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Sleep Disturbances and Co-sleeping in Italian Children and Adolescents with Autism Spectrum Disorder.
Scarpelli, Serena; Menghini, Deny; Alfonsi, Valentina; Giumello, Francesca; Annarumma, Ludovica; Gorgoni, Maurizio; Valeri, Giovanni; Pazzaglia, Mariella; De Gennaro, Luigi; Vicari, Stefano.
Afiliación
  • Scarpelli S; Department of Psychology, Sapienza University of Rome, Rome, Italy. serena.scarpelli@uniroma1.it.
  • Menghini D; Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Alfonsi V; Department of Psychology, Sapienza University of Rome, Rome, Italy.
  • Giumello F; Department of Psychology, Sapienza University of Rome, Rome, Italy.
  • Annarumma L; Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Gorgoni M; IRCCS Fondazione Santa Lucia, Rome, Italy.
  • Valeri G; Department of Psychology, Sapienza University of Rome, Rome, Italy.
  • Pazzaglia M; IRCCS Fondazione Santa Lucia, Rome, Italy.
  • De Gennaro L; Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
  • Vicari S; Department of Psychology, Sapienza University of Rome, Rome, Italy.
J Autism Dev Disord ; 2024 Aug 08.
Article en En | MEDLINE | ID: mdl-39115746
ABSTRACT
The current study aimed (1) to provide an analysis of the frequency and prevalence of sleep disturbances in a large Italian sample of children and adolescents with ASD, detecting specific predictors of the presence/absence of sleep disorders, (2) to examine the phenomenon of co-sleeping within a subgroup of participants with ASD. A total of 242 children and adolescents with ASD (194 males, mean age 5.03 ± 3.15 years) were included. After the diagnostic procedure, caregivers were requested to complete the Sleep Disturbance Scale for Children (SDSC) to assess sleep disorders among participants. The presence of co-sleeping was investigated in a subgroup of 146 children and adolescents with ASD. An elevated or clinically relevant global score for sleep disorders (≥ 60) was found in 33% of participants. The most prevalent sleep disorder in our group was related to difficulties with sleep onset and sleep maintenance (~ 41% of cases). Sleep disturbances were predicted by higher intelligence quotient (IQ)/developmental quotient (DQ), increased internalizing problems, and elevated parental stress. The subgroup of participants engaged in co-sleeping (N = 87) were younger and had lower IQ/DQ scores, reduced adaptive functioning, and diminished psychological wellbeing than the non-co-sleeping group. Our findings are consistent with the current literature highlighting that insomnia is the most widespread sleep problem associated with ASD. The relationship between IQ/DQ and sleep alterations is a crucial topic that deserves additional research. Future studies should assess sleep by objective measures such as EEG topography to better understand the mechanisms underlying sleep alterations in this neurodevelopmental disorder.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Autism Dev Disord Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Autism Dev Disord Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos