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Sleep Problems Influence Emotional/Behavioral Symptoms and Repetitive Behavior in Preschool-Aged Children With Autism Spectrum Disorder in the Unique Social Context of China

Bibliographic Data

ID15524449
AuthorsYu-Qi Kang (Tianjin Medical University), Xiao-rong Song (Tianjin Medical University), Gengfu Wang (0009-0004-3493-9611, Tianjin Medical University), Geng-Fu Wang, Yuanyuan Su (0000-0003-2058-275X, Tianjin Medical University), Yuan-Yuan Su, Peiying Li (0000-0002-5721-9914, Tianjin Medical University), Pei-Ying Li, Xin Zhang (0000-0003-0184-5868, Tianjin Medical University, corresponding author)
Year2020
Volume11
Pages273-273
Publication date2020-04-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2020.00273
PMID32372982
OpenAlexW3017264767
LanguageEN
Citations received3
References cited53

Sleep disturbances are common in people with autism spectrum disorder (ASD), but research on this topic is still limited in China. In the current study, we evaluated the prevalence of sleep problems in preschool-aged children with ASD and to examine the correlations between sleep disturbances and emotional/behavioral symptoms and repetitive behavior in the unique social context of China. This study recruited 475 preschool-aged children aged 3-6 years old, including 252 children with ASD (mean age 5.13 ± 1.15, 80.6% male) and 223 age-matched typically developing (TD) children (mean age 5.12 ± 0.97, 74.9% male). The parents of all children completed a sociodemographic questionnaire and the Childhood Sleep Habits Questionnaire. The parents of 114 ASD children completed the Strengths and Difficulties Questionnaire (SDQ) and the Repetitive Behavioral Questionnaire-2 (RBQ-2). The prevalence of sleep problems in preschool-aged children with ASD in this study was 81.7%, which was higher than that in TD children (61.0%). The scores for bedtime resistance, sleep anxiety, sleep duration, parasomnias, and sleep onset delay in the ASD group were significantly higher than those in the TD group (t=-7.664, P =0.000; t=-10.477, P =0.000; t=-4.133, P =0.000; Z=-3.916, P =0.000; Z=-7.093, P =0.000; respectively). Sleep onset delay explained 17.3% of the variance (adjusted R 2 = 0.173) in the total SDQ score of children with ASD, and bedtime resistance explained a large proportion of total RBQ-2 score variance (adjusted R 2 = 0.206). The high rate of sleep disturbances in preschool-aged children with ASD emphasizes the importance of screening for sleep problems in this population. Attention should also be directed toward formulating good sleep hygiene practices for preschool-aged children in the particular social context and cultural setting of China

Anxiety · Autism · Autism spectrum disorder · Bedtime · Context (archaeology · Mental health · Psychiatry · Sleep (system call · Strengths and Difficulties Questionnaire · Autism Spectrum Disorder Research · Child Nutrition and Feeding Issues · Clinical Psychology · Family and Disability Support Research · Medicine · Psychology · Pediatrics

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Unique citing works3
Citations per year0,75
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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