Sleep Disturbances and Co-sleeping in Italian Children and Adolescents with Autism Spectrum Disorder.

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Title: Sleep Disturbances and Co-sleeping in Italian Children and Adolescents with Autism Spectrum Disorder.
Authors: Scarpelli, Serena (AUTHOR), Menghini, Deny (AUTHOR), Alfonsi, Valentina (AUTHOR), Giumello, Francesca (AUTHOR), Annarumma, Ludovica (AUTHOR), Gorgoni, Maurizio (AUTHOR), Valeri, Giovanni (AUTHOR), Pazzaglia, Mariella (AUTHOR), De Gennaro, Luigi (AUTHOR), Vicari, Stefano (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Nov2025, Vol. 55 Issue 11, p4137-4152. 16p.
Subjects: Risk assessment, Cross-sectional method, Child psychopathology, Research funding, Autism, Parent-child relationships, Questionnaires, Logistic regression analysis, Descriptive statistics, Multivariate analysis, Child Behavior Checklist, Analysis of variance, Asperger's syndrome, Sleep disorders, Co-sleeping, Disease risk factors, Disease complications, Adolescence, Children
Geographic Terms: Italy
Abstract: The current study aimed (1) to provide an analysis of the frequency and prevalence of sleep disturbances in a large Italian sample of children and adolescents with ASD, detecting specific predictors of the presence/absence of sleep disorders, (2) to examine the phenomenon of co-sleeping within a subgroup of participants with ASD. A total of 242 children and adolescents with ASD (194 males, mean age 5.03 ± 3.15 years) were included. After the diagnostic procedure, caregivers were requested to complete the Sleep Disturbance Scale for Children (SDSC) to assess sleep disorders among participants. The presence of co-sleeping was investigated in a subgroup of 146 children and adolescents with ASD. An elevated or clinically relevant global score for sleep disorders (≥ 60) was found in 33% of participants. The most prevalent sleep disorder in our group was related to difficulties with sleep onset and sleep maintenance (~ 41% of cases). Sleep disturbances were predicted by higher intelligence quotient (IQ)/developmental quotient (DQ), increased internalizing problems, and elevated parental stress. The subgroup of participants engaged in co-sleeping (N = 87) were younger and had lower IQ/DQ scores, reduced adaptive functioning, and diminished psychological wellbeing than the non-co-sleeping group. Our findings are consistent with the current literature highlighting that insomnia is the most widespread sleep problem associated with ASD. The relationship between IQ/DQ and sleep alterations is a crucial topic that deserves additional research. Future studies should assess sleep by objective measures such as EEG topography to better understand the mechanisms underlying sleep alterations in this neurodevelopmental disorder. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Sleep Disturbances and Co-sleeping in Italian Children and Adolescents with Autism Spectrum Disorder.
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  Data: <searchLink fieldCode="AR" term="%22Scarpelli%2C+Serena%22">Scarpelli, Serena</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Menghini%2C+Deny%22">Menghini, Deny</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alfonsi%2C+Valentina%22">Alfonsi, Valentina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Giumello%2C+Francesca%22">Giumello, Francesca</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Annarumma%2C+Ludovica%22">Annarumma, Ludovica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gorgoni%2C+Maurizio%22">Gorgoni, Maurizio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Valeri%2C+Giovanni%22">Valeri, Giovanni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pazzaglia%2C+Mariella%22">Pazzaglia, Mariella</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Gennaro%2C+Luigi%22">De Gennaro, Luigi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vicari%2C+Stefano%22">Vicari, Stefano</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Nov2025, Vol. 55 Issue 11, p4137-4152. 16p.
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– Name: Abstract
  Label: Abstract
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  Data: The current study aimed (1) to provide an analysis of the frequency and prevalence of sleep disturbances in a large Italian sample of children and adolescents with ASD, detecting specific predictors of the presence/absence of sleep disorders, (2) to examine the phenomenon of co-sleeping within a subgroup of participants with ASD. A total of 242 children and adolescents with ASD (194 males, mean age 5.03 ± 3.15 years) were included. After the diagnostic procedure, caregivers were requested to complete the Sleep Disturbance Scale for Children (SDSC) to assess sleep disorders among participants. The presence of co-sleeping was investigated in a subgroup of 146 children and adolescents with ASD. An elevated or clinically relevant global score for sleep disorders (≥ 60) was found in 33% of participants. The most prevalent sleep disorder in our group was related to difficulties with sleep onset and sleep maintenance (~ 41% of cases). Sleep disturbances were predicted by higher intelligence quotient (IQ)/developmental quotient (DQ), increased internalizing problems, and elevated parental stress. The subgroup of participants engaged in co-sleeping (N = 87) were younger and had lower IQ/DQ scores, reduced adaptive functioning, and diminished psychological wellbeing than the non-co-sleeping group. Our findings are consistent with the current literature highlighting that insomnia is the most widespread sleep problem associated with ASD. The relationship between IQ/DQ and sleep alterations is a crucial topic that deserves additional research. Future studies should assess sleep by objective measures such as EEG topography to better understand the mechanisms underlying sleep alterations in this neurodevelopmental disorder. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10803-024-06507-y
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Cross-sectional method
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      – SubjectFull: Child psychopathology
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      – SubjectFull: Research funding
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      – SubjectFull: Autism
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      – SubjectFull: Questionnaires
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Multivariate analysis
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      – SubjectFull: Child Behavior Checklist
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      – SubjectFull: Analysis of variance
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      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Italy
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              M: 11
              Text: Nov2025
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