Sleep problems and daytime functioning in adolescents with ASD

2021 ◽  
Author(s):  
Ilona Schouwenaars ◽  
Maurice Magnée ◽  
Hilde Geurts ◽  
Coen van Bennekom ◽  
Sigrid Pillen ◽  
...  

Sleep problems commonly occur in adolescents with an autism spectrum disorder diagnosis (ASD). However, the knowledge of how sleep problems affect those adolescents’ lives is fragmentised. This review focuses on the question: What is the relationship between sleep and daytime functioning in adolescents with ASD. An electronic database (PsycINFO, Cochrane, ERIC, PubMed, WOS) and hand search (INSAR congress archive and included studies reference lists) was performed in September 2020 resulting in 2561 studies. Studies were included if they contained autistic participants aged between 10 and 19 without intellectual disability, related sleep to daytime functioning, were available in English, and used original data. Nine studies were included (Nparticipants = 674). The most prominent finding was the association of all sleep parameters with internalizing problems. Furthermore, most significant associations with daytime functioning were found for sleep problems in general and for sleep efficiency. The results provide input for tailored sleep interventions. However, more research is needed to get a clearer picture of the relationship between specific sleep parameters and daytime functioning to ensure that this knowledge will provide better input for sleep interventions. It is important to focus on limited age ranges, larger samples sizes, multiple measurement methods, and longitudinal approaches.

Author(s):  
Monisha Edirisooriya ◽  
Dominika Dykiert ◽  
Bonnie Auyeung

AbstractIntelligence quotient (IQ), has been found to relate to the presence of internalising symptoms in autism spectrum disorder (ASD). This meta-analysis sought to clarify the direction of the relationship between IQ and two prevalent internalising symptoms, anxiety and depression, in adolescents with ASD. Secondly, this study aimed to highlight methodological factors contributing to inconsistent findings in existing research. Self-reported anxiety was found to be significantly higher in youth with a lower IQ, while depression was positively associated with IQ. Consequently, parents, schools and clinicians should be cautious of underestimating anxiety in youth with a lower IQ. However, care should also be taken to ensure adolescents with ASD without intellectual disabilities are not overlooked with regards to social and emotional support.


PEDIATRICS ◽  
2012 ◽  
Vol 130 (Supplement 2) ◽  
pp. S83-S90 ◽  
Author(s):  
Darryn M. Sikora ◽  
Kyle Johnson ◽  
Traci Clemons ◽  
Terry Katz

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Laura Creti ◽  
Eva Libman ◽  
Dorrie Rizzo ◽  
Catherine S. Fichten ◽  
Sally Bailes ◽  
...  

Goals for the present study were to (a) describe the sleep of healthy new mothers over a 6-month postpartum period, (b) examine how sleep quality relates to daytime levels of fatigue and sleepiness, and (c) evaluate the relationship between mothers’ and infants’ sleep parameters. The sample consisted of 37 healthy, partnered, first-time mothers who had experienced full-term vaginal birth and had a healthy infant. We investigated infants’ sleep parameters and mothers’ sleep, mood, and daytime functioning 2 and 6 months postpartum. We found that at 2 months postpartum, mothers reported sleeping 6 hours at night and just under one hour during the day. Despite relatively frequent nocturnal awakenings, mothers experienced minimal insomnia, nonrefreshing sleep, anxiety, depression, daytime sleepiness, or fatigue at either 2 or 6 months. The most robust relationship between mothers’ and infants’ sleep was in the number of nocturnal sleep-wake episodes. Of note is that none of the infant sleep parameters was related to mothers’ anxiety, depression, fatigue, sleepiness, or nonrefreshing sleep at either time period. Our results indicate that (1) selected low risk new mothers are resilient in terms of sleep quality, daytime functioning, and mood and (2) these are independent of their infants’ sleep parameters.


2021 ◽  
Vol 10 (17) ◽  
pp. 3893
Author(s):  
Maria Giuseppina Petruzzelli ◽  
Emilia Matera ◽  
Donatella Giambersio ◽  
Lucia Marzulli ◽  
Alessandra Gabellone ◽  
...  

Background: Sleep problems have commonly manifested in children and adolescents with autism spectrum disorder (ASD) with a complex and multifactorial interaction between clinical and etiological components. These disorders are associated with functional impairment, and provoke significant physical and mental affliction. The purpose of this study is to update the existing literature about objective and subjective sleep parameters in children and adolescents with ASD, extrapolating information from polysomnography or sleep electroencephalography, and sleep related questionnaires. Methods: We have conducted a systematic review of case-control studies on this topic, performing a web-based search on PubMed, Scopus and the Web of Science databases according to the Preferred Reporting items for Systematic Review and Meta-analyses (PRISMA) guidelines. Results: Data collected from 20 survey result reports showed that children and adolescents with ASD experienced a higher rate of sleep abnormalities than in typically developing children. The macrostructural sleep parameters that were consistent with subjective parent reported measures unveil a greater percentage of nighttime signs of insomnia. Sleep microstructure patterns, in addition, pointed towards the bidirectional relationship between brain dysfunctions and sleep problems in children with ASD. Conclusions: Today’s literature acknowledges that objective and subjective sleep difficulties are more often recognized in individuals with ASD, so clinicians should assess sleep quality in the ASD clinical population, taking into consideration the potential implications on treatment strategies. It would be worthwhile in future studies to examine how factors, such as age, cognitive level or ASD severity could be related to ASD sleep abnormalities. Future research should directly assess whether sleep alterations could represent a specific marker for atypical brain development in ASD.


2020 ◽  
Author(s):  
Anouck I. Staff ◽  
Hilde Geurts ◽  
Marije Kuin ◽  
saskia van der oord ◽  
Bianca Boyer

Adolescents with an Autism Spectrum Disorder diagnosis (ASD) show executive functioning (EF) difficulties that are crucial to succeed in secondary school, but evidence-based EF interventions are lacking. However, for adolescents with an ADHD diagnosis such an intervention was developed, called Plan My Life (PML), which focused on enhancement of planning skills and in which motivational interviewing was integrated. We explored the applicability of PML in a sample of 12 adolescents with ASD (12-17 years). Pre- to post intervention parent-reported data were collected on EF problems, planning problems, and ASD characteristics. Also, qualitative analyses were conducted on therapist evaluations to investigate whether PML in its present form is suitable for adolescents with ASD and how the PML should be adjusted to better serve their needs. Reliable Change Indices showed that in general adolescents with ASD did not improve, suggesting that in its current form PML is not suitable for adolescents with ASD. However, attrition was low (N = 1), adolescents and parents evaluated PML positively, and a feasible list of therapist recommendations was formulated for adjustment of PML to the needs of this particular group. These recommendations seem specific to autistic teens and may be applicable to other non-pharmacological interventions that will be developed for teens with ASD to improve their care and outcomes.


2015 ◽  
Vol 32 (1) ◽  
pp. 53-66 ◽  
Author(s):  
Victoria Fallon ◽  
Kate Mary Bennett ◽  
Joanne Alison Harrold

Prenatal anxiety may negatively affect infant health in multiple domains, including infant feeding. However, the relationship between prenatal anxiety and infant feeding is not well understood. Given the benefits of recommended infant feeding practices, clarifying this relationship is important. This review was conducted to examine the relationship between prenatal anxiety and infant feeding outcomes. Electronic searches were performed in relevant databases. A hand search of selected journals and reference lists of included articles was then conducted. All studies were considered that provided information related to infant feeding outcomes and anxiety during pregnancy. Quality assessment and data extraction were conducted by 2 reviewers; 99 studies were identified, of which 6 were eligible. No associations were found between prenatal anxiety and breastfeeding initiation or breastfeeding in any quantity. However, relationships between high levels of prenatal anxiety and a reduction in both breastfeeding intention and breastfeeding exclusivity were identified. The review was limited by the small number of studies included. Sample sizes lacking power and heterogeneous measures and definitions all significantly affected the comparability of findings. It is concluded that there is insufficient evidence to clarify the relationship between prenatal anxiety and infant feeding outcomes.


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