Montreal: One night of poor sleep significantly decreases performance on
intelligence tests in children with autism spectrum disorder (ASD) and
also in neurotypical children (without ASD). This is the conclusion made
by researchers at the Hôpital Rivière-des-Prairie. For a paper published in the International Journal of Psychophysiology,
the researchers observed the EEG measures of 13 autistic children and
13 neurotypical children (children with a mean age of 10 years old
without an intellectual deficiency or sleep problem and who were not on
medication) and found that disruptions in protective brain waves during
sleep are associated with lower results on verbal IQ tests.
The brain waves demonstrating good sleep consolidation in these
children were measured in a laboratory. These markers of light sleep
known as “sleep spindles” occur during a sleep phase that repeats
throughout the night in which body metabolism slows and the brain rests
(contrary to rapid eye movement sleep, when the brain is active and
dreams).
“We observed that the more a child had these waves throughout the
night, the better the child was at cognitive tasks, particularly the
Wechsler Intelligence Scale for Children,” explained Sophie Tessier, a
doctoral student in the Sleep Research Laboratory at the Hôpital
Rivière-des-Prairies and first author of the paper.
It also appears that the quality of sleep over the whole night, and
not only before midnight or at the end of the night, promotes good
intellectual functioning. These observations apply for both groups of
children. However, despite these similarities, the researchers noted
that the relationship between these sleep waves and cognitive
performance differs between neurotypical and autistic children, as
different brain regions are involved for each group.
“This is an important discovery that confirms the major role of sleep
in consolidating cognitive abilities,” explained Roger Godbout, the
director of the Sleep Research Laboratory at the Hôpital
Rivière-des-Prairies and a professor in the Department of Psychiatry at
Université de Montréal. “This study establishes beyond a doubt that
children and adolescents are particularly affected by a lack of sleep,
especially because they are in an important developmental
period. This is also an important finding given that 10% to 25% of
Canadian children and adolescents—and 45% to 85% of autistic
children—have sleep problems.”
Although this paper confirms the crucial role of sleep in cognitive
development, it also opens the way to more accurate treatment for sleep
disorders in youth. This paper also gives hope to anyone living with
autism thanks to new avenues to both treat insomnia and help these
children fully develop their abilities.
This study was conducted under the direction of Roger Godbout,
a professor in the Department of Psychiatry at Université de Montréal
and a researcher at the Hôpital Rivière-des-Prairies Research Centre
(CIUSSS du Nord-de-l'Île-de-Montréal) and the Institut universitaire en
santé mentale de Montréal (CIUSSS de l'Est-de-l'Île-de-Montréal). Mr.
Godbout also directs the Clinique d'évaluation diagnostique des troubles
du sommeil and the Sleep Research Laboratory
of the Hôpital Rivière-des-Prairies, where this study was conducted
thanks to grants from the Canadian Institutes of Health Research.