Sleep and Challenging Behaviors in the Context of Intensive Behavioral Intervention for Children with Autism

This study examined the associations between sleep and challenging behaviors for average and night-to-night fluctuations in sleep, in 39 children with autism spectrum disorder (ASD) receiving intensive behavioral intervention (IBI). Child sleep was recorded (via actigraphy) for five nights in conjun...

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Published in:Journal of autism and developmental disorders Vol. 48; no. 11; pp. 3871 - 3884
Main Authors: Abel, Emily A., Schwichtenberg, A. J., Brodhead, Matthew T., Christ, Sharon L.
Format: Journal Article
Language:English
Published: New York Springer US 01.11.2018
Springer
Springer Nature B.V
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ISSN:0162-3257, 1573-3432, 1573-3432
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Abstract This study examined the associations between sleep and challenging behaviors for average and night-to-night fluctuations in sleep, in 39 children with autism spectrum disorder (ASD) receiving intensive behavioral intervention (IBI). Child sleep was recorded (via actigraphy) for five nights in conjunction with clinician-reported observations of challenging behaviors. Results indicated that on average, poor sleep was associated with higher rates of repetitive behavior, negative affect, and a composite of overall challenging behaviors. These findings suggest that average sleep patterns are important within the context of IBI (rather than night-to-night fluctuations). Interventions aimed at improving overall patterns of sleep may have important cascading effects on challenging behaviors and developmental outcomes for children with ASD and their families.
AbstractList This study examined the associations between sleep and challenging behaviors with average and day-to-day fluctuations in sleep, for 42 children with autism spectrum disorder receiving intensive behavioral intervention. Child sleep was recorded (via actigraphy) for five nights in conjunction with clinician-reported observations of challenging behaviors. Results indicated that on average, poor sleep was associated with higher rates of repetitive behavior, negative affect and overall challenging behaviors. However, only one significant association emerged for day-to-day fluctuations—children who woke more at night engaged in higher rates of self-injurious behaviors the following day. These findings suggest that average sleep patterns are more influential for challenging behaviors (when compared to daily fluctuations). Interventions aimed at improving sleep may have important cascading effects on challenging behaviors for children with ASD.
This study examined the associations between sleep and challenging behaviors for average and night-to-night fluctuations in sleep, in 39 children with autism spectrum disorder (ASD) receiving intensive behavioral intervention (IBI). Child sleep was recorded (via actigraphy) for five nights in conjunction with clinician-reported observations of challenging behaviors. Results indicated that on average, poor sleep was associated with higher rates of repetitive behavior, negative affect, and a composite of overall challenging behaviors. These findings suggest that average sleep patterns are important within the context of IBI (rather than night-to-night fluctuations). Interventions aimed at improving overall patterns of sleep may have important cascading effects on challenging behaviors and developmental outcomes for children with ASD and their families.
This study examined the associations between sleep and challenging behaviors for average and night-to-night fluctuations in sleep, in 39 children with autism spectrum disorder (ASD) receiving intensive behavioral intervention (IBI). Child sleep was recorded (via actigraphy) for five nights in conjunction with clinician-reported observations of challenging behaviors. Results indicated that on average, poor sleep was associated with higher rates of repetitive behavior, negative affect, and a composite of overall challenging behaviors. These findings suggest that average sleep patterns are important within the context of IBI (rather than night-to-night fluctuations). Interventions aimed at improving overall patterns of sleep may have important cascading effects on challenging behaviors and developmental outcomes for children with ASD and their families.This study examined the associations between sleep and challenging behaviors for average and night-to-night fluctuations in sleep, in 39 children with autism spectrum disorder (ASD) receiving intensive behavioral intervention (IBI). Child sleep was recorded (via actigraphy) for five nights in conjunction with clinician-reported observations of challenging behaviors. Results indicated that on average, poor sleep was associated with higher rates of repetitive behavior, negative affect, and a composite of overall challenging behaviors. These findings suggest that average sleep patterns are important within the context of IBI (rather than night-to-night fluctuations). Interventions aimed at improving overall patterns of sleep may have important cascading effects on challenging behaviors and developmental outcomes for children with ASD and their families.
Audience Academic
Author Brodhead, Matthew T.
Christ, Sharon L.
Abel, Emily A.
Schwichtenberg, A. J.
AuthorAffiliation 2 Department of Educational Studies, Purdue University, West Lafayette, USA
1 Department of Human Development and Family Studies, Purdue University, 1202 West State Street, West Lafayette, IN, USA
3 Present Address: Department of Counseling, Educational, Psychology, and Special Education, Michigan State University, East Lansing, USA
AuthorAffiliation_xml – name: 1 Department of Human Development and Family Studies, Purdue University, 1202 West State Street, West Lafayette, IN, USA
– name: 2 Department of Educational Studies, Purdue University, West Lafayette, USA
– name: 3 Present Address: Department of Counseling, Educational, Psychology, and Special Education, Michigan State University, East Lansing, USA
Author_xml – sequence: 1
  givenname: Emily A.
  surname: Abel
  fullname: Abel, Emily A.
  email: emilyabel@purdue.edu
  organization: Department of Human Development and Family Studies, Purdue University
– sequence: 2
  givenname: A. J.
  orcidid: 0000-0002-8920-6798
  surname: Schwichtenberg
  fullname: Schwichtenberg, A. J.
  organization: Department of Human Development and Family Studies, Purdue University
– sequence: 3
  givenname: Matthew T.
  surname: Brodhead
  fullname: Brodhead, Matthew T.
  organization: Department of Educational Studies, Purdue University, Department of Counseling, Educational Psychology, and Special Education, Michigan State University
– sequence: 4
  givenname: Sharon L.
  surname: Christ
  fullname: Christ, Sharon L.
  organization: Department of Human Development and Family Studies, Purdue University
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Issue 11
Keywords Actigraphy
Sleep
Autism spectrum disorder
Challenging behavior
Repetitive behavior
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  year: 2015
  ident: 3648_CR68
  publication-title: PLoS ONE
  doi: 10.1371/journal.pone.0128273
– volume: 47
  start-page: 930
  issue: 8
  year: 2008
  ident: 3648_CR28
  publication-title: Journal of the American Academy of Child & Adolescent Psychiatry
  doi: 10.1097/CHI.0b013e3181799f7c
– volume: 29
  start-page: 1563
  issue: 12
  year: 2006
  ident: 3648_CR105
  publication-title: Sleep
  doi: 10.1093/sleep/29.12.1563
– volume: 46
  start-page: 537
  year: 2002
  ident: 3648_CR18
  publication-title: Journal of Intellectual Disability Research
  doi: 10.1046/j.1365-2788.2002.00404.x
– volume: 36
  start-page: 585
  year: 2006
  ident: 3648_CR4
  publication-title: Journal of Autism and Developmental Disorders
  doi: 10.1007/s10803-006-0099-9
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Snippet This study examined the associations between sleep and challenging behaviors for average and night-to-night fluctuations in sleep, in 39 children with autism...
This study examined the associations between sleep and challenging behaviors with average and day-to-day fluctuations in sleep, for 42 children with autism...
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SubjectTerms Actigraphy
Aggression
Algorithms
Applied Behavior Analysis
Autism
Autism Spectrum Disorder - psychology
Autism Spectrum Disorder - therapy
Autism Spectrum Disorders
Autistic children
Averages
Behavior
Behavior modification
Behavior Patterns
Behavior Problems
Behavior therapy
Behavior Therapy - methods
Behavioral Science and Psychology
Care and treatment
Child
Child and School Psychology
Child Behavior
Child, Preschool
Children
Circadian rhythm
Complications and side effects
Correlation
Departments
Educational Psychology
Emotions
Exceptional children
Female
Humans
Indexes
Injuries
Intensive treatment
Intervention
Laboratory Equipment
Male
Methods
Negative emotions
Neurosciences
OriginalPaper
Parents
Pediatrics
Periodicals
Pervasive Developmental Disorders
Problem Behavior
Psychological Patterns
Psychology
Public Health
Repetitive behaviour
Risk factors
Self Destructive Behavior
Sleep
Sleep disorders in children
Social Problems
Stereotyped Behavior
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Title Sleep and Challenging Behaviors in the Context of Intensive Behavioral Intervention for Children with Autism
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Volume 48
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