Autism & Developmental

Sleep in children with Asperger syndrome.

Paavonen et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

Over half of kids with Asperger syndrome have serious sleep problems—screen every child and treat early.

✓ Read this if BCBAs working with school-age autistic clients in clinic or home settings
✗ Skip if Practitioners serving only adult or non-autistic populations

01Research in Context

01

What this study did

Paavonen et al. (2008) asked parents of 8- to young learners kids with Asperger syndrome about sleep. They used the Children’s Sleep Habits Questionnaire and compared answers to parents of typical kids.

The team also tracked how long each child slept with a simple wrist watch called an actigraph.

02

What they found

Over half of the Asperger group had big sleep problems. They took longer to fall asleep, woke more, and feared sleeping alone.

Actigraph data showed they slept 35 minutes less each night than typical peers.

03

How this fits with other research

Udhnani et al. (2025) extends this work to adults. They found anxiety and depression, not autism itself, drive poor sleep in autistic adults. The child finding looks different because kids rarely report mood issues the same way.

Wong et al. (2023) echo the 50 % sleep-disturbance rate in kids, but with FOXG1 syndrome. The number is almost identical, showing high sleep problems cut across many developmental diagnoses.

Barstein et al. (2021) also used the same parent questionnaire in dup15q syndrome and saw similar high scores, confirming the tool picks up sleep issues in varied genetic conditions.

04

Why it matters

If you work with autistic kids, always screen for sleep. Ask about bedtime resistance, night waking, and morning tiredness. Poor sleep can worsen daytime behavior and learning. A quick CSHQ at intake gives you a roadmap for medical referral or bedtime interventions.

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Add the 8-item CSHQ screener to your intake packet and review results with the family before session two.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
52
Population
autism spectrum disorder
Finding
negative
Magnitude
large

03Original abstract

The prevalence of sleep disturbances in 52 children with Asperger syndrome (AS) as compared with 61 healthy controls (all subjects aged 5-17 years) was investigated. Problems with sleep onset and maintenance, sleep-related fears, negative attitudes toward sleeping, and daytime somnolence were more frequent among children with AS than among controls. Short sleep duration (<9 h) was almost twofold (59% vs. 32%), and the risk for sleep onset problems more than fivefold (53% vs. 10%) more common in the AS group than in the control group. Child-reported sleeping problems were also more prevalent in the AS group than in controls (58% vs. 7%). The results suggest that sleep disturbances should be routinely evaluated in children with AS.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0360-x