@article{หล่อธีรพงศ์_พุทธิศรี_โอสถานนท์_2019, title={Sleep Disturbances and Associated Factors in Thai Children with Autism Spectrum Disorder}, volume={64}, url={https://he01.tci-thaijo.org/index.php/JPAT/article/view/198835}, abstractNote={<p>Objectives : This study aimed to explore sleep patterns, sleep disturbances, and their<br>associated factors in Thai children with ASD.<br>Methods : Data from 102 children aged 4-12 years at Yuwaprasart Waithayopathum Child and<br>Adolescent Psychiatric Hospital, Samut Prakan, Thailand were collected for this cross-sectional,<br>analytic study. Participants were children diagnosed with ASD who visited the outpatient<br>department during March and May 2018. Sleep disturbances were examined using the<br>children’s sleep habits questionnaire (CSHQ)- Thai version, reported by parents. Associated<br>factors studied included sleep practices and environment, emotional and behavioral problems,<br>using the strengths and difficulties questionnaire (SDQ), autism severity, comorbidities, and<br>medication. Pearson’s correlations and stepwise linear regression analysis were used to<br>determine predictors for overall sleep disturbances.<br>Results : Of the total 102 participants, 86.3% were male, with autism severity level ranging<br>from mild (50.0%), moderate (30.0%), to severe (20.0%), based on DSM-5. Most children had<br>disturbed sleep, with overall disturbances rates of 89.2%. Most common sleep domains were<br>bedtime resistance (57.0%), sleep anxiety (37.0%), and sleep disordered breathing (35.0%).<br>Results showed that younger parental age, absence of bedtime routine, higher SDQ difficulties<br>scores, and severe autism significantly associated with increased overall sleep disturbances.<br>Lower sleep disturbances were found in primary school children and methylphenidate users.<br>After stepwise linear regression analysis, total SDQ difficulties remained the strongest predictor<br>of overall sleep disturbances.<br>Conclusions : A large portion of autistic children were affected by sleep disturbances. Treatment<br>for ASD should always include management of sleep practices and factors that contribute to<br>sleep problems.</p>}, number={2}, journal={Journal of the Psychiatric Association of Thailand}, author={หล่อธีรพงศ์ พรรษพร and พุทธิศรี สุวรรณี and โอสถานนท์ วรามิศร์}, year={2019}, month={Jun.}, pages={149–162} }