4.2 Article

Sleep Problems of Children with Autism May Independently Affect Parental Quality of Life

Journal

CHILD PSYCHIATRY & HUMAN DEVELOPMENT
Volume 52, Issue 3, Pages 488-499

Publisher

SPRINGER
DOI: 10.1007/s10578-020-01035-z

Keywords

Autism spectrum disorder; Sleep problem; Quality of life; Parent

Funding

  1. National Basic Research Program of China [2012CB517901]
  2. National Natural Science Foundation of China [81974217, 81601197]

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The study found that sleep problems in children with ASD have a negative impact on parental quality of life, particularly in terms of physical and mental health. These problems not only directly affect parents' health, but also have indirect effects on maternal physical health scores.
The current study explored how and to what extent sleep problems in children with autism spectrum disorder (ASD) impacted their parents' quality of life (QOL). A total of 440 ASD children and 344 age-matched typically developing (TD) children were included in the case-control designed study. In the TD group, a linear regression model showed that the Children's Sleep Habits Questionnaire (CSHQ) total scores were negatively associated with maternal mental health summary (MCS) scores in the SF-36v2 (beta = - 2.831), while in the ASD group, the CSHQ total scores were negatively associated with the parental physical health summary (PCS) scores (beta = - 3.030 for mothers, beta = - 3.651 for fathers). Path analysis showed that sleep problems in ASD children had both direct and indirect effects on maternal PCS scores. The results indicated that sleep problems in children with ASD might affect parental QOL differently from TD children, and act as independent impact factors on parental physical health.

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