AI Article Synopsis
- Sleep difficulties are common in children with autism spectrum disorder (ASD), but it's unclear if they lead to or result from the disorder.
- A study involving 5,151 children tracked sleep patterns and autistic traits to see how they relate over time.
- Results showed that while early sleep issues aren't linked to worsening autistic traits, children with ASD tend to experience increasing sleep problems as they age, suggesting sleep issues are part of ASD rather than a precursor.
Article Abstract
Background: Sleep difficulties are prevalent in children with autism spectrum disorder (ASD). The temporal nature of the association between sleep problems and ASD is unclear because longitudinal studies are lacking. Our aim is to clarify whether sleep problems precede and worsen autistic traits and ASD or occur as a consequence of the disorder.
Methods: Repeated sleep measures were available at 1.5, 3, 6, and 9 years of age in 5151 children participating in the Generation R Study, a large prospective birth cohort in the Netherlands. Autistic traits were determined with the Pervasive Developmental Problems score (PDP) of the Child Behavior Checklist (CBCL) at 1.5 and 3 years and the Social Responsiveness Scale (SRS) at 6 years. This cohort included 81 children diagnosed with ASD.
Results: Sleep problems in early childhood were prospectively associated with a higher SRS score, but not when correcting for baseline PDP score. By contrast, a higher SRS score and an ASD diagnosis were associated with more sleep problems at later ages, even when adjusting for baseline sleep problems. Likewise, a trajectory of increasing sleep problems was associated with ASD.
Conclusions: Sleep problems and ASD are not bidirectionally associated. Sleep problems do not precede and worsen autistic behavior but rather co-occur with autistic traits in early childhood. Over time, children with ASD have an increase in sleep problems, whereas typically developing children have a decrease in sleep problems. Our findings suggest that sleep problems are part of the construct ASD.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791216 | PMC |
| http://dx.doi.org/10.1186/s13229-018-0194-8 | DOI Listing |
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