Children With Autism: Sleep Problems and Mothers' Stress

Hoffman, Charles D.; Sweeney, Dwight P.; Lopez-Wagner, Muriel C.; Hodge, Danelle; Nam, Cindy Y.; Botts, Betsy H.

doi:10.1177/1088357608316271

Cited by 109Family and Disability Support ResearchAutism Spectrum Disorder ResearchSleep and related disorders

Children With Autism: Sleep Problems and Mothers' Stress

Hoffman, Charles D., Sweeney, Dwight P., Lopez-Wagner, Muriel C., Hodge, Danelle, Nam, Cindy Y., Botts, Betsy H.·2008·Focus on Autism and Other Developmental Disabilities

DOI 10.1177/1088357608316271

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Abstract

Parenting a child with autism has been associated with maternal stress. The present investigation examined children's sleep difficulties and severity of autism along with mothers' sleep problems in relation to stress levels reported by mothers ( N = 72). Mothers' reports of their children's sleep problems were related to mothers' reports of their own sleep difficulties and to the severity of children's autistic symptoms. Severity of autism was predictive of mothers' stress. After controlling for child age and gender, mothers' sleep, and severity of autism, children's sleep was a significant predictor ( p < .001) of maternal stress. Findings suggest including children's sleep problems along with their symptomatic behavior when examining factors that contribute to stress in mothers of children with autism.

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Left untreated, co-occurring neuropsychiatric conditions can have detrimental and potentially catastrophic impacts on ASD individuals and their families, including decreased quality of life, increased stress, hindered educational and employment opportunities, and increased risk of suicidality.
“Left untreated, these co-occuring conditions can have detrimental and potentially catastrophic impacts on ASD individuals and their families, such as decreased quality of life and increased stress, hindered educational and employment opportunities and increased risk of suicidality [12–21].”
From Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms (2025) · cites this paper as [15]
Parents of children with ASD and sleep difficulties suffer a lower quality of life with heightened parent stress, anxiety, and depressive symptoms than average.
“Parents of children with ASD and sleep difficulties suffer a lower quality of life with heightened parent stress, anxiety, and depressive symptoms than average [14, 15].”
From Pharmacological treatment in autism: a proposal for guidelines on common co-occurring psychiatric symptoms (2025) · cites this paper as [15]

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Children with Autism: Sleep Problems and Predictors of Maternal Stress
Nam, C. Y. (2007) · The Scholars Repository - LLU (Loma Linda University)
Self-citation
Sleep Problems in Young Children with Autism Spectrum Disorders: A Study of Parenting Stress, Mothers' Sleep‐Related Cognitions, and Bedtime Behaviors
Levin, A., & Scher, A. (2016) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.12651 · Cited by 91 · see citing works
Relationship Between Children’s Sleep and Mental Health in Mothers of Children with and Without Autism
Hodge, D., Hoffman, C. D., Sweeney, D. P., & Riggs, M. L. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1639-0 · Cited by 103 · see citing works
Self-citation
Sleep Problems in Children with ASD and Mothers’ Stress: the Mediating Role of Mother’s Quality of Life and Moderator Role of Mother’s Resilience
Saad, M. A. E. (2025) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-025-07011-7 · Cited by 4 · see citing works
Associations Between Child Sleep Problem Severity and Maternal Well-Being in Children with Autism Spectrum Disorder
Martin, C. A., Sciberras, E., Papadopoulos, N. V., Engel, L., Hiscock, H., Williams, K. J., Howlin, P., McGillivray, J., & Rinehart, N. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04726-7 · Cited by 21 · see citing works

Authors: Hoffman, C. D., Sweeney, D. P., Lopez-Wagner, M. C., Hodge, D., Nam, C. Y., & Botts, B. H.
Affiliations: California State University, San Bernardino (US)
Loma Linda University (US)
University of West Florida (US)
Corresponding author: Hoffman, Charles D.
Venue: Focus on Autism and Other Developmental Disabilities
Publisher: SAGE Publications
Published: 2008-06-11
Volume: 23
Issue: 3
Pages: 155-165
ISSN: 0887-1566 (ISSN-L)
1088-3576
1538-4829
DOI: 10.1177/1088357608316271
OpenAlex: W2120477604
Cited by: 108
References: 80
Citations by year: 2026: 2 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 9 · 2021: 8 · 2020: 8 · 2019: 8 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 7 · 2014: 8 · 2013: 7 · 2012: 9
FWCI: 5.21
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Focus on Autism and Other Developmental Disabilities (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: autism spectrum disorder, maternal stress, parental stress, pediatric sleep disorders, autism severity, mothers of autistic children

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