Child sleep onset latency mediates parental depression and noncompliance in autistic children / Melanie A. STEARNS in Research in Autism Spectrum Disorders, 119 (January 2025)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 119 (January 2025) . - p.102518 Titre : Child sleep onset latency mediates parental depression and noncompliance in autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Melanie A. STEARNS, Auteur ; Braden HAYSE, Auteur ; Neetu NAIR, Auteur ; Micah MAZUREK, Auteur ; Ashley F. CURTIS, Auteur ; David BEVERSDORF, Auteur ; Kristin SOHL, Auteur ; Julie MUCKERMAN, Auteur ; Christina S. MCCRAE, Auteur Article en page(s) : p.102518 Langues : Anglais (eng) Mots-clés : Autism  Insomnia  Child  Parent  Depression  Noncompliance Index. décimale : PER Périodiques Résumé : Background Parents diagnosed with depression often report that their children have difficulty following rules and falling asleep. Parents with depression are less likely to be consistent or enforce bedtimes, resulting in the child having fewer bedtime rules and getting less sleep. Over time this may mean the child develops poor sleep habits and difficulty falling asleep. Although these relationships have yet to be studied in children diagnosed with Autism Spectrum Disorder (ASD), it is an important area given that approximately 80?% of autistic children have sleep difficulties. Methods The current study examined whether parent-reported child sleep onset latency (SOL) mediated the relationship between parental depression and child noncompliance. The sample (N=34) consisted of parents (82?% female) reporting on their children aged 6-12 (M=8.63, SD = 2.00; 76.5?% male). All children were diagnosed with ASD and had parent-reported sleep complaints. Measures included the Child Sleep Health Questionnaire (CSHQ), the Pediatric Symptom Checklist (PSC), and a question asking if the parent had been diagnosed with depression (yes/no). Results Greater parent-reported child SOL significantly mediated the relation between increased parental depression and greater noncompliance. Conclusions These results suggest that difficulty falling asleep may help to explain why children of parents who have depression are noncompliant. En ligne : https://dx.doi.org/10.1016/j.rasd.2024.102518 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] Child sleep onset latency mediates parental depression and noncompliance in autistic children [Texte imprimé et/ou numérique] / Melanie A. STEARNS, Auteur ; Braden HAYSE, Auteur ; Neetu NAIR, Auteur ; Micah MAZUREK, Auteur ; Ashley F. CURTIS, Auteur ; David BEVERSDORF, Auteur ; Kristin SOHL, Auteur ; Julie MUCKERMAN, Auteur ; Christina S. MCCRAE, Auteur . - p.102518. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 119 (January 2025) . - p.102518 Mots-clés : Autism  Insomnia  Child  Parent  Depression  Noncompliance Index. décimale : PER Périodiques Résumé : Background Parents diagnosed with depression often report that their children have difficulty following rules and falling asleep. Parents with depression are less likely to be consistent or enforce bedtimes, resulting in the child having fewer bedtime rules and getting less sleep. Over time this may mean the child develops poor sleep habits and difficulty falling asleep. Although these relationships have yet to be studied in children diagnosed with Autism Spectrum Disorder (ASD), it is an important area given that approximately 80?% of autistic children have sleep difficulties. Methods The current study examined whether parent-reported child sleep onset latency (SOL) mediated the relationship between parental depression and child noncompliance. The sample (N=34) consisted of parents (82?% female) reporting on their children aged 6-12 (M=8.63, SD = 2.00; 76.5?% male). All children were diagnosed with ASD and had parent-reported sleep complaints. Measures included the Child Sleep Health Questionnaire (CSHQ), the Pediatric Symptom Checklist (PSC), and a question asking if the parent had been diagnosed with depression (yes/no). Results Greater parent-reported child SOL significantly mediated the relation between increased parental depression and greater noncompliance. Conclusions These results suggest that difficulty falling asleep may help to explain why children of parents who have depression are noncompliant. En ligne : https://dx.doi.org/10.1016/j.rasd.2024.102518 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Cognitive behavioral treatment of insomnia in school-aged children with autism spectrum disorder: A pilot feasibility study / Christina S. MCCRAE in Autism Research, 13-1 (January 2020)  

Public ISBD [article]  inAutism Research > 13-1 (January 2020) . - p.167-176 Titre : Cognitive behavioral treatment of insomnia in school-aged children with autism spectrum disorder: A pilot feasibility study Type de document : Texte imprimé et/ou numérique Auteurs : Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur Article en page(s) : p.167-176 Langues : Anglais (eng) Mots-clés : autism  behavior  child  cognitive behavioral therapy  insomnia  parent Index. décimale : PER Périodiques Résumé : Insomnia is common in autism and associated with challenging behavior and worse parent sleep. Cognitive behavioral treatment for childhood insomnia (CBT-CI) is efficacious in typically developing children, but not yet tested in school-aged children with autism. This single arm pilot tested 8-session CBT-CI in 17 children with autism and insomnia (M age = 8.76 years, SD = 1.99) and their parent(s) (M age = 39.50 years, SD = 4.83). Treatment integrity was assessed for each session [delivery (by therapist), receipt (participant understanding), and enactment (home practice)]. Children and parents wore actigraphs and completed electronic diaries for 2-weeks to obtain objective and subjective sleep onset latency (SOL), total sleep/wake times (TST/TWT), and sleep efficiency (SE) at pre/post/1-month follow-up. Parents also completed the Aberrant Behavior Checklist [irritability, lethargy, stereotypy, hyperactivity, inappropriate speech (e.g., excessive/repetitive, loud self-talk)] at pre/post/1-month. Fifteen children completed all sessions. Average integrity scores were high [90%-delivery/receipt, 87.5%-enactment]. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. Paired samples t-tests (family-wise error controlled) found CBT-CI improved child sleep (objective SOL-18 min, TWT- 34 min, SE-5%; subjective SOL-29 min, TST-63 min, TWT-45 min, SE-8%), and decreased irritability, lethargy, stereotypy, and hyperactivity. At 1-month, objective TST improved, inappropriate speech decreased, but hyperactivity was no longer decreased. Other gains were maintained. Parent sleep (objective SOL-12 min, TST-35 min, TWT-21 min, SE-4%; subjective SOL-11 min, TWT- 31min, SE-11%) and fatigue also improved. At 1-month, gains were maintained. This pilot shows CBT-CI is a feasible treatment that holds promise for improving child and parent sleep and functioning and suggests a randomized controlled trial in school-aged children with autism is worth conducting. Autism Res 2020, 13: 167-176. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Insomnia is common in autism and associated with challenging behaviors and poor parent sleep and stress. Cognitive behavioral treatment for childhood insomnia (CBT-CI) has not been tested in school-aged children with autism. This pilot study shows therapists, parents, and children were able to use CBT-CI to improve child and parent sleep, child behavior, and parent fatigue. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1002/aur.2204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415 [article] Cognitive behavioral treatment of insomnia in school-aged children with autism spectrum disorder: A pilot feasibility study [Texte imprimé et/ou numérique] / Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur . - p.167-176. Langues : Anglais (eng) in Autism Research > 13-1 (January 2020) . - p.167-176 Mots-clés : autism  behavior  child  cognitive behavioral therapy  insomnia  parent Index. décimale : PER Périodiques Résumé : Insomnia is common in autism and associated with challenging behavior and worse parent sleep. Cognitive behavioral treatment for childhood insomnia (CBT-CI) is efficacious in typically developing children, but not yet tested in school-aged children with autism. This single arm pilot tested 8-session CBT-CI in 17 children with autism and insomnia (M age = 8.76 years, SD = 1.99) and their parent(s) (M age = 39.50 years, SD = 4.83). Treatment integrity was assessed for each session [delivery (by therapist), receipt (participant understanding), and enactment (home practice)]. Children and parents wore actigraphs and completed electronic diaries for 2-weeks to obtain objective and subjective sleep onset latency (SOL), total sleep/wake times (TST/TWT), and sleep efficiency (SE) at pre/post/1-month follow-up. Parents also completed the Aberrant Behavior Checklist [irritability, lethargy, stereotypy, hyperactivity, inappropriate speech (e.g., excessive/repetitive, loud self-talk)] at pre/post/1-month. Fifteen children completed all sessions. Average integrity scores were high [90%-delivery/receipt, 87.5%-enactment]. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. Paired samples t-tests (family-wise error controlled) found CBT-CI improved child sleep (objective SOL-18 min, TWT- 34 min, SE-5%; subjective SOL-29 min, TST-63 min, TWT-45 min, SE-8%), and decreased irritability, lethargy, stereotypy, and hyperactivity. At 1-month, objective TST improved, inappropriate speech decreased, but hyperactivity was no longer decreased. Other gains were maintained. Parent sleep (objective SOL-12 min, TST-35 min, TWT-21 min, SE-4%; subjective SOL-11 min, TWT- 31min, SE-11%) and fatigue also improved. At 1-month, gains were maintained. This pilot shows CBT-CI is a feasible treatment that holds promise for improving child and parent sleep and functioning and suggests a randomized controlled trial in school-aged children with autism is worth conducting. Autism Res 2020, 13: 167-176. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Insomnia is common in autism and associated with challenging behaviors and poor parent sleep and stress. Cognitive behavioral treatment for childhood insomnia (CBT-CI) has not been tested in school-aged children with autism. This pilot study shows therapists, parents, and children were able to use CBT-CI to improve child and parent sleep, child behavior, and parent fatigue. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1002/aur.2204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415

Telehealth cognitive behavioral therapy for insomnia in children with autism spectrum disorder: A pilot examining feasibility, satisfaction, and preliminary findings / Christina S. MCCRAE in Autism, 25-3 (April 2021)  

Public ISBD [article]  inAutism > 25-3 (April 2021) . - p.667-680 Titre : Telehealth cognitive behavioral therapy for insomnia in children with autism spectrum disorder: A pilot examining feasibility, satisfaction, and preliminary findings Type de document : Texte imprimé et/ou numérique Auteurs : Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Neetu NAIR, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Deija MCLEAN, Auteur ; Mattina DAVENPORT, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur Article en page(s) : p.667-680 Langues : Anglais (eng) Mots-clés : autism  child  cognitive behavioral therapy  insomnia  parent  telehealth Index. décimale : PER Périodiques Résumé : Insomnia is common in children with autism. Cognitive behavioral treatment for childhood insomnia (CBT-CI) may improve sleep and functioning in children with autism and their parents, but typical delivery involving multiple office visits can make it difficult for some children to get this treatment. This pilot study tested telehealth delivery of CBT-CI using computers, which allowed children and their parents to get the treatment at home. This pilot shows therapists that parents and children were able to use telehealth CBT-CI to improve child and parent sleep, child behavior and arousal, and parent fatigue. Parents found telehealth CBT-CI helpful, age-appropriate, and autism-friendly. Telehealth CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1177/1362361320949078 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Telehealth cognitive behavioral therapy for insomnia in children with autism spectrum disorder: A pilot examining feasibility, satisfaction, and preliminary findings [Texte imprimé et/ou numérique] / Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Neetu NAIR, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Deija MCLEAN, Auteur ; Mattina DAVENPORT, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur . - p.667-680. Langues : Anglais (eng) in Autism > 25-3 (April 2021) . - p.667-680 Mots-clés : autism  child  cognitive behavioral therapy  insomnia  parent  telehealth Index. décimale : PER Périodiques Résumé : Insomnia is common in children with autism. Cognitive behavioral treatment for childhood insomnia (CBT-CI) may improve sleep and functioning in children with autism and their parents, but typical delivery involving multiple office visits can make it difficult for some children to get this treatment. This pilot study tested telehealth delivery of CBT-CI using computers, which allowed children and their parents to get the treatment at home. This pilot shows therapists that parents and children were able to use telehealth CBT-CI to improve child and parent sleep, child behavior and arousal, and parent fatigue. Parents found telehealth CBT-CI helpful, age-appropriate, and autism-friendly. Telehealth CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1177/1362361320949078 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

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