Sleep Disturbances and Co-Sleeping in Italian Children and Adolescents with Autism Spectrum Disorder

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Bibliographic Details
Title: Sleep Disturbances and Co-Sleeping in Italian Children and Adolescents with Autism Spectrum Disorder
Language: English
Authors: Serena Scarpelli (ORCID 0000-0002-9260-7111), Deny Menghini, Valentina Alfonsi, Francesca Giumello, Ludovica Annarumma, Maurizio Gorgoni, Giovanni Valeri, Mariella Pazzaglia, Luigi De Gennaro, Stefano Vicari
Source: Journal of Autism and Developmental Disorders. 2025 55(11):4137-4152.
Availability: Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 16
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: Sleep, Children, Adolescents, Predictor Variables, Intelligence Quotient, Mental Disorders, Parents, Stress Variables, Age Differences, Child Behavior, Well Being, Mental Health, Foreign Countries, Autism Spectrum Disorders
Geographic Terms: Italy (Rome)
Assessment and Survey Identifiers: Leiter International Performance Scale, Raven Progressive Matrices, Wechsler Intelligence Scale for Children, Autism Diagnostic Observation Schedule, Childhood Autism Rating Scale, Child Behavior Checklist, Parenting Stress Index
DOI: 10.1007/s10803-024-06507-y
ISSN: 0162-3257
1573-3432
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 ([approximately] 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.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1493006
Database: ERIC
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Description
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 ([approximately] 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.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-024-06507-y