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Sleep mediates the relationship between having an autistic child and poor family functioning.

Sleep medicine2023

Nic Ghiolla Phadraig Aobh, Smyth Sinéad

What this study means for families

This study looked at how sleep problems affect families with autistic children compared to families with typical children. Researchers found that autistic children have more sleep troubles, which affects their parents' sleep and how well the whole family functions together. When children sleep poorly, parents also sleep poorly, and this creates stress for the entire family. The findings suggest that helping autistic children sleep better could improve life for the whole family.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This cross-sectional study examined sleep patterns and family functioning in 239 families with autistic children compared to 227 families with typically developing children. Results confirmed that autistic children experience more sleep difficulties than their peers, and these sleep problems impact both parental sleep quality and overall family functioning. The study found that poor sleep quality in both children and parents partially explains why families with autistic children often experience reduced family functioning. This research highlights the interconnected nature of sleep difficulties within families affected by autism and suggests that addressing sleep issues could potentially improve family wellbeing.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Autistic children experience more sleep difficulties than typically developing peers

    Confidence: moderateRelevance: Sleep assessment should be routine in autism evaluations
  • 2

    Children's sleep disturbances are associated with reduced parental sleep quality

    Confidence: moderateRelevance: Sleep interventions may benefit whole family, not just the child
  • 3

    Both child and parent sleep quality partially mediate the relationship between autism diagnosis and family functioning

    Confidence: moderateRelevance: Targeting sleep could be an effective approach to improve family outcomes

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Sleep difficulties should be assessed and addressed as part of comprehensive autism care. Family-centered sleep interventions may provide benefits beyond the individual child. Healthcare providers should consider the cascading effects of sleep problems on entire family systems when developing treatment plans.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Study design unclear from abstract. Cross-sectional nature limits causal inferences. Reliance on parent-reported measures may introduce bias. No information provided about autism severity, comorbidities, or other family factors that could influence results.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Sleep is an important biological necessity, a lack of which can have many cognitive, psychological, social, and physical impacts. Children with autism are known to present with sleep difficulties more frequently than their typically developing peers but despite this, there is relatively little research looking at the impact of sleep on the family. To investigate the effect of sleep on families of autistic and typically developing (TD) children, we conducted a study of sleep disturbances among children, sleep quality of their parents in association with their family function. In our study, 239 parents of autistic children and 227 parents of TD children participated.

These parents completed a survey about their child's sleep disturbances, their own sleep quality, and their family function, along with a series of demographic questions. Analyses indicated that autistic children experience more sleep difficulties than TD peers, that children's sleep disturbances are associated with parental sleep quality and that parents of autistic children report decreased sleep quality compared to parents of TD children. Parental sleep quality, and child sleep quality were both found to partially mediate the relationship between autism diagnosis and family function.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Sleep medicine
Year
2023
PMID
36402004
DOI
10.1016/j.sleep.2022.10.014

MeSH Terms

ChildHumansAutistic DisorderParentsSurveys and QuestionnairesSleepSleep Wake Disorders