ERIC Number: EJ1392615
Record Type: Journal
Publication Date: 2023-Oct
Pages: 23
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1362-3613
EISSN: EISSN-1461-7005
Available Date: N/A
Predicting Future Sleep Problems in Young Autistic Children
Shui, Amy M.; Lampinen, Linnea A.; Richdale, Amanda; Katz, Terry
Autism: The International Journal of Research and Practice, v27 n7 p2063-2085 Oct 2023
Sleep problems are common in autistic children and adversely impact daytime functioning. Knowledge of predictive factors could help with treatment and prevention of these problems. This study aimed to determine predictors of sleep problems among young autistic children. Study cohorts consisted of autistic children aged 2-5 years who did not have sleep problems at a first visit and had sleep measure data available at a subsequent visit. Sleep problems for five study cohorts were defined by different methods: Children's Sleep Habits Questionnaire with two cutoff scores (41 and 48; cohort n = 101 and 204, respectively), Children's Sleep Habits Questionnaire--autism derived cutoff score (35; n = 188), and parent- (n = 205) or clinician- (n = 252) report. Separate predictive models of sleep problems were developed in each cohort using multivariable logistic regression with final model predictors determined by backward elimination selection. Model performance was evaluated. Two of the five models had both adequate discrimination and calibration performance predicting (1) Children's Sleep Habits Questionnaire score [greater than or equal to] 48 and (2) Children's Sleep Habits Questionnaire--autism score [greater than or equal to] 35. In both models, self-injurious behavior, sensory issues, dental problems, and lower primary caregiver education level were significant risk factors of future sleep problems. These predictors may be useful in helping clinicians provide prevention strategies or early intervention for children who are at a higher risk of developing sleep problems.
Descriptors: Young Children, Autism Spectrum Disorders, Sleep, Problems, Predictor Variables, Risk, Self Destructive Behavior, Sensory Experience, Dental Health, Child Caregivers, Child Behavior, Adjustment (to Environment), Educational Attainment
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Assessments and Surveys: Child Behavior Checklist; Vineland Adaptive Behavior Scales; Autism Diagnostic Observation Schedule
Grant or Contract Numbers: N/A
Author Affiliations: N/A