"Sleep Patterns and EEG Structure in Youth With Autism: Links With Behavior and Parental Stress"
NCT ID: NCT07122388
Last Updated: 2025-08-14
Study Results
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Basic Information
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ACTIVE_NOT_RECRUITING
187 participants
OBSERVATIONAL
2020-06-01
2025-08-10
Brief Summary
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The sample consists of 187 patients, aged between 3 and 16 years, whose sleep data were collected over a ten-year period, from 2003 to 2013. In addition to polysomnographic parameters, the study will incorporate a wide range of behavioral and parental stress-related variables. These will be assessed using validated, standardized instruments, including the Sleep Disturbance Scale for Children (SDSC), Autism Diagnostic Interview-Revised (ADI-R), Autism Diagnostic Observation Schedule-2 (ADOS-2), Child Behavior Checklist (CBCL), and the Parenting Stress Index - Short Form (PSI-SF).
By integrating objective sleep data with behavioral and psychosocial measures, this study aims to provide a more nuanced understanding of the nature and extent of sleep disturbances in individuals with ASD. Particular attention will be paid to identifying potential correlations between specific sleep alterations (e.g., changes in sleep efficiency, REM latency, arousals, or cyclic alternating patterns) and behavioral symptoms or parental stress profiles.
Ultimately, the findings are expected to contribute to the development of more precise and individualized diagnostic frameworks, as well as inform evidence-based therapeutic strategies. These insights could be of considerable clinical relevance, given the high prevalence of sleep disorders in the ASD population and their significant impact on daytime functioning, emotional regulation, and family quality of life.
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Autism spectrum disorder
Subjects with SRS-2 positive screening and confirmed by ADOS-2 evaluation
Questionnaires about autism spectrum disorders and sleep and PSG.
Recruitment of subjects with autism spectrum disorder at all developmental ages and of all severity levels.
ADOS-2, ADI-R, SRS-2, PSG
Recruitment of subjects with autism spectrum disorder at all developmental ages and all severity levels.
Interventions
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Questionnaires about autism spectrum disorders and sleep and PSG.
Recruitment of subjects with autism spectrum disorder at all developmental ages and of all severity levels.
ADOS-2, ADI-R, SRS-2, PSG
Recruitment of subjects with autism spectrum disorder at all developmental ages and all severity levels.
Eligibility Criteria
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Inclusion Criteria
* Age: 3-18 years
* Sex: Both male and female
* Individuals with Autism Spectrum Disorder, including both verbal and non-verbal subjects
* Individuals with Autism Spectrum Disorder, with or without a comorbid genetic syndrome or other neurodevelopmental disorders
Exclusion Criteria
* Epilepsy
* Age under 3 years or over 18 years
* Comorbidity with another severe psychiatric disorder (e.g., psychosis, schizophrenia)
3 Years
18 Years
ALL
Yes
Sponsors
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University of Campania Luigi Vanvitelli
OTHER
Responsible Party
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Marco Carotenuto
Full Professor of Child Neuropsychiatry
Locations
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University of Campania Luigi Vanvitelli
Napoli, Napoli, Italy
Countries
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References
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Marotta R, Risoleo MC, Messina G, Parisi L, Carotenuto M, Vetri L, Roccella M. The Neurochemistry of Autism. Brain Sci. 2020 Mar 13;10(3):163. doi: 10.3390/brainsci10030163.
Voci A, Mazzone L, De Stefano D, Valeriani M, Bruni O, Moavero R. Restless sleep disorder in a sample of children and adolescents with autism spectrum disorder: preliminary results from a case series. J Clin Sleep Med. 2024 Mar 1;20(3):427-432. doi: 10.5664/jcsm.10902.
Belli A, Breda M, Di Maggio C, Esposito D, Marcucci L, Bruni O. Children with neurodevelopmental disorders: how do they sleep? Curr Opin Psychiatry. 2022 Sep 1;35(5):345-351. doi: 10.1097/YCO.0000000000000790. Epub 2022 Feb 15.
Bernardi K, Prono F, Bruni G, Panerai S, Ferri R, Bruni O. Sleep disturbances in subjects with autism spectrum disorder: A parental perspective. Sleep Med. 2023 Oct;110:220-224. doi: 10.1016/j.sleep.2023.08.020. Epub 2023 Aug 23.
Bruni O, Breda M, Mammarella V, Mogavero MP, Ferri R. Sleep and circadian disturbances in children with neurodevelopmental disorders. Nat Rev Neurol. 2025 Feb;21(2):103-120. doi: 10.1038/s41582-024-01052-9. Epub 2025 Jan 8.
Scahill L, Johnson CR, Wenzell ML, Barto LM, Mulligan A, Williams AT, Johnson LM, Gillespie SE, Lecavalier L. Clinical and Demographic Correlates of Insomnia Symptoms in Children with Autism Spectrum Disorder. J Autism Dev Disord. 2025 Jul 31. doi: 10.1007/s10803-025-06944-3. Online ahead of print. No abstract available.
Other Identifiers
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217
Identifier Type: -
Identifier Source: org_study_id
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