Evidence map›Paper›PMID 29079761›Full record

ArticleScientific reports2017

Behaviorally-determined sleep phenotypes are robustly associated with adaptive functioning in individuals with low functioning autism.

Simonne Cohen, Ben D Fulcher, Shantha M W Rajaratnam, Russell Conduit, Jason P Sullivan, Melissa A St Hilaire, Andrew J Phillips, Tobias Loddenkemper, Sanjeev V Kothare, Kelly McConnell and 7 more

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The neurodevelopmental spectrum of CASK-related disorder.Journal of neurodevelopmental disorders · 2025
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Genomic dissection of sleep archetypes in a large autism cohort.medRxiv : the preprint server for health sciences · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Simonne CohenMonash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia.
Ben D FulcherMonash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia.
Shantha M W RajaratnamMonash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia.
Russell ConduitSchool of Health Sciences, Royal Melbourne Institute of Technology, Melbourne, Australia.
Jason P SullivanDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, USA.
Melissa A St HilaireDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, USA.
Andrew J PhillipsDivision of Sleep and Circadian Disorders, Brigham and Women's Hospital, Boston, USA.
Tobias LoddenkemperDivision of Sleep Medicine, Harvard Medical School, Boston, USA.
Sanjeev V KothareDivision of Sleep Medicine, Harvard Medical School, Boston, USA.
Kelly McConnellNew England Center for Children, Southborough, USA.
William AhearnNew England Center for Children, Southborough, USA.
Paula Braga-KenyonNew England Center for Children, Southborough, USA.
Andrew ShlesingerMelmark New England, Andover, USA.
Jacqueline PotterMelmark New England, Andover, USA.
Frank BirdMelmark New England, Andover, USA.
Kim M CornishMonash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia.
Steven W LockleyMonash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia. slockley@hms.harvard.edu.

Funding

Integration of sleep/wake network models across multiple temporal and spatial scaR00HL119618 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI PHILLIPS, ANDREW JOHN · 2015 to 2017
$742k
NHLBI NIH HHS R00 HL119618
6 · The paper itself

Abstract

Despite sleep disturbance being a common complaint in individuals with autism, specific sleep phenotypes and their relationship to adaptive functioning have yet to be identified. This study used cluster analysis to find distinct sleep patterns and relate them to independent measures of adaptive functioning in individuals with autism. Approximately 50,000 nights of care-giver sleep/wake logs were collected on school-days for 106 individuals with low functioning autism (87 boys, 14.77 ± 3.11 years) for 0.5-6 years (2.2 ± 1.5 years) from two residential schools. Using hierarchical cluster analysis, performed on summary statistics of each individual across their recording duration, two clusters of individuals with clearly distinguishable sleep phenotypes were found. The groups were summarized as 'unstable' sleepers (cluster 1, n = 41) and 'stable' sleepers (cluster 2, n = 65), with the former exhibiting reduced sleep duration, earlier sleep offset, and less stability in sleep timing. The sleep clusters displayed significant differences in properties that were not used for clustering, such as intellectual functioning, communication, and socialization, demonstrating that sleep phenotypes are associated with symptom severity in individuals with autism. This study provides foundational evidence for profiling and targeting sleep as a standard part of therapeutic intervention in individuals with autism.

Indexed as

Adaptation, PhysiologicalPhenotypeSleepAdolescentAutistic DisorderChildFemaleHumansMaleWakefulness

Identifiers

PMID29079761
PMCPMC5660229

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.