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Gepubliceerd in:
28-11-2023 | Original Paper
From Alert Child to Sleepy Adolescent: Age Trends in Chronotype, Social Jetlag, and Sleep Problems in Youth with Autism
Auteurs: Briana J. Taylor, Kahsi A. Pedersen, Carla A. Mazefsky, Martine A. Lamy, Charles F. Reynolds III, William R. Strathmann, Matthew Siegel
Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2024
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Abstract
Purpose
Developmental changes in sleep in youth with autism spectrum disorder (ASD) are understudied. In non-ASD youth, adolescents exhibit a “night owl chronotype” (i.e., later sleep/wake timing) and social jetlag (i.e., shifts in sleep timing across school nights and weekends), with corresponding sleep problems. The purpose of this study is to evaluate age trends in chronotype, social jetlag, and sleep problems in high-risk youth with ASD.
Methods
Youth with ASD (N = 171), ages 5–21 years old, were enrolled at the time of admission to specialized psychiatric units. Caregivers reported children’s demographic information, habitual sleep timing, and sleep problems. Multivariate analyses evaluated the effect of age on chronotype, social jetlag, and sleep problems and the effects of chronotype and social jetlag on sleep problems. Covariates and moderators included sex, race, verbal ability, autism symptom severity, supplemental melatonin, and pubertal status.
Results
Older age was associated with later chronotype, more social jetlag, fewer sleep anxiety/co-sleeping problems, fewer night waking and parasomnia problems, and more daytime alertness problems. The effect of age on chronotype was stronger for youth with greater social affective symptom severity. Mediation analyses showed that later chronotype statistically mediated the association between age and daytime alertness problems.
Conclusions
Youth with ASD may exhibit night owl chronotype behavior and social jetlag as they enter adolescence. Shifts toward a later chronotype may be exacerbated by autism severity and may contribute to alertness problems and sleepiness during the day. Chronotype is modifiable and may be leveraged to improve daytime functioning in youth with ASD.
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Metagegevens
- Titel
- From Alert Child to Sleepy Adolescent: Age Trends in Chronotype, Social Jetlag, and Sleep Problems in Youth with Autism
- Auteurs
-
Briana J. Taylor
Kahsi A. Pedersen
Carla A. Mazefsky
Martine A. Lamy
Charles F. Reynolds III
William R. Strathmann
Matthew Siegel
- Publicatiedatum
- 28-11-2023
- Uitgeverij
- Springer US
- Gepubliceerd in
-
Journal of Autism and Developmental Disorders
/ Uitgave 12/2024
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432 - DOI
- https://doi.org/10.1007/s10803-023-06187-0
