|
1
|
Goldman SE, Alder ML, Burgess HJ, Corbett BA, Hundley R, Wofford D, Fawkes DB, Wang L, Laudenslager ML, Malow BA. Characterizing Sleep in Adolescents and Adults with Autism Spectrum Disorders. J Autism Dev Disord 2017; 47:1682-1695. [PMID: 28286917 DOI: 10.1007/s10803-017-3089-1] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
We studied 28 adolescents/young adults with autism spectrum disorders (ASD) and 13 age/sex matched individuals of typical development (TD). Structured sleep histories, validated questionnaires, actigraphy (4 weeks), and salivary cortisol and melatonin (4 days each) were collected. Compared to those with TD, adolescents/young adults with ASD had longer sleep latencies and more difficulty going to bed and falling asleep. Morning cortisol, evening cortisol, and the morning-evening difference in cortisol did not differ by diagnosis (ASD vs. TD). Dim light melatonin onsets (DLMOs) averaged across participants were not different for the ASD and TD participants. Average participant scores indicated aspects of poor sleep hygiene in both groups. Insomnia in ASD is multifactorial and not solely related to physiological factors.
Collapse
Affiliation(s)
- S E Goldman
- Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232-2551, USA
| | - M L Alder
- Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232-2551, USA
| | - H J Burgess
- Departments of Behavioral Sciences & Internal Medicine, Rush University Medical Center, Chicago, USA
| | - B A Corbett
- Department of Psychiatry and Kennedy Center, Vanderbilt University School of Medicine, Nashville, USA
| | - R Hundley
- Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, USA
| | - D Wofford
- Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232-2551, USA
| | - D B Fawkes
- Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232-2551, USA
| | - L Wang
- Department of Biostatistics, Vanderbilt University School of Medicine, Nashville, USA
| | - M L Laudenslager
- Behavioral Immunology and Endocrinology Laboratory, Department of Psychiatry, University of Colorado Anschutz Medical Campus, Denver, CO, USA
| | - B A Malow
- Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232-2551, USA.
| |
Collapse
|