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Anxiety, Insomnia, and Napping Predict Poorer Sleep Quality in an Autistic Adult Population

Sullivan, EC; Halstead, EJ; Ellis, JG; Dimitriou, D; (2021) Anxiety, Insomnia, and Napping Predict Poorer Sleep Quality in an Autistic Adult Population. International Journal of Environmental Research and Public Health , 18 (18) , Article 9883. 10.3390/ijerph18189883. Green open access

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Abstract

Autistic adults have a high prevalence of sleep problems and psychiatric conditions. In the general population sleep problems have been associated with a range of demographic and lifestyle factors. Whether the same factors contribute to different types of disturbed sleep experienced by autistic adults is unknown and served as the main aim of this study. An online survey was conducted with 493 autistic adults. Demographic information (e.g., age, gender), about lifestyle (e.g., napping), and information about comorbid conditions was collected. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality and the Epworth Sleepiness Scale (ESS) was used to assess daytime somnolence. Stepwise multiple regression analyses were used to examine predictors of each subscale score on the PSQI, as well as PSQI and ESS total scores. Results indicated that individuals who reported having a diagnosis of anxiety and insomnia were more likely to have poorer sleep quality outcomes overall. Furthermore, individuals who reported habitually napping had higher daytime dysfunction, increased sleep disturbances, and increased daytime sleepiness. These results provide novel insights into the demographic and lifestyle factors that influence sleep quality and daytime somnolence in autistic adults and can be used for targeted sleep interventions.

Type: Article
Title: Anxiety, Insomnia, and Napping Predict Poorer Sleep Quality in an Autistic Adult Population
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/ijerph18189883
Publisher version: https://doi.org/10.3390/ijerph18189883
Language: English
Additional information: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Keywords: sleep quality; daytime sleepiness; autistic adults; demographic factors; lifestyle factors
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10135162
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