Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses
Few habilitation strategies for children with autism spectrum disorder (ASD) consider their sleep-related problems. Together with the fact that caregivers of children with ASD also face issues with sleep, there may be yet-to-be uncovered relationships between caregiver-child sleep patterns and sleep...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2022.915060/full |
| _version_ | 1828074895089598464 |
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| author | Wasmiah Bin Eid Mengyu Lim Giulio Gabrieli Melanie Kölbel Melanie Kölbel Elizabeth Halstead Gianluca Esposito Dagmara Dimitriou |
| author_facet | Wasmiah Bin Eid Mengyu Lim Giulio Gabrieli Melanie Kölbel Melanie Kölbel Elizabeth Halstead Gianluca Esposito Dagmara Dimitriou |
| author_sort | Wasmiah Bin Eid |
| collection | DOAJ |
| description | Few habilitation strategies for children with autism spectrum disorder (ASD) consider their sleep-related problems. Together with the fact that caregivers of children with ASD also face issues with sleep, there may be yet-to-be uncovered relationships between caregiver-child sleep patterns and sleep quality, offering a key opportunity for clinicians to consider the needs of both child and caregiver in terms of sleep. 29 dyads of mothers and their children with ASD were recruited for this cohort study and both subjective (self-report questionnaires and sleep diaries) and objective (cortisol samples and actigraphy) measures of sleep were collected to investigate significant predictors of sleep quality. Comparative, correlational, and hierarchical analyses were conducted. Findings indicated that both mother and child experience sleep deprivation in terms of shorter sleep duration and poor sleep quality in terms of longer sleep onset latencies and a higher frequency of wake bouts. Exploratory hierarchical analyses also found that child-related sleep difficulties such as sleep disordered breathing and night waking significantly predict mothers’ sleep quality, which may point to the bi-directional influence of mother-child sleep. Based on these findings, it is recommended that clinicians adopt a family systems perspective and consider the sleep environment of the household, particularly that of the caregiver and child, when designing interventions for sleep-related problems in ASD. Finally, there is a need for additional support to promote good quality sleep among caregivers of children with ASD to bolster out-of-clinic care. |
| first_indexed | 2024-04-11T01:50:19Z |
| format | Article |
| id | doaj.art-e1574e0bba8941e4a77f68623f399081 |
| institution | Directory Open Access Journal |
| issn | 2673-6861 |
| language | English |
| last_indexed | 2024-04-11T01:50:19Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj.art-e1574e0bba8941e4a77f68623f3990812023-01-03T06:55:04ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-09-01310.3389/fresc.2022.915060915060Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analysesWasmiah Bin Eid0Mengyu Lim1Giulio Gabrieli2Melanie Kölbel3Melanie Kölbel4Elizabeth Halstead5Gianluca Esposito6Dagmara Dimitriou7Sleep Education and Research Laboratory, UCL Institute of Education, London, UKPsychology Program, School of Social Sciences, Nanyang Technological University, SingaporePsychology Program, School of Social Sciences, Nanyang Technological University, SingaporeSleep Education and Research Laboratory, UCL Institute of Education, London, UKDepartment of Developmental Neurosciences Unit, UCL Great Ormond Street Institute of Child Health, London, UKSleep Education and Research Laboratory, UCL Institute of Education, London, UKAffiliative Behaviour and Physiology Lab, Department of Psychology and Cognitive Science, University of Trento, ItalySleep Education and Research Laboratory, UCL Institute of Education, London, UKFew habilitation strategies for children with autism spectrum disorder (ASD) consider their sleep-related problems. Together with the fact that caregivers of children with ASD also face issues with sleep, there may be yet-to-be uncovered relationships between caregiver-child sleep patterns and sleep quality, offering a key opportunity for clinicians to consider the needs of both child and caregiver in terms of sleep. 29 dyads of mothers and their children with ASD were recruited for this cohort study and both subjective (self-report questionnaires and sleep diaries) and objective (cortisol samples and actigraphy) measures of sleep were collected to investigate significant predictors of sleep quality. Comparative, correlational, and hierarchical analyses were conducted. Findings indicated that both mother and child experience sleep deprivation in terms of shorter sleep duration and poor sleep quality in terms of longer sleep onset latencies and a higher frequency of wake bouts. Exploratory hierarchical analyses also found that child-related sleep difficulties such as sleep disordered breathing and night waking significantly predict mothers’ sleep quality, which may point to the bi-directional influence of mother-child sleep. Based on these findings, it is recommended that clinicians adopt a family systems perspective and consider the sleep environment of the household, particularly that of the caregiver and child, when designing interventions for sleep-related problems in ASD. Finally, there is a need for additional support to promote good quality sleep among caregivers of children with ASD to bolster out-of-clinic care.https://www.frontiersin.org/articles/10.3389/fresc.2022.915060/fullautismASDsleepmaternal sleepchild sleepcortisol |
| spellingShingle | Wasmiah Bin Eid Mengyu Lim Giulio Gabrieli Melanie Kölbel Melanie Kölbel Elizabeth Halstead Gianluca Esposito Dagmara Dimitriou Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses Frontiers in Rehabilitation Sciences autism ASD sleep maternal sleep child sleep cortisol |
| title | Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses |
| title_full | Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses |
| title_fullStr | Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses |
| title_full_unstemmed | Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses |
| title_short | Habilitation of sleep problems among mothers and their children with autism spectrum disorder: Insights from multi-level exploratory dyadic analyses |
| title_sort | habilitation of sleep problems among mothers and their children with autism spectrum disorder insights from multi level exploratory dyadic analyses |
| topic | autism ASD sleep maternal sleep child sleep cortisol |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2022.915060/full |
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