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Child Psychiatry Hum Dev. 2016 Apr;47(2):248-58. doi: 10.1007/s10578-015-0561-z.

Sleep Disturbances and Associated Factors in Chinese Children with Autism Spectrum Disorder: A Retrospective and Cross-Sectional Study.

Author information

1
Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institution, Shanghai Children's Medical Center, Shanghai, 200127, China. wang-guanghai@163.com.
2
School of Psychology and Cognitive Science, East China Normal University, Shanghai, 200062, China. wang-guanghai@163.com.
3
Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC, USA. wang-guanghai@163.com.
4
School of Management, Zunyi Medical University, Zunyi, 563003, China.
5
School of Psychology and Cognitive Science, East China Normal University, Shanghai, 200062, China. gxxu@psy.ecnu.edu.cn.
6
Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institution, Shanghai Children's Medical Center, Shanghai, 200127, China. riversailer@hotmail.com.
7
Research and Counseling Center of Applied Psychology, Shenzhen University, Shenzhen, 518060, China.
8
Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC, USA.

Abstract

Sleep disturbances in children with autism spectrum disorder (ASD) exist worldwide, but little is known about this issue in non-Western cultures. This study aimed to characterize sleep disturbances in Chinese children with ASD and to examine associated sociodemographic factors and emotional/behavioral problems. Parents of 60 Chinese children with ASD (aged 6-17 years) from Shenzhen, China completed the Children's Sleep Habits Questionnaire (CSHQ), and the Strengths and Difficulties Questionnaire (SDQ). Sleep disturbances were severe and common, with rates of 70.0% for overall disturbances and 15.0% (daytime sleepiness) to 40.0% (sleep duration) for specific domains. The severity and rate of sleep disturbances were higher compared to previous studies in typically developing children from the same region of China and American children with ASD, respectively. Further, there were significant correlations between most CSHQ and SDQ domains. Female gender, older parental age, higher hyperactivity, and poorer prosocial behavior were associated with increased overall sleep disturbances.

KEYWORDS:

Autism spectrum disorder; Chinese children; Emotional/behavioral problems; Sleep disturbances

PMID:
26072264
DOI:
10.1007/s10578-015-0561-z
[Indexed for MEDLINE]

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