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Relationship Between Children’s Sleep and Mental Health in Mothers of Children with and Without Autism

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Abstract

The study employed 90 children with autism spectrum disorders (ASDs) who were matched to 90 typically developing children on age, gender, and ethnicity. Using structural equation modeling, maternal sleep and maternal stress mediated the relationship between children’s sleep and mothers’ mental health for mothers of children with and without ASDs. Mothers of children with ASDs reported more problems related to children’s sleep, their own sleep, greater stress, and poorer mental health; however, children’s sleep and maternal sleep were more closely related to maternal stress for mothers of typically developing children. Implications of these findings and future directions for research are discussed.

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References

  • Abbeduto, L., Seltzer, M. M., Shattuck, P., Krauss, M. W., Orsmond, G., & Murphy, M. M. (2004). Psychological well-being and coping in mothers of youths with autism, down syndrome, or fragile X syndrome. American Journal on Mental Retardation, 109, 237–254. doi:10.1352/0895-8017(2004)109<237:PWACIM>2.0.CO;2.

    Article  PubMed  Google Scholar 

  • Abidin, R. R. (1995). Parenting stress index: Professional manual (3rd ed.). Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research. Psychiatry Research, 28(2), 193–213. doi:10.1016/0165-1781(89)90047-4.

    Article  PubMed  Google Scholar 

  • Byars, K. C., Yeomans-Maldonado, G., & Noll, J. G. (2011). Parental functioning and pediatric sleep disturbance: An examination of factors associated with parenting stress in children clinically referred for evaluation of insomnia. Sleep Medicine, 12(9), 898–905. doi:10.1016/j.sleep.2011.05.002.

    Article  PubMed  Google Scholar 

  • Derogatis, L. R., & Spencer, M. S. (1982). The brief symptom inventory (BSI): Administration, scoring and procedures manual—1. Baltimore: Johns Hopkins University School of Medicine, Clinical Psychometrics Research Unit.

    Google Scholar 

  • Derogatis, L. R., Lipman, R. S., & Covi, L. (1973). SCL-90: An outpatient psychiatric rating scale-preliminary report. Psychopharmacological Bulletin, 9, 13–25.

    Google Scholar 

  • Doo, S., & Wing, Y. K. (2006). Sleep problems of children with pervasive developmental disorders: Correlation with parental stress. Developmental Medicine and Child Neurology, 48, 650–655. doi:10.1017/S001216220600137X.

    Article  PubMed  Google Scholar 

  • Eckerberg, B. B. (2004). Treatment of sleep problems in families with young children: Effects of treatment on family well-being. Acta Paediatrica, 93, 126–134.

    Article  PubMed  Google Scholar 

  • Fredriksen, K., Rhodes, J., Reddy, R., & Way, N. (2004). Sleepless in Chicago: Tracking the effects of adolescent sleep loss during the middle school years. Child Development, 75, 84–95. doi:10.1111/j.1467-8624.2004.00655.x.

    Article  PubMed  Google Scholar 

  • Gilliam, J. E. (2005). Gilliam autism rating scale-second edition. Austin: Pro-Ed.

    Google Scholar 

  • Goldman, S. E., Surdyka, K., Cuevas, R., Adkins, K., Wang, L., & Malow, B. A. (2009). Defining the sleep phenotype in children with autism. Developmental Neuropsychology, 34, 560–573. doi:10.1080/87565640903133509.

    Article  PubMed  Google Scholar 

  • Gray, D., & Holden, W. (1992). Psycho-social well-being among the parents of children with autism. Journal of Intellectual and Developmental Disability, 18(2), 83–93. doi:10.1080/07263869200034841.

    Article  Google Scholar 

  • Hastings, R. P. (2003). Child behaviour problems and partner mental health as correlates of stress in mothers and fathers of children with autism. Journal of Intellectual Disability Research, 47, 231–237. doi:10.1046/j.1365-2788.2003.00485.x.

    Article  PubMed  Google Scholar 

  • Hauck, Y. L., Hall, W. A., Dhaliwal, S. S., Bennett, E., & Wells, G. (2012). The effectiveness of an early parenting intervention for mothers with infants with sleep and settling concerns: A prospective non-equivalent before-after design. Journal of Clinical Nursing, 21, 52–62. doi:10.1111/j.1365-2702.2011.03734.x.

    Article  PubMed  Google Scholar 

  • Heller, T., Hsieh, K., & Rowitz, L. (1997). Maternal and paternal caregiving of persons with mental retardation across the lifespan. Family Relations, 46, 407–415. doi:10.2307/585100.

    Article  Google Scholar 

  • Hiscock, H., Bayer, J., Hampton, A., Ukoumunne, O., & Wake, M. (2008). Long-term mother and child mental health effects of a population-based infant sleep intervention: Cluster-randomized, controlled trial. Pediatrics, 122, 621–627.

    Article  Google Scholar 

  • Hodge, D., Parnell, A. M. N., Hoffman, C. D., & Sweeney, D. P. (2012). Methods for assessing sleep in children with autism spectrum disorders: A review. Research in Autism Spectrum Disorders, 6, 1337–1344. doi:10.1016/j.rasd.2012.05.009.

    Article  Google Scholar 

  • Hoffman, C., Sweeney, D. P., Gilliam, J. E., Apodaca, D. D., Lopez-Wagner, M. C., & Castillo, M. M. (2005). Sleep problems and symptomology in children with autism. Focus on Autism and Other Developmental Disabilities, 20(4), 194–200. doi:10.1177/10883576050200040101.

    Article  Google Scholar 

  • Hoffman, C. D., Sweeney, D. P., Gilliam, J. E., & Lopez-Wagner, M. C. (2006). Sleep problems in children with autism and in typically developing children. Focus on Autism and Other Developmental Disabilities, 21, 146–152. doi:10.1177/10883576060210030301.

    Article  Google Scholar 

  • Hoffman, C. D., Sweeney, D. P., Lopez-Wagner, M., Hodge, D., Nam, C. Y., & Botts, B. H. (2008). Children with autism: Sleep problems and mother’s stress. Focus on Autism and Other Developmental Disabilities,. doi:10.1177/1088357608316271.

    Google Scholar 

  • 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, 553–561. doi:10.1023/A:1021254914276.

    Article  PubMed  Google Scholar 

  • Jean-Louis, G., Magai, C. M., Cohen, C. I., Zizi, F., von Gizycki, H., DiPalma, J., et al. (2001). Ethnic differences in self-reported sleep problems in older adults. Sleep, 24, 926–933.

    PubMed  Google Scholar 

  • Krakowiak, P., Goodlin-Jones, B., Hertz-Picciotto, I., Croen, L. A., & Hansen, R. L. (2008). Sleep problems in children with autism spectrum disorders, developmental delays, and typical development: A population-based study. Journal of Sleep Research, 17, 197–206. doi:10.1111/j.1365-2869.2008.00650.x.

    Article  PubMed  Google Scholar 

  • Lam, P., Hisock, H., & Wake, M. (2003). Outcomes of infant sleep problems: A longitudinal study of sleep, behavior, and maternal well-being. Pediatrics, 111, 203–207. doi:10.1542/peds.111.3.e203.

    Article  Google Scholar 

  • Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50(3), 172–183. doi:10.1111/j.1365-2788.2005.00732.x.

    Article  PubMed  Google Scholar 

  • Lopez-Wagner, M. C., Hoffman, C. D., Sweeney, D. P., Hodge, D., & Gilliam, J. E. (2008). Sleep problems of parents of typically developing children and parents of children with autism. The Journal of Genetic Psychology, 169, 245–259. doi:10.3200/GNTP.169.3.245-260.

    Article  PubMed  Google Scholar 

  • Maruish, M. E. (1999). Symptom Assessment-45 Questionnaire (SA-45). In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (2nd ed., pp. 725–757). Mahwah: Lawrence Erlbaum.

    Google Scholar 

  • Meltzer, L. J. (2011). Factors associated with depressive symptoms of parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 361–367. doi:10.1016/j.rasd.2010.05.001.

    Article  Google Scholar 

  • Mindell, J., Telofski, L., Wiegand, B., & Kurtz, E. (2009). A nightly bedtime routine: Impact on sleep in young children and maternal mood. Sleep, 32(5), 599–606.

    PubMed  Google Scholar 

  • Monroe, S. M., & Simons, A. D. (1991). Diathesis-stress theories in the context of life stress research: Implications for the depressive disorders. Psychological Bulletin, 110, 406–425. doi:10.1037/0033-2909.110.3.406.

    Article  PubMed  Google Scholar 

  • Montes, G., & Halterman, J. S. (2007). Psychological functioning and coping among mothers of children with autism: A population-based study. Pediatrics, 119, 1040–1046. doi:10.1542/peds.2006-2819.

    Article  Google Scholar 

  • Murphy, P. J., Rogers, N. L., & Campbell, S. S. (2000). Age differences in the spontaneous termination of sleep. Journal of Sleep Research, 9, 27–34. doi:10.1046/j.1365-2869.2000.00185.x.

    Article  PubMed  Google Scholar 

  • Owens, J. A., Spirito, A., & McGuinn, M. (2000). The children’s sleep habits questionnaire (CSHQ): Psychometric properties of a survey instrument for school-aged children. Sleep, 23, 1043–1051. doi:10.1097/00004703-200002000-00004.

    PubMed  Google Scholar 

  • Piven, J., & Palmer, P. (1999). Psychiatric disorder and the broad autism phenotype: Evidence from a family study of multiple-incidence autism families. American Journal of Psychiatry, 156, 557–563.

    PubMed  Google Scholar 

  • Profant, J., Ancoli-Israel, S., & Dimsdale, J. E. (2002). Are there ethnic differences in sleep architecture? American Journal of Human Biology, 14, 321–326. doi:10.1002/ajhb.10032.

    Article  PubMed  Google Scholar 

  • Reid, J. M., Walter, A. L., & O’Leary, S. G. (1999). Treatment of young children’s bedtime refusal and nighttime waking: A comparison of “standard” and graduated ignoring procedures. Journal of Abnormal Child Psychology, 27, 5–16.

    Article  PubMed  Google Scholar 

  • Richdale, A., Gavidia-Payne, S., Francis, A., & Cotton, S. (2000). Stress, behavior, and sleep problems in children with an intellectual disability. Journal of Intellectual and Developmental Disability, 25, 147–161.

    Article  Google Scholar 

  • Schreck, K. A., Mulick, J. A., & Smith, A. F. (2004). Sleep problems as possible predictors of intensified symptoms of autism. Research in Developmental Disabilities, 25, 57–66. doi:10.1016/j.ridd.2003.04.007.

    Article  PubMed  Google Scholar 

  • Shang, C. Y., Gau, S. S. F., & Soong, W. T. (2006). Association between childhood sleep problems and perinatal factors, parental mental distress and behavioral problems. Journal of Sleep Research, 15, 63–73. doi:10.1111/j.1365-2869.2006.00492.x.

    Article  PubMed  Google Scholar 

  • Sivertsen, B., Posserud, M., Gillberg, C., Lundervold, A., & Hysing, M. (2012). Sleep problems in children with autism spectrum problems: A longitudinal population-based study. Autism The International Journal of Research and Practice, 16, 139–150. doi:10.1177/1362361311404255.

    Article  PubMed  Google Scholar 

  • Souders, M. C., Mason, T. B., Valladares, O., Bucan, M., Levy, S. E., Mandell, D. S., et al. (2009). Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep, 32, 1566–1578.

    PubMed  Google Scholar 

  • Stoneman, Z. (1997). Mental retardation and family adaptation. In W. E. MacLean (Ed.), Ellis’ handbook of mental deficiency, psychological theory and research (pp. 405–437). Mahwah: Erlbaum.

    Google Scholar 

  • Strategic Advantage Inc. (1998). Symptom assessment-45 questionnaire (SA-45) technical manual. Toronto: Multi-Health Systems.

    Google Scholar 

  • Sweeney, D. P., & Hoffman, C. D. (2004). Research issues in Autism Spectrum Disorders. In R. B. Rutherford, M. M. Quinn, & S. R. Mathur (Eds.), Handbook of research in emotional & behavioral disorders (pp. 302–317). New York: Guilford.

    Google Scholar 

  • Viswesvaran, C. (2001). Symptom Assessment-45 Questionnaire. In I. B. S. Plake (Ed.), The fourteenth mental measurements yearbook (pp. 1209–1211). Lincoln: Buros Institute of Mental Measurements.

    Google Scholar 

  • Wiggs, L., & Stores, G. (2001). Behavioural treatment for sleep problems in children with severe learning disabilities and challenging daytime behavior: Effect on daytime behaviour. Journal of Child Psychology and Psychiatry, 40, 627–635.

    Article  Google Scholar 

  • 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, 372–380. doi:10.1017/S0012162204000611.

    Article  PubMed  Google Scholar 

  • Yirmiya, N., & Shaked, M. (2005). Psychiatric disorders in parents of children with autism: A meta-analysis. Journal of Child Psychology and Psychiatry, 46, 69–83. doi:10.1111/j.1469-7610.2004.00334.x.

    Article  PubMed  Google Scholar 

  • Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126. doi:10.1037/0021-843X.86.2.103.

    Article  PubMed  Google Scholar 

  • Zuckerman, M. (1999). Diathesis-stress models. In: Vulnerability to psychopathology: A biosocial model (pp. 3–23). Washington, DC US: American Psychological Association. doi:10.1037/10316-001.

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Acknowledgments

We would like to acknowledgement that this manuscript is based, in part, on a dissertation submitted by the first author in partial fulfillment of Ph.D. requirements.

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Correspondence to Danelle Hodge.

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Hodge, D., Hoffman, C.D., Sweeney, D.P. et al. Relationship Between Children’s Sleep and Mental Health in Mothers of Children with and Without Autism. J Autism Dev Disord 43, 956–963 (2013). https://doi.org/10.1007/s10803-012-1639-0

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