Sleep status in children with autism spectrum disorder and its relationship with executive function and neurodevelopment
10.3969/j.issn.1006-2483.2026.01.036
- VernacularTitle:儿童孤独症谱系障碍睡眠情况与执行功能、神经发育的关系
- Author:
Xiaoyu CHEN
1
;
Yongmei ZHOU
1
;
Qin LIU
1
Author Information
1. Department of Neurology, The Third People's Hospital of Chengdu, Chengdu, Sichuan 610000, China
- Publication Type:Journal Article
- Keywords:
Autism spectrum disorder in children;
Sleep status;
Executive function;
Neurodevelopment
- From:
Journal of Public Health and Preventive Medicine
2026;37(1):167-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the sleep status in children with autism spectrum disorder (ASD) and its relationship with executive function and neurodevelopment. Methods The medical records of 346 children with ASD in the hospital from April 2023 to January 2025 were retrospectively collected. The sleep status of children was investigated by Children’ s Sleep Habits Questionnaire (CSHQ). According to the score, the children were divided into good sleep group (CSHQ score<41 points, 189 cases) and sleep disorder group (CSHQ score≥41 points, 157 cases). The general data were compared between groups of children. Chinese version of Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P) and developmental behavior assessment scale of children aged 0-6 years (Children's psychological scale-II) were used to analyze the relationship between sleep status and executive function and neurodevelopment in children with ASD. Results The CSHQ score of 346 children was (39.08±3.24) points, including 157 cases with CSHQ score≥41 points and 189 cases with CSHQ score<41 points. The proportion of severe previous medical history and executive function score in sleep disorder group were significantly higher than those in good sleep group, and the evaluation result of developmental quotient was lower than that in good sleep group (P<0.05). Logistic regression analysis showed that executive ability and neurodevelopment were closely related to sleep status in children with ASD (P<0.05). Spearman correlation analysis showed that sleep status in children with ASD was negatively correlated with executive function (r=-0.456, P<0.05), and was positively correlated with the developmental quotient (r=0.547, P<0.05). Conclusion The incidence rate of sleep disorder is high in children with ASD, and sleep status is closely related to executive function and neurodevelopment. Clinically, it is necessary to pay attention to the sleep problems in children with ASD, and take effective intervention measures to improve the sleep quality of children and promote the training of executive function and neurodevelopment.
