The developmental trajectory of parent-report and objective sleep profiles in autism spectrum disorder

Associations with anxiety and bedtime routines

Fay E Fletcher, Mistral D Foster-Owens, Russell Conduit, Nicole J. Rinehart, Deborah M Riby, Kim M Cornish

Research output: Contribution to journalArticleResearchpeer-review

Abstract

The present study compared the course of parent-report and actigraphy-derived sleep profiles over a 1-year period, in school-age children with autism spectrum disorder and typically developing children. The Children's Sleep Habits Questionnaire and 14 nights of actigraphy were used to assess sleep profiles. Parents also completed the Spence Children's Anxiety Scale, the Social Worries Questionnaire and the Bedtime Routines Questionnaire. Between-group differences in parent-reported sleep problems were less pronounced at follow-up compared to baseline. The course of objective sleep was comparable between groups, with a significant reduction in sleep duration over time in both groups. Children with autism spectrum disorder were further characterised by significantly more night-to-night variability in sleep quality, across both time points. Reductions over time in parent-reported sleep problems were significantly associated with reduced anxiety. Reductions in actigraphy-derived sleep efficiency were associated with an increased frequency of maladaptive activities in the hour before bedtime, in both children with and without autism spectrum disorder.

Original languageEnglish
Pages (from-to)493-503
Number of pages11
JournalAutism: the international journal of research and practice
Volume21
Issue number4
DOIs
Publication statusPublished - 1 May 2017

Keywords

  • actigraphy
  • anxiety
  • autism spectrum disorder
  • bedtime routines
  • school-age children
  • sleep problems

Cite this

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title = "The developmental trajectory of parent-report and objective sleep profiles in autism spectrum disorder: Associations with anxiety and bedtime routines",
abstract = "The present study compared the course of parent-report and actigraphy-derived sleep profiles over a 1-year period, in school-age children with autism spectrum disorder and typically developing children. The Children's Sleep Habits Questionnaire and 14 nights of actigraphy were used to assess sleep profiles. Parents also completed the Spence Children's Anxiety Scale, the Social Worries Questionnaire and the Bedtime Routines Questionnaire. Between-group differences in parent-reported sleep problems were less pronounced at follow-up compared to baseline. The course of objective sleep was comparable between groups, with a significant reduction in sleep duration over time in both groups. Children with autism spectrum disorder were further characterised by significantly more night-to-night variability in sleep quality, across both time points. Reductions over time in parent-reported sleep problems were significantly associated with reduced anxiety. Reductions in actigraphy-derived sleep efficiency were associated with an increased frequency of maladaptive activities in the hour before bedtime, in both children with and without autism spectrum disorder.",
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The developmental trajectory of parent-report and objective sleep profiles in autism spectrum disorder : Associations with anxiety and bedtime routines. / Fletcher, Fay E; Foster-Owens, Mistral D; Conduit, Russell; Rinehart, Nicole J.; Riby, Deborah M; Cornish, Kim M.

In: Autism: the international journal of research and practice, Vol. 21, No. 4, 01.05.2017, p. 493-503.

Research output: Contribution to journalArticleResearchpeer-review

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