The relation among sleep, routines, and externalizing behavior in children with an autism spectrum disorder

Henderson, Jill A.; Barry, Tammy D.; Bader, Stephanie H.; Jordan, Sara Sytsma

doi:10.1016/j.rasd.2010.09.003

Cited by 57 publications

(44 citation statements)

References 34 publications

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“…Recently, Henderson et al. (2011) investigated the relationship between consistent bedtime routine and sleep quality in children with ASD and showed that the ASD group had less consistent general routines, lower sleep quality and higher levels of externalizing behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…However, sleep problems might occur as a result of complex interactions between biological, psychological, social ⁄ environment and family factors, including child-rearing practices that are not conducive to good sleep (Richdale and Schreck, 2009). It has been reported that ASD children often display a preference for unusual bedtime routines which may be maladaptive in terms of promoting good sleep (Henderson et al, 2011). The increasing recognition of the mediating role of behavioural factors in insomnia has led to the development of non-pharmacological interventions for clinical management in this population.…”

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confidence: 99%

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Controlled‐release melatonin, singly and combined with cognitive behavioural therapy, for persistent insomnia in children with autism spectrum disorders: a randomized placebo‐controlled trial

Cortesi

Giannotti

Sebastiani

et al. 2012

Journal of Sleep Research

223

210

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Although melatonin and cognitivebehavioural therapy have shown efficacy in treating sleep disorders in children with autism spectrum disorders, little is known about their relative or combined efficacy. One hundred and sixty children with autism spectrum disorders, aged 410 years, suffering from sleep onset insomnia and impaired sleep maintenance, were assigned randomly to either (1) combination of controlled-release melatonin and cognitivebehavioural therapy; (2) controlled-release melatonin; (3) four sessions of cognitivebehavioural therapy; or (4) placebo drug treatment condition for 12 weeks in a 1 : 1 : 1 : 1 ratio. Children were studied at baseline and after 12 weeks of treatment. Treatment response was assessed with 1-week actigraphic monitoring, sleep diary and sleep questionnaire. Main outcome measures, derived actigraphically, were sleep latency, total sleep time, wake after sleep onset and number of awakenings. The active treatment groups all resulted in improvements across all outcome measures, with moderate-to-large effect sizes from baseline to a 12-week assessment. Melatonin treatment was mainly effective in reducing insomnia symptoms, while cognitivebehavioural therapy had a light positive impact mainly on sleep latency, suggesting that some behavioural aspects might play a role in determining initial insomnia. The combination treatment group showed a trend to outperform other active treatment groups, with fewer dropouts and a greater proportion of treatment responders achieving clinically significant changes (63.38% normative sleep efficiency criterion of >85% and 84.62%, sleep onset latency <30 min). This study demonstrates that adding behavioural intervention to melatonin treatment seems to result in a better treatment response, at least in the short term

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Controlled‐release melatonin, singly and combined with cognitive behavioural therapy, for persistent insomnia in children with autism spectrum disorders: a randomized placebo‐controlled trial

Cortesi

Giannotti

Sebastiani

et al. 2012

Journal of Sleep Research

223

210

View full text Add to dashboard Cite

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“…Thus, any score of 18 points or higher is within a standard deviation of the average score of at least one of the ASD groups (i.e., given that 17.93 is one standard deviation below the mean for the MR + PDD group) and can serve as a proxy for a significant score. A more conservative score of 20 has previously been used as a target score for inclusion in an ASD group for research purposes (i.e., in comparison with a control group; Henderson, Barry, Bader, & Jordan, 2011). Individual scores from the current sample ranged from 14 to 82 (median = 46, mode = 42), with only 6 of 111 participants with a score below the more conservative score of 20.…”

Section: Methodsmentioning

confidence: 99%

The Relation Between Parental Expressed Emotion and Externalizing Behaviors in Children and Adolescents With an Autism Spectrum Disorder

Bader

Barry

Hann

2014

Focus Autism Other Dev Disabl

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The current study examined the relation between parental expressed emotion, a construct of the quality and amount of emotion expressed within the family environment that is a well-established predictor of symptom relapse in various psychological disorders, with externalizing behaviors in children and adolescents with an autism spectrum disorder (ASD). Participants were 111 parents of 6- to 18-year-old children and adolescents with an ASD who completed questionnaires measuring family environment variables (including parental expressed emotion, parental distress, and parenting practices), as well as assessing their child’s autism symptoms and emotional and behavioral functioning. Results of regression analyses indicated that parental expressed emotion, specifically criticism/hostility, accounted for 18.7% of the variance in child externalizing behaviors beyond that accounted for by demographic control variables, overinvolvement, parental distress, and parenting practices. Findings highlight a possible point of intervention for parents of children and adolescents with an ASD with concomitant externalizing behaviors.

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“…Family routines, which are characterized by regularly occurring, predictable, and comforting interactions with a parent or caregiver (Spagnola & Fiese, 2007), can serve as a foundational structure for healthy child development. Routines have been proposed as a mechanism that supports early childhood emotion regulation (Bridley & Jordan, 2012;Ferretti & Bub, 2014;Zajicek-Farber, Mayer, & Daughtery, 2012) as well as general well-being and health (Anderson & Whitaker, 2010;Henderson, Barry, Bader, & Jordan, 2011). Yet, routines may not have the same effect for all children in part due to individual differences (Spagnola & Fiese, 2007;Wilson et al, 2014).…”

Section: Two Aspects Of the Home Environment: Chaos And Routinementioning

confidence: 99%

Child cortisol moderates the association between family routines and emotion regulation in low‐income children

Miller

Song

Sturza

et al. 2016

Developmental Psychobiology

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Biological and social influences both shape emotion regulation. In 380 low-income children, we tested whether biological stress profile (cortisol) moderated the association among positive and negative home environment factors (routines; chaos) and emotion regulation (negative lability; positive regulation). Children (M age = 50.6, SD = 6.4 months) provided saliva samples to assess diurnal cortisol parameters across 3 days. Parents reported on home environment and child emotion regulation. Structural equation modeling was used to test whether cortisol parameters moderated associations between home environment and child emotion regulation. Results showed that home chaos was negatively associated with emotion regulation outcomes; cortisol did not moderate the association. Child cortisol level moderated the routines-emotion regulation association such that lack of routine was most strongly associated with poor emotion regulation among children with lower cortisol output. Findings suggest that underlying child stress biology may shape response to environmental influences.

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The relation among sleep, routines, and externalizing behavior in children with an autism spectrum disorder

Cited by 57 publications

References 34 publications

Controlled‐release melatonin, singly and combined with cognitive behavioural therapy, for persistent insomnia in children with autism spectrum disorders: a randomized placebo‐controlled trial

Controlled‐release melatonin, singly and combined with cognitive behavioural therapy, for persistent insomnia in children with autism spectrum disorders: a randomized placebo‐controlled trial

The Relation Between Parental Expressed Emotion and Externalizing Behaviors in Children and Adolescents With an Autism Spectrum Disorder

Child cortisol moderates the association between family routines and emotion regulation in low‐income children

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