Prevalence and associated factors of sleep disorders in children and adolescents with autism spectrum disorder: a meta-analysis and systematic review
Abstract
Background: Sleep disorders significantly impact the physical rehabilitation of children with autism spectrum disorder. The factors associated with these sleep disorders remain a subject of debate in clinical research. By identifying factors associated with sleep disorders in this population, more effective intervention strategies can be developed for the rehabilitation of children and adolescents with autism spectrum disorder. Therefore, this review aims to conduct an in-depth analysis of the factors associated with sleep disorders in children and adolescents with autism spectrum disorder, providing evidence-based references for advancing clinical prevention strategies.
Methods: A systematic search was conducted in the CNKI, Wanfang, VIP, CBM, PubMed, Web of Science, Embase, CINAHL, and Cochrane Library databases for studies investigating factors associated with sleep disorders in children and adolescents with autism spectrum disorder. The search period spanned from the inception of each database to August 31, 2025. Two researchers independently performed literature screening, quality assessment, and data extraction. Meta-analysis was conducted using Stata MP 17 software.
Results: This study included 22 research studies involving a total of 3,771 participants. Meta-analysis results showed that the prevalence of sleep disorders was 60%. with age(young), co-sleeping with parents, nighttime sleep duration, daytime sleep duration, child's screen exposure time, family…
How strong is the evidence?
Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 3,771 participants or records.
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