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Relationships Between Anxiety and Sleep and Feeding in Young Children with ASD

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Abstract

The purpose of this study was to describe anxiety symptoms in a large sample of young children (ages 2–6 years of age) with ASD and examine the relationship of anxiety with other characteristics. This study included 118 children with an average age of nearly 4 years. Parents completed reports of anxiety symptoms, sleep, and feeding. Regression modeling was used to determine if elevated anxiety symptoms were related to age, cognitive functioning, diagnostic status, sleep, and feeding behaviors. Anxiety symptoms were present in 16–19 % of the sample. Anxiety symptoms predicted more sleep disturbance and were associated with a higher likelihood of elevated score on the feeding measure. Anxiety symptoms are present in young children with ASD more than in young typically developing children. Moreover, anxiety symptoms predicted sleep disturbances and, less robustly, increase the chances of feeding problem. Directions for further study and intervention implications are discussed.

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Acknowledgments

Funding for this study was through Autism Speaks and cooperative agreement (UA3 MC 11054) from HRSA to the Massachusetts General Hospital. The views expressed in this presentation do not necessarily reflect the views of Autism Speaks or HRSA. Additional support for this study was through ULI RR 024160 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH) and NIH Roadmap for Medical Research.

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  1. Autism Center at Children’s Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, 3420 5th Avenue, Pittsburgh, PA, 15213, USA

    Cynthia R. Johnson

  2. University of Pittsburgh, Pittsburgh, PA, USA

    Alexandra DeMand

  3. Massachusetts General Hospital, Boston, MA, USA

    Amy Shui

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  1. Cynthia R. Johnson
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Correspondence to Cynthia R. Johnson.

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Dr. Johnson is now at the University of Florida.

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Johnson, C.R., DeMand, A. & Shui, A. Relationships Between Anxiety and Sleep and Feeding in Young Children with ASD. J Dev Phys Disabil 27, 359–373 (2015). https://doi.org/10.1007/s10882-015-9419-3

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