Sleep Problems and Trajectories of Restricted and Repetitive Behaviors in Children with Neurodevelopmental Disabilities
- PDF / 1,236,396 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 89 Downloads / 199 Views
ORIGINAL PAPER
Sleep Problems and Trajectories of Restricted and Repetitive Behaviors in Children with Neurodevelopmental Disabilities Katherine E. MacDuffie1 · Jeffrey Munson2 · Jessica Greenson1 · Teresa M. Ward3 · Sally J. Rogers4 · Geraldine Dawson5 · Annette Estes1
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Sleep problems are prevalent in children with neurodevelopmental disabilities and are associated with the expression of restricted and repetitive behaviors (RRBs). Children (n = 57) with autism spectrum disorder (ASD, n = 38) or developmental delay (DD, n = 19) participated in multiple assessments of intellectual ability, ASD symptoms, and RRBs (3 timepoints for ASD, 2 for DD). Sleep problems assessed at age 4 via parent report were associated with trajectories of higher-order RRBs (sameness/ritualistic/compulsive behaviors) from age 2–6 in the ASD group, and from age 2–4 in the DD group, even after controlling for intellectual ability, social-affective symptoms, and anxiety. Trajectories of stereotyped/restricted behaviors were unrelated to sleep problems. Sleep problems were associated with trajectories of higher-order (but not lower-order) RRBs in a transdiagnostic sample. Keywords Sleep · Restricted behaviors · Repetitive behaviors · Anxiety · Autism spectrum disorder · Developmental delay · Neurodevelopmental disability Children with neurodevelopmental disabilities suffer from sleep problems at much higher rates than typically-developing children (Liu et al. 2006; Mannion et al. 2013; Maskey et al. 2013; Meltzer and Mindell 2008; Reynolds et al. 2019). Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10803-020-04438-y) contains supplementary material, which is available to authorized users. * Annette Estes [email protected] 1
Department of Speech and Hearing Science, UW Autism Center, University of Washington, Box 957920, Seattle, WA 98195, USA
2
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
3
Department of Psychosocial and Community Health Nursing, University of Washington, Seattle, WA, USA
4
University of CA–Davis (UC Davis) Medical Investigation of Neurodevelopmental Disorders (MIND) Institute, Sacramento, CA, USA
5
Department of Psychiatry and Behavioral Sciences, Duke Center for Autism and Brain Development and the Duke Institute for Brain Sciences, Duke University, Durham, NC, USA
Common sleep problems in this population include delayed sleep onset, early morning waking, repeated night awakenings, parasomnias (e.g., night terrors and sleepwalking), and reduced overall sleep duration (Cortesi et al. 2010; Kotagal and Broomall 2012; Reynolds and Malow 2011; Singh and Zimmerman 2015). If left untreated, these problems (alone or in combination) could impair a child’s ability to benefit from behavioral interventions and adversely affect developmental outcomes (Abel et al. 2018; Schreck et al. 2004). Sleep problems have been directly associated with t
Data Loading...
