Evidence map›Paper›PMID 37469173›Full record

SynthesisEpidemiology and psychiatric sciences2023

Subjective and objective sleep alterations in medication-naïve children and adolescents with autism spectrum disorder: a systematic review and meta-analysis.

Heeyeon Kim, Jae Han Kim, Junghwan Kim, Jong Yeob Kim, Samuele Cortese, Lee Smith, Ai Koyanagi, Joaquim Radua, Paolo Fusar-Poli, Andre F Carvalho and 4 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Epidemiology and psychiatric sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Article
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

14 authors at 9 institutions in 8 countries.

Heeyeon KimDepartment of Psychiatry, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Republic of Korea.
Jae Han KimYonsei University College of Medicine, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-0516-1546
Junghwan KimYonsei University College of Medicine, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.
Jong Yeob KimYonsei University College of Medicine, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.
Samuele CorteseCentre for Innovation in Mental Health, Academic Unit of Psychology, University of Southampton, Southampton, UK.
Lee SmithCentre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Ai KoyanagiParc Sanitari Sant Joan de Déu/CIBERSAM, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9565-5004
Joaquim RaduaImaging Mood- and Anxiety-Related Disorders (IMARD) Group, Institut d'Investigacions Biomèdiques August Pi i Sunyer(IDIBAPS), Mental Health Research Networking Center(CIBERSAM), University of Barcelona, Barcelona, Spain.
Paolo Fusar-PoliDepartment of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0003-3582-6788
Andre F CarvalhoIMPACT Strategic Research Centre, Barwon Health, Deakin University School of Medicine, Geelong, VIC, Australia.
Gonzalo Salazar de PabloDepartment of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Severance Hospital, Yonsei University Health System, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-2326-1820
Keun-Ah CheonInstitute of Behavioral Science in Medicine, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-7113-9286
Marco SolmiDepartment of Psychosis Studies, Early Psychosis: Interventions and Clinical-detection (EPIC) Lab, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0003-4877-7233
Severance Hospital · KRYonsei University · KRKing's College London · GBAnglia Ruskin University · GBBarwon Health · AUCentro de Investigación Biomédica en Red de Salud Mental · ESParc Sanitari Sant Joan de Déu · ESSolent NHS Trust · GBUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study aimed to summarize the evidence on sleep alterations in medication-naïve children and adolescents with autism spectrum disorder (ASD).

methodsWe systematically searched PubMed/Medline, Embase and Web of Science databases from inception through March 22, 2021. This study was registered with PROSPERO (CRD42021243881). Any observational study was included that enrolled medication-naïve children and adolescents with ASD and compared objective (actigraphy and polysomnography) or subjective sleep parameters with typically developing (TD) counterparts. We extracted relevant data such as the study design and outcome measures. The methodological quality was assessed through the Newcastle-Ottawa Scale (NOS). A meta-analysis was carried out using the random-effects model by pooling effect sizes as Hedges'

resultsOut of 4277 retrieved references, 16 studies were eligible with 981 ASD patients and 1220 TD individuals. The analysis of objective measures showed that medication-naïve ASD patients had significantly longer sleep latency (Hedges'

conclusionWe found that medication-naïve children and adolescents with ASD presented significantly more subjective and objective sleep alterations compared to TD and identified possible moderators of these differences. Future research requires an analysis of how these sleep alterations are linked to core symptom severity and comorbid behavioural problems, which would provide an integrated therapeutic intervention for ASD. However, our results should be interpreted in light of the potential publication bias.

Indexed as

Autism Spectrum DisorderAdolescentChildComorbidityHumansObservational Studies as TopicOutcome Assessment, Health CareSleepautism spectrum disordermedication-naïvemeta-analysissleep alterations

Identifiers

PMID37469173
PMCPMC10387490
OpenAlexW4384819980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.