Autism Spectrum Disorder: Sleep Characteristics in Children and Adolescents, and Their Relationship with Probable Sleep Bruxism, Anxiety, and Cortisol and Melatonin Levels-A Cross-Sectional Study of Children in Brazil / Michelle Coelho Ferreira LOTITO in Journal of Autism and Developmental Disorders, 55-12 (December 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-12 (December 2025) . - p.4425-4438 Titre : Autism Spectrum Disorder: Sleep Characteristics in Children and Adolescents, and Their Relationship with Probable Sleep Bruxism, Anxiety, and Cortisol and Melatonin Levels-A Cross-Sectional Study of Children in Brazil Type de document : texte imprimé Auteurs : Michelle Coelho Ferreira LOTITO, Auteur ; Ana Clara Tapajos PINTO, Auteur ; Leticia Carolina ALVES, Auteur ; Mainara Alves BARBOSA, Auteur ; Dennis Carvalho FERREIRA, Auteur ; Maristela Barbosa PORTELA, Auteur ; Antônio Ferreira PEREIRA, Auteur ; Claudia Maria TAVARES-SILVA, Auteur ; Giuseppe PASTURA, Auteur ; Gloria Fernanda Barbosa DE ARAÚJO CASTRO, Auteur Article en page(s) : p.4425-4438 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The study described the sleep characteristics (SC) of children/adolescents with Autism Spectrum Disorder (ASD), and examined their association with medication use, support level, chronotype, probable sleep bruxism (PSB), anxiety, salivary levels of cortisol (SalC) and melatonin (SalM). Methods: Following anamnesis and dental examination, anxiety was assessed using the SCARED questionnaire. The SCs were determined by two age-appropriate questionnaires, and the percentage of negative SCs (%Neg) was recorded. Saliva samples were collected to measure SalC and SalM levels. The sample comprised 85 ASD patients aged 2-16 years, of whom 80%, 50.6% were classified as support level 2, 83.5% used medication, 84.7% had an afternoon chronotype, 72.9% presented PSB, and 48.2%, anxiety. The mean %Neg was significantly higher in patients using medication (49.29 ± 15.88; p = 0.03) and those requiring more support (level 1: 41.57 ± 14.45; level 2: 50.78 ± 15.54; level 3: 55.11 ± 23.44; p = 0.019). Patients with anxiety showed a higher %Neg (51.31 ± 16.33) than those without anxiety (43.65 ± 15.79). The mean SalC and SalM levels were 13.29 ± 13.39 and 299.91 ± 241.77, respectively.. In children aged 2-6 years, one rhythmicity SC and two separation-related SCs were associated with SalC (p < 0.05); lower SalM levels were found in patients who "slept alone" (p = 0.02). In older patients, "moving while sleeping" was associated with lower SalC (p = 0.05), and three additional SCs were linked to reduced SalM levels (p < 0.05). The presence of negative SCs in ASD patients was more common in those taking medication, requiring more support, and presenting anxiety. Furthermore, SalC and SalM levels were associated with specific SCs, especially among individuals aged (7-16). En ligne : https://doi.org/10.1007/s10803-025-06925-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=572 [article] Autism Spectrum Disorder: Sleep Characteristics in Children and Adolescents, and Their Relationship with Probable Sleep Bruxism, Anxiety, and Cortisol and Melatonin Levels-A Cross-Sectional Study of Children in Brazil [texte imprimé] / Michelle Coelho Ferreira LOTITO, Auteur ; Ana Clara Tapajos PINTO, Auteur ; Leticia Carolina ALVES, Auteur ; Mainara Alves BARBOSA, Auteur ; Dennis Carvalho FERREIRA, Auteur ; Maristela Barbosa PORTELA, Auteur ; Antônio Ferreira PEREIRA, Auteur ; Claudia Maria TAVARES-SILVA, Auteur ; Giuseppe PASTURA, Auteur ; Gloria Fernanda Barbosa DE ARAÚJO CASTRO, Auteur . - p.4425-4438. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-12 (December 2025) . - p.4425-4438 Index. décimale : PER Périodiques Résumé : The study described the sleep characteristics (SC) of children/adolescents with Autism Spectrum Disorder (ASD), and examined their association with medication use, support level, chronotype, probable sleep bruxism (PSB), anxiety, salivary levels of cortisol (SalC) and melatonin (SalM). Methods: Following anamnesis and dental examination, anxiety was assessed using the SCARED questionnaire. The SCs were determined by two age-appropriate questionnaires, and the percentage of negative SCs (%Neg) was recorded. Saliva samples were collected to measure SalC and SalM levels. The sample comprised 85 ASD patients aged 2-16 years, of whom 80%, 50.6% were classified as support level 2, 83.5% used medication, 84.7% had an afternoon chronotype, 72.9% presented PSB, and 48.2%, anxiety. The mean %Neg was significantly higher in patients using medication (49.29 ± 15.88; p = 0.03) and those requiring more support (level 1: 41.57 ± 14.45; level 2: 50.78 ± 15.54; level 3: 55.11 ± 23.44; p = 0.019). Patients with anxiety showed a higher %Neg (51.31 ± 16.33) than those without anxiety (43.65 ± 15.79). The mean SalC and SalM levels were 13.29 ± 13.39 and 299.91 ± 241.77, respectively.. In children aged 2-6 years, one rhythmicity SC and two separation-related SCs were associated with SalC (p < 0.05); lower SalM levels were found in patients who "slept alone" (p = 0.02). In older patients, "moving while sleeping" was associated with lower SalC (p = 0.05), and three additional SCs were linked to reduced SalM levels (p < 0.05). The presence of negative SCs in ASD patients was more common in those taking medication, requiring more support, and presenting anxiety. Furthermore, SalC and SalM levels were associated with specific SCs, especially among individuals aged (7-16). En ligne : https://doi.org/10.1007/s10803-025-06925-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=572

Oral Health and Behavioral Management of Children with Autistic Spectrum Disorder: A 30-year Retrospective Study / Vivian DE OLIVEIRA MARQUES ; Luana Mota KORT-KAMP ; Marina Antonino Nunes DE SOUZA ; Maristela Barbosa PORTELA ; Gloria Fernanda Barbosa de Araújo CASTRO in Journal of Autism and Developmental Disorders, 55-1 (January 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-1 (January 2025) . - p.250-257 Titre : Oral Health and Behavioral Management of Children with Autistic Spectrum Disorder: A 30-year Retrospective Study : Journal of Autism and Developmental Disorders Type de document : texte imprimé Auteurs : Vivian DE OLIVEIRA MARQUES, Auteur ; Luana Mota KORT-KAMP, Auteur ; Marina Antonino Nunes DE SOUZA, Auteur ; Maristela Barbosa PORTELA, Auteur ; Gloria Fernanda Barbosa de Araújo CASTRO, Auteur Article en page(s) : p.250-257 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Purpose: This article aims to determine the oral health status, the dental treatment, the behavioral management techniques, and the follow-up of pediatric autistic spectrum disorder (ASD) patients treated at the Clinic for Pediatric Patients with Disabilities (CPPD) at a public university in Brazil. Methods. The medical records of all the patients seen between 1990 and 2020 were evaluated. Data were collected on the autistic patients' medical and dental conditions, treatments, behavior during dental visits, behavioral management techniques used, and the entire follow-up period at the clinic. The Student?s t-test and chi-square tests were used to perform the statistical analysis (? = 0.05%). Results: Sixty-six records of ASD children were analyzed from a total of 656 dental records. The majority were male (80.3%). The mean age was 7.39+2.75 years. All the children had a cognitive deficit, and 62.5% used medication. Most of the children arrived with caries lesions (56.1%), and the mean number of decayed, missed and filled teeth in both the deciduous (dmft-d) and permanent dentition (DMFT) was 2.45+3.13 and 0.87+1.51, respectively. The restorative technique was the most commonly used procedure (54.5%), and protective stabilization was the most frequently used behavioral management technique (18.2%). Of the children who sought treatment, 86.4% were discharged, and 15.2% abandoned the procedure. The majority (those discharged) continued to undergo regular follow-up at the clinic (86%), and the incidence of new caries lesions observed was 33.33% Conclusions: Although our ASD patients had a high frequency of caries and dental treatment needs, we observed good adherence to the treatment, with a low dropout rate, and high discharge rate. En ligne : https://doi.org/10.1007/s10803-023-06209-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546 [article] Oral Health and Behavioral Management of Children with Autistic Spectrum Disorder: A 30-year Retrospective Study : Journal of Autism and Developmental Disorders [texte imprimé] / Vivian DE OLIVEIRA MARQUES, Auteur ; Luana Mota KORT-KAMP, Auteur ; Marina Antonino Nunes DE SOUZA, Auteur ; Maristela Barbosa PORTELA, Auteur ; Gloria Fernanda Barbosa de Araújo CASTRO, Auteur . - p.250-257. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-1 (January 2025) . - p.250-257 Index. décimale : PER Périodiques Résumé : Purpose: This article aims to determine the oral health status, the dental treatment, the behavioral management techniques, and the follow-up of pediatric autistic spectrum disorder (ASD) patients treated at the Clinic for Pediatric Patients with Disabilities (CPPD) at a public university in Brazil. Methods. The medical records of all the patients seen between 1990 and 2020 were evaluated. Data were collected on the autistic patients' medical and dental conditions, treatments, behavior during dental visits, behavioral management techniques used, and the entire follow-up period at the clinic. The Student?s t-test and chi-square tests were used to perform the statistical analysis (? = 0.05%). Results: Sixty-six records of ASD children were analyzed from a total of 656 dental records. The majority were male (80.3%). The mean age was 7.39+2.75 years. All the children had a cognitive deficit, and 62.5% used medication. Most of the children arrived with caries lesions (56.1%), and the mean number of decayed, missed and filled teeth in both the deciduous (dmft-d) and permanent dentition (DMFT) was 2.45+3.13 and 0.87+1.51, respectively. The restorative technique was the most commonly used procedure (54.5%), and protective stabilization was the most frequently used behavioral management technique (18.2%). Of the children who sought treatment, 86.4% were discharged, and 15.2% abandoned the procedure. The majority (those discharged) continued to undergo regular follow-up at the clinic (86%), and the incidence of new caries lesions observed was 33.33% Conclusions: Although our ASD patients had a high frequency of caries and dental treatment needs, we observed good adherence to the treatment, with a low dropout rate, and high discharge rate. En ligne : https://doi.org/10.1007/s10803-023-06209-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546

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