Sleep disturbances are associated with greater healthcare utilization in children with autism spectrum disorder / Shirley SOLOMON in Journal of Neurodevelopmental Disorders, 16 (2024)  

Public ISBD [article]  inJournal of Neurodevelopmental Disorders > 16 (2024) Titre : Sleep disturbances are associated with greater healthcare utilization in children with autism spectrum disorder Type de document : texte imprimé Auteurs : Shirley SOLOMON, Auteur ; Leena ELBEDOUR, Auteur ; Gal MEIRI, Auteur ; Analya MICHAELOVSKI, Auteur ; Yair SADAKA, Auteur ; Michal ILAN, Auteur ; Michal FAROY, Auteur ; Ilan DINSTEIN, Auteur ; Idan MENASHE, Auteur Langues : Anglais (eng) Mots-clés : Humans  Autism Spectrum Disorder/complications/epidemiology/therapy  Male  Female  Sleep Wake Disorders/epidemiology/etiology/therapy  Child  Cross-Sectional Studies  Retrospective Studies  Patient Acceptance of Health Care/statistics & numerical data  Child, Preschool  Comorbidity  Adolescent  Hospitalization/statistics & numerical data  Autism  Autism spectrum disorder (ASD)  Co-occurring conditions  Healthcare utilization  Medication use  Melatonin  Sleep  Sleep disturbances Index. décimale : PER Périodiques Résumé : BACKGROUND: Sleep disturbances are frequently reported in children with autism spectrum disorder (ASD) and are associated with the severity of co-occurring symptoms. This study's aim was to examine the extent of healthcare utilization and clinical outcomes associated with sleep disturbances in children with ASD. STUDY DESIGN: A retrospective, cross-sectional study of 541 children with ASD from the Azrieli National Center for Autism and Neurodevelopment Research (ANCAN) whose parents completed the Children's Sleep Habits Questionnaire (CSHQ). Children with a total CSHQ score ≥ 48 were defined as having sleep disturbances. Sociodemographic characteristics, ASD diagnostic measures, chronic co-occurring conditions, medication usage, hospitalizations, visits to the emergency room (ER), and visits to specialists were compared in ASD children with and without sleep disturbances. Multivariate logistic regression models were then used to assess the independent association of sleep disturbances with clinical characteristics and healthcare utilization. RESULTS: Of the 541 children with ASD, 257 (47.5%) had sleep disturbances. Children with sleep disturbances exhibited higher rates of multiple (≥ 3) co-occurring conditions (19.1% vs. 12.7%; p = 0.0414) and prescribed medications (45.5% vs. 32.7%; p = 0.0031) than other children. Finally, ASD children with sleep disturbances were 1.72 and 2.71 times more likely to visit the ER and be hospitalized than their counterparts (aOR = 1.72; 99%CI = 1.01-2.95; and aOR = 2.71; 99%CI = 1.10-6.67, respectively). CONCLUSIONS: Our findings suggest that sleep disturbances are associated with greater healthcare utilization among children with ASD. Further studies could examine whether treating sleep disturbances in children with ASD yields additional clinical benefits beyond improvements in sleep. En ligne : https://dx.doi.org/10.1186/s11689-024-09550-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575 [article] Sleep disturbances are associated with greater healthcare utilization in children with autism spectrum disorder [texte imprimé] / Shirley SOLOMON, Auteur ; Leena ELBEDOUR, Auteur ; Gal MEIRI, Auteur ; Analya MICHAELOVSKI, Auteur ; Yair SADAKA, Auteur ; Michal ILAN, Auteur ; Michal FAROY, Auteur ; Ilan DINSTEIN, Auteur ; Idan MENASHE, Auteur. Langues : Anglais (eng) in Journal of Neurodevelopmental Disorders > 16 (2024) Mots-clés : Humans  Autism Spectrum Disorder/complications/epidemiology/therapy  Male  Female  Sleep Wake Disorders/epidemiology/etiology/therapy  Child  Cross-Sectional Studies  Retrospective Studies  Patient Acceptance of Health Care/statistics & numerical data  Child, Preschool  Comorbidity  Adolescent  Hospitalization/statistics & numerical data  Autism  Autism spectrum disorder (ASD)  Co-occurring conditions  Healthcare utilization  Medication use  Melatonin  Sleep  Sleep disturbances Index. décimale : PER Périodiques Résumé : BACKGROUND: Sleep disturbances are frequently reported in children with autism spectrum disorder (ASD) and are associated with the severity of co-occurring symptoms. This study's aim was to examine the extent of healthcare utilization and clinical outcomes associated with sleep disturbances in children with ASD. STUDY DESIGN: A retrospective, cross-sectional study of 541 children with ASD from the Azrieli National Center for Autism and Neurodevelopment Research (ANCAN) whose parents completed the Children's Sleep Habits Questionnaire (CSHQ). Children with a total CSHQ score ≥ 48 were defined as having sleep disturbances. Sociodemographic characteristics, ASD diagnostic measures, chronic co-occurring conditions, medication usage, hospitalizations, visits to the emergency room (ER), and visits to specialists were compared in ASD children with and without sleep disturbances. Multivariate logistic regression models were then used to assess the independent association of sleep disturbances with clinical characteristics and healthcare utilization. RESULTS: Of the 541 children with ASD, 257 (47.5%) had sleep disturbances. Children with sleep disturbances exhibited higher rates of multiple (≥ 3) co-occurring conditions (19.1% vs. 12.7%; p = 0.0414) and prescribed medications (45.5% vs. 32.7%; p = 0.0031) than other children. Finally, ASD children with sleep disturbances were 1.72 and 2.71 times more likely to visit the ER and be hospitalized than their counterparts (aOR = 1.72; 99%CI = 1.01-2.95; and aOR = 2.71; 99%CI = 1.10-6.67, respectively). CONCLUSIONS: Our findings suggest that sleep disturbances are associated with greater healthcare utilization among children with ASD. Further studies could examine whether treating sleep disturbances in children with ASD yields additional clinical benefits beyond improvements in sleep. En ligne : https://dx.doi.org/10.1186/s11689-024-09550-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575

Sleep disturbances are associated with irritability in ASD children with sensory sensitivities / Alona MOLCHO-HAIMOVICH in Journal of Neurodevelopmental Disorders, 15 (2023)  

Public ISBD [article]  inJournal of Neurodevelopmental Disorders > 15 (2023) Titre : Sleep disturbances are associated with irritability in ASD children with sensory sensitivities Type de document : texte imprimé Auteurs : Alona MOLCHO-HAIMOVICH, Auteur ; Liat TIKOTZKY, Auteur ; Gal MEIRI, Auteur ; Michal ILAN, Auteur ; Analya MICHAELOVSKI, Auteur ; Hen SCHTAIERMAN, Auteur ; Hava M. GOLAN, Auteur ; Yair SADAKA, Auteur ; Idan MENASHE, Auteur ; Ilan DINSTEIN, Auteur Langues : Anglais (eng) Mots-clés : Humans  Child  Infant  Child, Preschool  Sleep Wake Disorders/complications/epidemiology  Autism Spectrum Disorder/complications Index. décimale : PER Périodiques Résumé : BACKGROUND: Parent reports suggest that 44-84% of children with ASD exhibit sleep disturbances that are of clinical concern. Previous studies have reported that, in children with ASD, the severity of sleep disturbances is associated with the severity of either sensory problems or aberrant behaviors, but none have performed combined analyses with measures of both sensory and aberrant behaviors symptom domains from the same children. METHODS: We examined parent reports of 237 children with ASD, 1.4-8.7 years old, using the child sleep habits questionnaire (CSHQ), sensory profile (SP), and aberrant behaviors checklist (ABC). RESULTS: The analyses revealed that sleep disturbances were most strongly associated with SP sensory sensitivity and ABC irritability scores. Together these scores explained 35% of the variance in total CSHQ scores. Moreover, sensory sensitivity scores moderated the association between irritability and sleep disturbances, indicating that sleep disturbances were significantly associated with irritability only in children with moderate to severe sensory sensitivities. CONCLUSION: We suggest that the three symptom domains may interact and exacerbate each other such that successful intervention in one symptom domain may have positive impact on the others. Further intervention studies testing this hypothesis are highly warranted. En ligne : https://dx.doi.org/10.1186/s11689-023-09491-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575 [article] Sleep disturbances are associated with irritability in ASD children with sensory sensitivities [texte imprimé] / Alona MOLCHO-HAIMOVICH, Auteur ; Liat TIKOTZKY, Auteur ; Gal MEIRI, Auteur ; Michal ILAN, Auteur ; Analya MICHAELOVSKI, Auteur ; Hen SCHTAIERMAN, Auteur ; Hava M. GOLAN, Auteur ; Yair SADAKA, Auteur ; Idan MENASHE, Auteur ; Ilan DINSTEIN, Auteur. Langues : Anglais (eng) in Journal of Neurodevelopmental Disorders > 15 (2023) Mots-clés : Humans  Child  Infant  Child, Preschool  Sleep Wake Disorders/complications/epidemiology  Autism Spectrum Disorder/complications Index. décimale : PER Périodiques Résumé : BACKGROUND: Parent reports suggest that 44-84% of children with ASD exhibit sleep disturbances that are of clinical concern. Previous studies have reported that, in children with ASD, the severity of sleep disturbances is associated with the severity of either sensory problems or aberrant behaviors, but none have performed combined analyses with measures of both sensory and aberrant behaviors symptom domains from the same children. METHODS: We examined parent reports of 237 children with ASD, 1.4-8.7 years old, using the child sleep habits questionnaire (CSHQ), sensory profile (SP), and aberrant behaviors checklist (ABC). RESULTS: The analyses revealed that sleep disturbances were most strongly associated with SP sensory sensitivity and ABC irritability scores. Together these scores explained 35% of the variance in total CSHQ scores. Moreover, sensory sensitivity scores moderated the association between irritability and sleep disturbances, indicating that sleep disturbances were significantly associated with irritability only in children with moderate to severe sensory sensitivities. CONCLUSION: We suggest that the three symptom domains may interact and exacerbate each other such that successful intervention in one symptom domain may have positive impact on the others. Further intervention studies testing this hypothesis are highly warranted. En ligne : https://dx.doi.org/10.1186/s11689-023-09491-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=575

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