How Do Sleep Disturbances Relate to Daytime Functions, Care-related Quality of Life, and Parenting Interactions in Mothers of Children with Autism Spectrum Disorder?
Poor mom sleep predicts next-day fatigue, low mood, and harsher parenting—so screen and treat sleep before teaching new skills.
01Research in Context
What this study did
Lee et al. (2023) asked moms of kids with autism to carry a phone for 10 days. Each day the moms logged how they slept and how the next day went.
The team looked at daytime energy, mood, and how frustrated moms felt during parenting moments.
What they found
On days after moms slept poorly, they woke up tired, felt worse, and snapped at their kids more often.
The worse the sleep, the rougher the next day across the board.
How this fits with other research
Lovell et al. (2021) already showed that caregiver sleep problems drive physical health issues. Hye’s team moves the lens from doctor visits to hour-by-hour mom life.
Seymour et al. (2013) found that fatigue, not bad coping, links child behaviors to mom stress. Hye adds that poor sleep is the engine behind that fatigue.
Wang et al. (2025) used the same daily-diary trick in Chinese families. They swapped sleep for stress and coping, yet still saw next-day mood swings, proving the method catches real-life swings.
Why it matters
You can’t fix parenting skills if mom is running on empty. Start every parent training with a two-question sleep screen: “How did you sleep last night?” and “Do you wake up tired?” If the answer is bad, pause skill teaching and link to sleep resources first. A rested mom absorbs strategies; an exhausted mom just hears noise.
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02At a glance
03Original abstract
Sleep disturbance is prevalent in caregivers and associated with negative physical, mental, and functional outcomes. This study examined the effects of sleep disturbance on daytime functions (sleepiness, fatigue, mood, cognitive alertness), care-related quality of life, and daily parenting interactions in 20 mothers of children with autism spectrum disorder for 10 consecutive days using ecological momentary assessment design. Participants responded about daytime functions four times and care-related quality of life and daily parenting interactions once using an online survey. Sleep disturbance was significantly related to all daytime functions and frustration with childcare. Therefore, development of sleep hygiene interventions is warranted to effectively reduce the impact of sleep disturbance and enable these mothers to better tackle daily physical and mental challenges.
Journal of autism and developmental disorders, 2023 · doi:10.1016/j.pedn.2016.07.009