Disruptive mealtime behaviors, parent health-related quality of life and family functioning, ABC subscales, and dietary supplements are significantly associated with insomnia symptoms in young children with autism spectrum disorder.
In a sample of 103 children with autism (mean age 5.8 years, 77.7% male), 33% scored ≥22 on the Pediatric Autism Insomnia Rating Scale (PAIRS). After adjusting for confounders, disruptive mealtime behaviors, parent health-related quality of life and family functioning, ABC subscales (especially hyperactivity/noncompliance), and dietary supplements were significantly associated with elevated insomnia symptoms.
Evidence Score
Study Evidence
Study 1. Clinical Correlates of Insomnia Symptoms in Young Children with Autism Spectrum Disorder.
observationalWenzell ML, Pulver SL, Scahill L, Davidson T, Rajagopal S, Gillespie S, Huang T, Griggs S, Roark C, Patil M, Patel M, Sharp WG · The Journal of pediatrics (2025)
Result:
Mechanism Graph
Limitations
- ⚠Cross-sectional design precludes causal inference
- ⚠Sample size of 103 is relatively small for multivariable modeling
- ⚠Reliance on parent-report measures may introduce bias
Frequently Asked Questions
What is the PAIRS threshold used in this study?▼
A PAIRS score of ≥22 was used to define clinically significant insomnia symptoms.
What were the strongest predictors of insomnia?▼
ABC hyperactivity/noncompliance, dietary supplements, and mealtime behaviors were the most significant predictors in the best subset model.
Were demographic factors like age or sex associated with insomnia?▼
No, there were no group differences in demographics, height, weight, or constipation.
Is this study interventional or observational?▼
It is an observational study examining correlates, not testing any intervention.
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References
- 1.Wenzell ML, Pulver SL, Scahill L, Davidson T, Rajagopal S, Gillespie S, Huang T, Griggs S, Roark C, Patil M, Patel M, Sharp WG. "Clinical Correlates of Insomnia Symptoms in Young Children with Autism Spectrum Disorder.." The Journal of pediatrics, 2025. PMID: 40962108 DOI: 10.1016/j.jpeds.2025.114812