autism Spectrum Disorder in Bangladesh: A Case–Control Study

Sultana¹,

Asaduzzaman²,

Al‐Mamun³

et al. 2021

NSS

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“… Poor sleepers had significantly higher irritability (t(2.85), p = 0.005), hyperactivity/noncompliance (t(3.11), p = 0.002) than good sleepers. 10 Kang et al (2020) 46 China Examined the relationship bet. sleep disturbances and emotional/ behavioral problems, and repetitive behavior ASD (n=252), M (80.6%), aged 3–6 M = 5.13 SD = 0.097 DSM V & CARS.…”

Section: Resultsmentioning

confidence: 99%

Examining the Relationship Between Sleep Quality, Social Functioning, and Behavior Problems in Children with Autism Spectrum Disorder: A Systematic Review

Whelan¹,

Mannion²,

Madden³

et al. 2022

NSS

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Over forty percent of autistic children experience poor sleep quality, and social interaction difficulties are a core characteristic of autism. However, the relationship between sleep quality and social functioning and behavior remains poorly understood. This systematic review examined the evidence concerning the impact of sleep quality on the social functioning and behavior problems in autistic children and adolescents. It also identified key related factors and evaluated how this issue has been researched to date. Seven key journals were hand-searched and five databases were systematically searched, using keywords. Titles and abstracts of 4123 items were screened against eligibility criteria by two researchers. Relevant studies were retained if they were peer-reviewed empirical papers, published in English between 2000 and 2021. Then, the full text of 97 papers was screened and if they met the eligibility criteria, their reference lists were hand-searched. Forty-six studies were included in the final review. Data were systematically extracted and two authors critically appraised the strengths and weaknesses of studies using Critical Appraisal Skills Programme tools. Key themes were identified, because a meta-analysis was not possible due to the studies’ heterogeneity. The review identified that sleep quality and social functioning are associated with one another and there is a small amount of evidence that a bi-directional causal relationship may exist. Evidence suggests that several nights of suboptimal sleep duration and a lack of deep continuous sleep negatively impact externalizing and internalizing behavior. Sleep quality is also reduced by anxiety and sensory sensitivity. However, longitudinal studies with larger samples are needed to establish causality. Future research needs to examine confounding factors and to develop consensus regarding best-practice processes for the objective measurement of sleep with autistic children. Additional research also needs to further examine the consequences of poor sleep quality on internalizing behavior, and the impact of socio-cultural practices.

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“…In Model 1, multiple regression analysis demonstrated that children with suspected sleep disorders assessed by the BCSQ tended to have more emotional and behavioral problems as assessed by the SDQ, indicating a negative association of sleep disorders with emotional and behavioral problems in children. Actually, the pathophysiological linkage between neurodevelopmental disorders and sleep disorders has not been fully elucidated, although children with ADHD and ASD are reported to have higher comorbidity for sleep disorders such as insomnia, circadian sleep–wake disorders, sleep-related respiratory disorders, restless leg syndrome, and periodic limb movement disorders 46 – 48 .…”

Section: Discussionmentioning

confidence: 99%

Association between sleep habits/disorders and emotional/behavioral problems among Japanese children

Takeshima

Ohta

Hosoya

et al. 2021

Sci Rep

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Actual sleep status and the association between sleep habits/disorders and emotional/behavioral problems among children in the development stage have not been fully clarified. A questionnaire survey was conducted on the sleep habits/disorders (Brief Child Sleep Questionnaire; BCSQ) and emotional/behavioral problems (Strengths and Difficulties Questionnaire; SDQ) of 87,548 children enrolled in ordinary classes in nine grade levels from the first grade of elementary school to the third grade of junior high school from December 2009 to April 2010. As school grade increased, children’s bedtimes were delayed and sleep duration was reduced by 2.0 h over the nine grade levels. Based on the BCSQ, 18.3% of children were judged to have some type of sleep disorder, and about 30% to 40% of children had sleep symptoms at bedtime, during sleep, and at wake time. Multiple regression analysis showed that emotional and behavioral problems were associated with presence of any sleep symptom, longer sleep latency, and longer awake time after sleep onset, whereas total sleep time was not. Sleep symptoms at wake time were most strongly associated with emotional and behavioral problems. Status of sleep habits/disorders should be considered when interpreting emotional/behavioral problems in school-age children.

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Sleep Problems Influence Emotional/Behavioral Symptoms and Repetitive Behavior in Preschool-Aged Children With Autism Spectrum Disorder in the Unique Social Context of China

Cited by 28 publications

References 54 publications

Sleep Problems in Children with Autism Spectrum Disorder in Bangladesh: A Case–Control Study

Sleep Problems in Children with Autism Spectrum Disorder in Bangladesh: A Case–Control Study

Examining the Relationship Between Sleep Quality, Social Functioning, and Behavior Problems in Children with Autism Spectrum Disorder: A Systematic Review

Association between sleep habits/disorders and emotional/behavioral problems among Japanese children

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