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The Impact of Cognitive Behavioral Therapy on Sleep Problems in Autistic Children with Co-occurring Anxiety.

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Title: The Impact of Cognitive Behavioral Therapy on Sleep Problems in Autistic Children with Co-occurring Anxiety.
Authors: Harris, Holly K. (AUTHOR), Kook, Minjee (AUTHOR), Boedeker, Peter (AUTHOR), Gusick, Andrew G. (AUTHOR), Lyons-Warren, Ariel M. (AUTHOR), Goin-Kochel, Robin P. (AUTHOR), Murali, Chaya (AUTHOR), Berry, Leandra N. (AUTHOR), Storch, Eric A. (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Feb2026, Vol. 56 Issue 2, p838-846. 9p.
Subjects: Sleep disorders treatment, Treatment of autism, Anxiety disorders treatment, Research funding, Secondary analysis, Questionnaires, Anxiety, Severity of illness index, Descriptive statistics, Sleep, Asperger's syndrome, Cognitive therapy, Factor analysis, Data analysis software, Evaluation, Children
Abstract: Purpose: This study seeks to examine the relationship between anxiety-symptom severity and sleep behaviors in autistic children receiving cognitive behavioral therapy (CBT). Methods: We conducted a secondary-data analysis from a sample of 93 autistic youth, 4 to 14 years, participating in 24 weeks of CBT. Clinicians completed the Pediatric Anxiety Rating Scale (PARS) and parents completed the Children's Sleep Habits Questionnaire, Abbreviated/Short Form (CSHQ-SF) at baseline, mid-treatment, post-treatment and 3 months post-treatment. Mediation analysis evaluated the role of anxiety symptoms in mediating the effect of time in treatment on sleep. Results: There was a negative association between time in treatment and scores on the CSHQ-SF (b = − 3.23, SE = 0.493, t = − 6.553, p < 0.001). Increased time in treatment was associated with decreased anxiety (b = − 4.66, SE = 0.405, t = − 11.507, p < 0.001), and anxiety symptoms decreased with CSHQ-SF scores (b = 0.322, SE = 0.112, t = 2.869, p = 0.005). The indirect effect of time in treatment on CSHQ-SF scores through PARS reduction was negative, but not statistically significant. Conclusion: Increased time in CBT was associated with decreased anxiety severity and improved sleep behaviors. Reductions in anxiety symptoms may mediate improvements in sleep problems, but larger sample sizes are necessary to explore this further. [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.)
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  Data: The Impact of Cognitive Behavioral Therapy on Sleep Problems in Autistic Children with Co-occurring Anxiety.
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  Data: Purpose: This study seeks to examine the relationship between anxiety-symptom severity and sleep behaviors in autistic children receiving cognitive behavioral therapy (CBT). Methods: We conducted a secondary-data analysis from a sample of 93 autistic youth, 4 to 14 years, participating in 24 weeks of CBT. Clinicians completed the Pediatric Anxiety Rating Scale (PARS) and parents completed the Children&#39;s Sleep Habits Questionnaire, Abbreviated/Short Form (CSHQ-SF) at baseline, mid-treatment, post-treatment and 3 months post-treatment. Mediation analysis evaluated the role of anxiety symptoms in mediating the effect of time in treatment on sleep. Results: There was a negative association between time in treatment and scores on the CSHQ-SF (b = − 3.23, SE = 0.493, t = − 6.553, p &lt; 0.001). Increased time in treatment was associated with decreased anxiety (b = − 4.66, SE = 0.405, t = − 11.507, p &lt; 0.001), and anxiety symptoms decreased with CSHQ-SF scores (b = 0.322, SE = 0.112, t = 2.869, p = 0.005). The indirect effect of time in treatment on CSHQ-SF scores through PARS reduction was negative, but not statistically significant. Conclusion: Increased time in CBT was associated with decreased anxiety severity and improved sleep behaviors. Reductions in anxiety symptoms may mediate improvements in sleep problems, but larger sample sizes are necessary to explore this further. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Autism &amp; Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10803-024-06309-2
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 838
    Subjects:
      – SubjectFull: Sleep disorders treatment
        Type: general
      – SubjectFull: Treatment of autism
        Type: general
      – SubjectFull: Anxiety disorders treatment
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Sleep
        Type: general
      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Factor analysis
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: The Impact of Cognitive Behavioral Therapy on Sleep Problems in Autistic Children with Co-occurring Anxiety.
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            – D: 01
              M: 02
              Text: Feb2026
              Type: published
              Y: 2026
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