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Title: Habilitation of sleep problems among mothers and their children with autism spectrum disorder: insights from multi-level exploratory dyadic analyses
Authors: Bin Eid, Wasmiah
Lim, Mengyu
Gabrieli, Giulio
Kölbel, Melanie
Halstead, Elizabeth
Esposito, Gianluca
Dmitrou, Dagmara
Keywords: Social sciences
Social sciences::Psychology
Issue Date: 2022
Source: Bin Eid, W., Lim, M., Gabrieli, G., Kölbel, M., Halstead, E., Esposito, G. & Dmitrou, D. (2022). Habilitation of sleep problems among mothers and their children with autism spectrum disorder: insights from multi-level exploratory dyadic analyses. Frontiers in Rehabilitation Sciences, 3.
Journal: Frontiers in Rehabilitation Sciences 
Abstract: 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.
ISSN: 2673-6861
DOI: 10.3389/fresc.2022.915060
Schools: School of Social Sciences 
Departments: Division of Psychology 
Rights: © 2022 Bin Eid, Lim, Gabrieli, Kölbel, Halstead, Esposito and Dimitriou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Fulltext Permission: open
Fulltext Availability: With Fulltext
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