Sleep problems in children with autism spectrum disorder: clinical correlates and the impact of attention deficit hyperactivity disorder
Autor: | Özalp Ekinci, Aynur Feyzioglu, Nuran Ekinci, Merve Kalınlı, Serkan Güneş |
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Rok vydání: | 2019 |
Předmět: |
business.industry
medicine.disease Impulsivity Disruptive Behavior Disorders Rating Scale behavioral disciplines and activities Bedtime 030227 psychiatry 03 medical and health sciences 0302 clinical medicine Autism spectrum disorder mental disorders medicine Childhood Autism Rating Scale Autism Anxiety Attention deficit hyperactivity disorder medicine.symptom business 030217 neurology & neurosurgery Clinical psychology |
Zdroj: | Neuropsychiatric Disease and Treatment. 15:763-771 |
ISSN: | 1178-2021 |
DOI: | 10.2147/ndt.s195738 |
Popis: | Purpose High prevalence of sleep problems has been reported in children with autism spectrum disorder (ASD). However, there is limited literature about the types and clinical correlates of sleep problems. This study aims to compare sleep disturbances between children with ASD and healthy children and investigate the relationship between sleep difficulties and clinical symptoms of ASD. Materials and methods The sample consisted of 112 children in ASD patient group and 112 healthy controls, with an age range of 2-18 years. The Children's Sleep Habits Questionnaire (CSHQ) was used for sleep problems; Turgay DSM-IV Disruptive Behavior Disorders Rating Scale parent form (T-DSM-IV-S) was used to assess hyperactivity/impulsivity and inattentiveness; Childhood Autism Rating Scale (CARS), Autism Behavior Checklist, and Aberrant Behavior Checklist were used to evaluate the severity of autistic symptoms and behav-ioral problems. Results Total score, bedtime resistance, and sleep anxiety subscores of CSHQ were significantly higher in children with ASD than the control group. Among ASD children, intellectual capacity was not found to be associated with CSHQ scores. Bedtime resistance and night waking sub-scores of CSHQ were found to be positively correlated with CARS total score. Inattentiveness subscore of Parent T-DSM-IV-S was significantly higher in children with moderate-to-severe sleep problems. Conclusion Sleep difficulties in ASD patients may occur independently of intellectual disability. Bedtime resistance and night waking appear to be linked with ASD symptoms. Inattentiveness in ASD children may be associated with moderate-to-severe sleep problems. |
Databáze: | OpenAIRE |
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