Associations between family, environmental factors, and sleep problems in children with autism spectrum disorder: A cross-sectional study / Liuyan ZHU in Research in Autism, 129 (January 2025)  

Public ISBD [article]  inResearch in Autism > 129 (January 2025) . - 202739 Titre : Associations between family, environmental factors, and sleep problems in children with autism spectrum disorder: A cross-sectional study Type de document : texte imprimé Auteurs : Liuyan ZHU, Auteur ; Guirong ZHANG, Auteur ; Dan YAO, Auteur ; Lei WANG, Auteur ; Lina LV, Auteur ; Jie SHAO, Auteur Article en page(s) : 202739 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Children’s Sleep Habits Questionnaire  Sleep problems Index. décimale : PER Périodiques Résumé : Background This study aimed to examine sleep issues in children diagnosed with Autism Spectrum Disorders (ASD) in comparison to non-autistic children. Additionally, it sought to explore various environmental and non-environmental factors that may be linked to sleep disturbances in children with ASD. Methods A 14-month cross-sectional study was conducted with 249 participants aged 3-6 years, including 58 children with ASD and 191 non-autistic children. The parents of the participants completed the Children’s Sleep Habits Questionnaire (CSHQ) and a self-developed Chinese version of the Family Environment and Non-Environment Scale Survey. Comparative analyses were performed to examine the total CSHQ scores and subscale scores between the two groups. Additionally, multivariate linear regression analysis was conducted to identify factors associated with the sleep patterns of children with ASD. Results Children with ASD exhibited significantly higher CSHQ total scores than non-autistic children. Distinctive sleep disturbances in ASD children included prolonged sleep onset delay and contextual sleep behaviors such as falling asleep in a car. Conversely, non-autistic children showed higher rates of sleep anxiety and post-sleep negative mood. Multivariate linear regression analysis identified several significant factors associated with sleep patterns in children with ASD, including the father's weekly alcohol consumption, parental personality traits, opportunities for social interaction with friends and relatives, mode of delivery, and weaning time. Further examination indicated that sleep duration was closely linked to weaning time and gestational age. Additionally, bedtime resistance, daytime sleepiness, and nighttime awakenings were significantly correlated with the age. Moreover, the frequency of outdoor activities during the first year of life, along with age, was found to be associated with parasomnias, sleep onset delays, sleep-disordered breathing, and daytime sleepiness. Conclusions The study concluded that sleep problems are more prevalent in children with ASD. The findings suggest that both environmental and non-environmental factors are correlated with sleep issues in children with ASD. Future research should explore longitudinal relationships to better understand the causal pathways involved. En ligne : https://doi.org/10.1016/j.reia.2025.202739 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=573 [article] Associations between family, environmental factors, and sleep problems in children with autism spectrum disorder: A cross-sectional study [texte imprimé] / Liuyan ZHU, Auteur ; Guirong ZHANG, Auteur ; Dan YAO, Auteur ; Lei WANG, Auteur ; Lina LV, Auteur ; Jie SHAO, Auteur . - 202739. Langues : Anglais (eng) in Research in Autism > 129 (January 2025) . - 202739 Mots-clés : Autism Spectrum Disorder  Children’s Sleep Habits Questionnaire  Sleep problems Index. décimale : PER Périodiques Résumé : Background This study aimed to examine sleep issues in children diagnosed with Autism Spectrum Disorders (ASD) in comparison to non-autistic children. Additionally, it sought to explore various environmental and non-environmental factors that may be linked to sleep disturbances in children with ASD. Methods A 14-month cross-sectional study was conducted with 249 participants aged 3-6 years, including 58 children with ASD and 191 non-autistic children. The parents of the participants completed the Children’s Sleep Habits Questionnaire (CSHQ) and a self-developed Chinese version of the Family Environment and Non-Environment Scale Survey. Comparative analyses were performed to examine the total CSHQ scores and subscale scores between the two groups. Additionally, multivariate linear regression analysis was conducted to identify factors associated with the sleep patterns of children with ASD. Results Children with ASD exhibited significantly higher CSHQ total scores than non-autistic children. Distinctive sleep disturbances in ASD children included prolonged sleep onset delay and contextual sleep behaviors such as falling asleep in a car. Conversely, non-autistic children showed higher rates of sleep anxiety and post-sleep negative mood. Multivariate linear regression analysis identified several significant factors associated with sleep patterns in children with ASD, including the father's weekly alcohol consumption, parental personality traits, opportunities for social interaction with friends and relatives, mode of delivery, and weaning time. Further examination indicated that sleep duration was closely linked to weaning time and gestational age. Additionally, bedtime resistance, daytime sleepiness, and nighttime awakenings were significantly correlated with the age. Moreover, the frequency of outdoor activities during the first year of life, along with age, was found to be associated with parasomnias, sleep onset delays, sleep-disordered breathing, and daytime sleepiness. Conclusions The study concluded that sleep problems are more prevalent in children with ASD. The findings suggest that both environmental and non-environmental factors are correlated with sleep issues in children with ASD. Future research should explore longitudinal relationships to better understand the causal pathways involved. En ligne : https://doi.org/10.1016/j.reia.2025.202739 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=573

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