Abstract
The course of sleep patterns over 2–3 years was compared between 16 school-age children with Asperger syndrome (AS) or high-functioning autism (HFA) and 16 age- and gender-matched typically developing children, using 1-week actigraphy at baseline and follow-up. At baseline (mean age 11.1 years), children with AS/HFA had longer sleep latency and lower sleep efficiency during school days, but earlier sleep start and sleep end during weekends. At follow-up (mean age 13.7 years), children with AS/HFA had longer night wakings and lower sleep efficiency during weekends than the controls. The overall change of sleep patterns, however, is similar in children with AS/HFA and typically developing controls over a 2 to 3-year period.
Similar content being viewed by others
References
Allik, H., Larsson, J. O., & Smedje, H. (2006a). Health-related quality of life in parents of school-age children with Asperger syndrome or high-functioning autism. Health and Quality of Life Outcomes, 4, 1.
Allik, H., Larsson, J. O., & Smedje, H. (2006b). Insomnia in school-age children with Asperger syndrome or high-functioning autism. BMC Psychiatry, 6(1), 18.
Allik, H., Larsson, J. O., & Smedje, H. (2006c). Sleep patterns of school-age children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders, 36(5), 585–595.
Anders, T. F., & Keener, M. (1985). Developmental course of nighttime sleep-wake patterns in full-term and premature infants during the first year of life. I. Sleep, 8(3), 173–192.
Carskadon, M. A. (1990). Patterns of sleep and sleepiness in adolescents. Pediatrician, 17, 5–12.
Couturier, J. L., Speechley, K. N., Steele, M., Norman, R., Stringer, B., & Nicolson, R. (2005). Parental perception of sleep problems in children of normal intelligence with pervasive developmental disorders: Prevalence, severity, and pattern. Journal of the American Academy of Child and Adolescent Psychiatry, 44(8), 815–822.
Gaina, A., Sekine, M., Chen, X., Hamanishi, S., & Kagamimori, S. (2004). Sleep parameters recorded by ActiwatchR in elementary school children and junior high school adolescents: Schooldays vs weekends. Sleep and Hypnosis, 6(2), 66–77.
Gaina, A., Sekine, M., Hamanishi, S., Chen, X., & Kagamimori, S. (2005). Gender and temporal differences in sleep-wake patterns in Japanese schoolchildren. Sleep, 28(3), 337–342.
Ghaziuddin, M., Weidmer-Mikhail, E., & Ghaziuddin, N. (1998). Comorbidity of Asperger syndrome: A preliminary report. Journal of Intellectual Disability Research, 42(Pt 4), 279–283.
Godbout, R., Bergeron, C., Limoges, E., Stip, E., & Mottron, L. (2000). A laboratory study of sleep in Asperger’s syndrome. Neuroreport, 11(1), 127–130.
Honomichl, R. D., Goodlin-Jones, B. L., Burnham, M., Gaylor, E., & Anders, T. F. (2002). Sleep patterns of children with pervasive developmental disorders. Journal of Autism and Developmental Disorders, 32(6), 553–561.
Jenni, O. G., & O’Connor, B. B. (2005). Children’s sleep: An interplay between culture and biology. Pediatrics, 115(1 Suppl), 204–216.
Laberge, L., Petit, D., Simard, C., Vitaro, F., Tremblay, R. E., & Montplaisir, J. (2001). Development of sleep patterns in early adolescence. Journal of Sleep Research, 10(1), 59–67.
Limoges, E., Mottron, L., Bolduc, C., Berthiaume, C., & Godbout, R. (2005). Atypical sleep architecture and the autism phenotype. Brain, 128(Pt 5), 1049–1061.
Lockley, S. W., Skene, D. J., & Arendt, J. (1999). Comparison between subjective and actigraphic measurement of sleep and sleep rhythms. Journal of Sleep Research, 8(3), 175–183.
Mindell, J. A., & Owens, J. A. (2003a). Sleep and medical disorders, a clinical guide to pediatric sleep. Diagnosis and management of sleep problems (pp. 191–204). Philadelphia: Lippincott Williams & Wilkins.
Mindell, J. A., & Owens, J. A. (2003b). Sleep and medications, a clinical guide to pediatric sleep. Diagnosis and management of sleep problems (pp. 169–182). Philadelphia: Lippincott Williams & Wilkins.
Oyane, N. M., & Bjorvatn, B. (2005). Sleep disturbances in adolescents and young adults with autism and Asperger syndrome. Autism, 9(1), 83–94.
Paavonen, E. J., Nieminen-von Wendt, T., Vanhala, R., Aronen, E. T., & von Wendt, L. (2003). Effectiveness of melatonin in the treatment of sleep disturbances in children with Asperger disorder. Journal of Child and Adolescent Psychopharmacology, 13(1), 83–95.
Paavonen, E. J., Vehkalahti, K., Vanhala, R., von Wendt, L., Nieminen-von Wendt, T., & Aronen, E. T. (2007). Sleep in children with Asperger syndrome. Journal of Autism and Developmental Disorders.
Patzold, L. M., Richdale, A. L., & Tonge, B. J. (1998). An investigation into sleep characteristics of children with autism and Asperger’s Disorder. Journal of Paediatrics and Child Health, 34(6), 528–533.
Richdale, A. L., & Prior, M. R. (1995). The sleep/wake rhythm in children with autism. European Child & Adolescent Psychiatry, 4(3), 175–186.
Sadeh, A., Raviv, A., & Gruber, R. (2000). Sleep patterns and sleep disruptions in school-age children. Developmental Psychology, 36(3), 291–301.
Scher, A., Epstein, R., & Tirosh, E. (2004). Stability and changes in sleep regulation: A longitudinal study from 3 months to 3 years. International Journal of Behavioral Development, 28(3), 268–274.
Scott, J. F., Baron-Cohen, S., Bolton, P., Brayne C. (2002). Brief report. Prevalence of autism spectrum conditions in children aged 5–11 years in Cambridgeshire, UK. Autism, 6, 231–237.
Tani, P., Lindberg, N., Nieminen-Von Wendt, T., Von Wendt, L., Alanko, L., Appelberg, B., & Porkka-Heiskanen, T. (2003). Insomnia is a frequent finding in adults with Asperger syndrome. BMC Psychiatry, 3(1), 12.
Tani, P., Lindberg, N., Nieminen-von Wendt, T., von Wendt, L., Alanko, L., Appelberg, B., & Porkka-Heiskanen, T. (2005). Actigraphic assessment of sleep in young adults with Asperger syndrome. Psychiatry and Clinical Neurosciences, 59(2), 206–208.
Tani, P., Lindberg, N., Nieminen-von Wendt, T., von Wendt, L., Virkkala, J., Appelberg, B., & Porkka-Heiskanen, T. (2004). Sleep in young adults with Asperger syndrome. Neuropsychobiology, 50(2), 147–152.
The Actiwatch Activity Monitoring System. (1999). Instructions for use and software manual. Cambridge: Cambridge Neurotechnology.
Webb, E., Morey, J., Thompsen, W., Butler, C., Barber, M., & Fraser, W. I. (2003). Prevalence of autistic spectrum disorder in children attending mainstream schools in a Welsh education authority. Developmental Medicine and Child Neurology, 45(6), 377–384.
Wiggs, L., & Stores, G. (2004). Sleep patterns and sleep disorders in children with autistic spectrum disorders: Insights using parent report and actigraphy. Developmental Medicine and Child Neurology, 46(6), 372–380.
Acknowledgment
Development of this paper was supported with funding from the Foundation of Majblommans Riksförbund.
Author information
Authors and Affiliations
Corresponding author
Additional information
There is one change in affiliation since the time of the study, namely, Hiie Allik has defended her thesis, and obtained a doctoral degree at the Karolinska Institutet, Stockholm, Sweden. Dr. Allik conducted this study in partial fulfilment of the requirements for a doctoral degree at the Karolinska Institutet, Stockholm, Sweden.
Rights and permissions
About this article
Cite this article
Allik, H., Larsson, JO. & Smedje, H. Sleep Patterns in School-age Children with Asperger Syndrome or High-functioning Autism: A Follow-up Study. J Autism Dev Disord 38, 1625–1633 (2008). https://doi.org/10.1007/s10803-008-0543-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-008-0543-0