Sleep patterns in children with autistic spectrum disorders: a prospective cohort study
Objective To investigate longitudinal sleep patterns in children with autistic spectrum disorders (ASDs). Study design Prospective longitudinal study using Avon Longitudinal Study of Parents and Children, an English cohort born in 1991–1992. Parental reports of sleep duration were collected by quest...
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| Veröffentlicht in: | Archives of disease in childhood 2014-02, Vol.99 (2), p.114-118 |
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| creator | Humphreys, Joanna S Gringras, Paul Blair, Peter S Scott, Nicola Henderson, John Fleming, Peter J Emond, Alan M |
| description | Objective To investigate longitudinal sleep patterns in children with autistic spectrum disorders (ASDs). Study design Prospective longitudinal study using Avon Longitudinal Study of Parents and Children, an English cohort born in 1991–1992. Parental reports of sleep duration were collected by questionnaires at 8 time points from 6 months to 11 years. Children with an ASD diagnosis at age 11 years (n=73) were identified from health and education records. Results From aged 30 months to 11 years old, children with ASD slept for 17–43 min less each day than contemporary controls. No significant difference in total sleep duration was found in infancy, but from 30 months of age children with ASD slept less than their peers, a difference that remained significant after adjusting for sex, ethnicity, high parity and epilepsy. The reduction in total sleep was wholly due to changes in night rather than daytime sleep duration. Night-time sleep duration was shortened by later bedtimes and earlier waking times. Frequent waking (3 or more times a night) was also evident among the children with ASD from 30 months of age. Age-specific decreases of >1SD within individuals in sleep duration across adjacent time points was a predictor of ASD between 18 months and 30 months of age (p=0.04) and from 30 months to 42 months (p=0.02). Conclusions Sleep duration in children with ASD is reduced from 30 months of age and persists until adolescence. |
| doi_str_mv | 10.1136/archdischild-2013-304083 |
| format | Article |
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Study design Prospective longitudinal study using Avon Longitudinal Study of Parents and Children, an English cohort born in 1991–1992. Parental reports of sleep duration were collected by questionnaires at 8 time points from 6 months to 11 years. Children with an ASD diagnosis at age 11 years (n=73) were identified from health and education records. Results From aged 30 months to 11 years old, children with ASD slept for 17–43 min less each day than contemporary controls. No significant difference in total sleep duration was found in infancy, but from 30 months of age children with ASD slept less than their peers, a difference that remained significant after adjusting for sex, ethnicity, high parity and epilepsy. The reduction in total sleep was wholly due to changes in night rather than daytime sleep duration. Night-time sleep duration was shortened by later bedtimes and earlier waking times. Frequent waking (3 or more times a night) was also evident among the children with ASD from 30 months of age. Age-specific decreases of >1SD within individuals in sleep duration across adjacent time points was a predictor of ASD between 18 months and 30 months of age (p=0.04) and from 30 months to 42 months (p=0.02). Conclusions Sleep duration in children with ASD is reduced from 30 months of age and persists until adolescence.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2013-304083</identifier><identifier>PMID: 24061777</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group</publisher><subject>Age Factors ; Attention deficit hyperactivity disorder ; Autism ; Biological and medical sciences ; Child ; Child clinical studies ; Child Development Disorders, Pervasive - complications ; Child Development Disorders, Pervasive - physiopathology ; Child, Preschool ; Childhood disintegrative disorder ; Children ; Complications and side effects ; Development and progression ; Developmental Delays ; Developmental disorders ; Educational Attainment ; England ; Female ; General aspects ; Health aspects ; Health Surveys ; Humans ; Infant ; Infantile autism ; Insomnia ; Logistic Models ; Longitudinal Studies ; Male ; Medical sciences ; Miscellaneous ; Original ; Patient outcomes ; Prevention and actions ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk factors ; Sleep ; Sleep - physiology ; Sleep deprivation ; Sleep Wake Disorders - etiology ; Studies ; Surveys and Questionnaires</subject><ispartof>Archives of disease in childhood, 2014-02, Vol.99 (2), p.114-118</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2014 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b593t-c014072f78746994cc0d3388e1030638eebb256164845af7a82c5a3ad08a06283</citedby><cites>FETCH-LOGICAL-b593t-c014072f78746994cc0d3388e1030638eebb256164845af7a82c5a3ad08a06283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://adc.bmj.com/content/99/2/114.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttp://adc.bmj.com/content/99/2/114.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>114,115,230,314,780,784,885,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28093297$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24061777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Humphreys, Joanna S</creatorcontrib><creatorcontrib>Gringras, Paul</creatorcontrib><creatorcontrib>Blair, Peter S</creatorcontrib><creatorcontrib>Scott, Nicola</creatorcontrib><creatorcontrib>Henderson, John</creatorcontrib><creatorcontrib>Fleming, Peter J</creatorcontrib><creatorcontrib>Emond, Alan M</creatorcontrib><title>Sleep patterns in children with autistic spectrum disorders: a prospective cohort study</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Objective To investigate longitudinal sleep patterns in children with autistic spectrum disorders (ASDs). Study design Prospective longitudinal study using Avon Longitudinal Study of Parents and Children, an English cohort born in 1991–1992. Parental reports of sleep duration were collected by questionnaires at 8 time points from 6 months to 11 years. Children with an ASD diagnosis at age 11 years (n=73) were identified from health and education records. Results From aged 30 months to 11 years old, children with ASD slept for 17–43 min less each day than contemporary controls. No significant difference in total sleep duration was found in infancy, but from 30 months of age children with ASD slept less than their peers, a difference that remained significant after adjusting for sex, ethnicity, high parity and epilepsy. The reduction in total sleep was wholly due to changes in night rather than daytime sleep duration. Night-time sleep duration was shortened by later bedtimes and earlier waking times. Frequent waking (3 or more times a night) was also evident among the children with ASD from 30 months of age. Age-specific decreases of >1SD within individuals in sleep duration across adjacent time points was a predictor of ASD between 18 months and 30 months of age (p=0.04) and from 30 months to 42 months (p=0.02). Conclusions Sleep duration in children with ASD is reduced from 30 months of age and persists until adolescence.</description><subject>Age Factors</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Autism</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Child Development Disorders, Pervasive - complications</subject><subject>Child Development Disorders, Pervasive - physiopathology</subject><subject>Child, Preschool</subject><subject>Childhood disintegrative disorder</subject><subject>Children</subject><subject>Complications and side effects</subject><subject>Development and progression</subject><subject>Developmental Delays</subject><subject>Developmental disorders</subject><subject>Educational Attainment</subject><subject>England</subject><subject>Female</subject><subject>General aspects</subject><subject>Health aspects</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Infant</subject><subject>Infantile autism</subject><subject>Insomnia</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Prevention and actions</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Sleep deprivation</subject><subject>Sleep Wake Disorders - etiology</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkkFv1DAQhSMEokvhLyBLCIlLYBw7icMBqVpRQKrUAyCOluNMNl4ldrCdQv99vc1SChc4WfJ880bz5mUZofCaUla9UV4PnQl6MGOXF0BZzoCDYA-yDeWVSF-cP8w2AMDyRghxkj0JYQ9ACyHY4-yk4FDRuq432bfPI-JMZhUjehuIseRW1aMlP0wciFqiCdFoEmbU0S8TSYOd79CHt0SR2bvbgrlCot3gfCQhLt310-xRr8aAz47vafb1_P2X7cf84vLDp-3ZRd6WDYu5BsqhLvpa1LxqGq41dIwJgRQYVEwgtm1RVrTigpeqr5UodKmY6kAoqArBTrN3q-68tBN2Gm30apSzN5Py19IpI_-sWDPInbuSrKGsoAeBV0cB774vGKKckrE4jsqiW4KkJeW8SLPov1HeQF1D2iShL_5C927xNjkhqUhHEJTROlH5Su3UiNJY7WzEn1G7ccQdymTU9lKesSQpaFmxxIuV18n14LG_25OCPARD3g-GPARDrsFIrc_v-3TX-CsJCXh5BFTQauy9stqE35yAhhXNgWMr1077_x9_A02n1Ig</recordid><startdate>20140201</startdate><enddate>20140201</enddate><creator>Humphreys, Joanna S</creator><creator>Gringras, Paul</creator><creator>Blair, Peter S</creator><creator>Scott, Nicola</creator><creator>Henderson, John</creator><creator>Fleming, Peter J</creator><creator>Emond, Alan M</creator><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>9YT</scope><scope>ACMMV</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20140201</creationdate><title>Sleep patterns in children with autistic spectrum disorders: a prospective cohort study</title><author>Humphreys, Joanna S ; Gringras, Paul ; Blair, Peter S ; Scott, Nicola ; Henderson, John ; Fleming, Peter J ; Emond, Alan M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b593t-c014072f78746994cc0d3388e1030638eebb256164845af7a82c5a3ad08a06283</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Age Factors</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Autism</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Child Development Disorders, Pervasive - complications</topic><topic>Child Development Disorders, Pervasive - physiopathology</topic><topic>Child, Preschool</topic><topic>Childhood disintegrative disorder</topic><topic>Children</topic><topic>Complications and side effects</topic><topic>Development and progression</topic><topic>Developmental Delays</topic><topic>Developmental disorders</topic><topic>Educational Attainment</topic><topic>England</topic><topic>Female</topic><topic>General aspects</topic><topic>Health aspects</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Infant</topic><topic>Infantile autism</topic><topic>Insomnia</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Original</topic><topic>Patient outcomes</topic><topic>Prevention and actions</topic><topic>Psychology. 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Study design Prospective longitudinal study using Avon Longitudinal Study of Parents and Children, an English cohort born in 1991–1992. Parental reports of sleep duration were collected by questionnaires at 8 time points from 6 months to 11 years. Children with an ASD diagnosis at age 11 years (n=73) were identified from health and education records. Results From aged 30 months to 11 years old, children with ASD slept for 17–43 min less each day than contemporary controls. No significant difference in total sleep duration was found in infancy, but from 30 months of age children with ASD slept less than their peers, a difference that remained significant after adjusting for sex, ethnicity, high parity and epilepsy. The reduction in total sleep was wholly due to changes in night rather than daytime sleep duration. Night-time sleep duration was shortened by later bedtimes and earlier waking times. Frequent waking (3 or more times a night) was also evident among the children with ASD from 30 months of age. Age-specific decreases of >1SD within individuals in sleep duration across adjacent time points was a predictor of ASD between 18 months and 30 months of age (p=0.04) and from 30 months to 42 months (p=0.02). Conclusions Sleep duration in children with ASD is reduced from 30 months of age and persists until adolescence.</abstract><cop>London</cop><pub>BMJ Publishing Group</pub><pmid>24061777</pmid><doi>10.1136/archdischild-2013-304083</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Attention deficit hyperactivity disorder Autism Biological and medical sciences Child Child clinical studies Child Development Disorders, Pervasive - complications Child Development Disorders, Pervasive - physiopathology Child, Preschool Childhood disintegrative disorder Children Complications and side effects Development and progression Developmental Delays Developmental disorders Educational Attainment England Female General aspects Health aspects Health Surveys Humans Infant Infantile autism Insomnia Logistic Models Longitudinal Studies Male Medical sciences Miscellaneous Original Patient outcomes Prevention and actions Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health. Hygiene Public health. Hygiene-occupational medicine Risk factors Sleep Sleep - physiology Sleep deprivation Sleep Wake Disorders - etiology Studies Surveys and Questionnaires |
| title | Sleep patterns in children with autistic spectrum disorders: a prospective cohort study |
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