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The developmental trajectory of parent-report and objective sleep profiles in autism spectrum disorder : associations with anxiety and bedtime routines.

Fletcher, F. E. and Foster-Owens, M. and Conduit, R. and Rinehart, N. J. and Riby, D. M. and Cornish, K. M. (2017) 'The developmental trajectory of parent-report and objective sleep profiles in autism spectrum disorder : associations with anxiety and bedtime routines.', Autism., 21 (4). pp. 493-503.

Abstract

The present study compared the course of parent-report and actigraphy-derived sleep profiles over a 1-year period, in school-age children with autism spectrum disorder and typically developing children. The Children’s Sleep Habits Questionnaire and 14 nights of actigraphy were used to assess sleep profiles. Parents also completed the Spence Children’s Anxiety Scale, the Social Worries Questionnaire and the Bedtime Routines Questionnaire. Between-group differences in parent-reported sleep problems were less pronounced at follow-up compared to baseline. The course of objective sleep was comparable between groups, with a significant reduction in sleep duration over time in both groups. Children with autism spectrum disorder were further characterised by significantly more night-to-night variability in sleep quality, across both time points. Reductions over time in parent-reported sleep problems were significantly associated with reduced anxiety. Reductions in actigraphy-derived sleep efficiency were associated with an increased frequency of maladaptive activities in the hour before bedtime, in both children with and without autism spectrum disorder.

Item Type:Article
Full text:(AM) Accepted Manuscript
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Status:Peer-reviewed
Publisher Web site:https://doi.org/10.1177/1362361316653365
Publisher statement:Fletcher, F. E., Foster-Owens, M., Conduit, R., Rinehart, N. J., Riby, D. M. and Cornish, K. M. (2017) 'The developmental trajectory of parent-report and objective sleep profiles in autism spectrum disorder : associations with anxiety and bedtime routines.', Autism., 21 (4). pp. 493-503. Copyright © 2016 The Author(s). Reprinted by permission of SAGE Publications.
Date accepted:09 May 2016
Date deposited:16 May 2016
Date of first online publication:26 June 2016
Date first made open access:16 May 2016

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