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Evaluating the Effectiveness of Sleep Disturbance Questionnaires in Pediatric Autism Spectrum Disorder: A Receiver Operating Characteristic Analysis

  • By

  • Batuhan Yüksel

  • Mert Dogan

  • Koray Kara

  • Ozgun Kaya Kara

  • May 6, 2026

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  • 1

    The study evaluated the effectiveness of five sleep questionnaires in children with autism spectrum disorder (ASD) and typically developing peers.

  • 2

    A total of 230 children participated, including 155 diagnosed with ASD and 75 typically developing children, aged 4 to 18 years.

  • 3

    The Children’s Sleep Habits Questionnaire (CSHQ) and Sleep Disturbance Scale for Children (SDSC) showed the highest diagnostic accuracy for sleep disorders.

  • 4

    The Epworth Sleepiness Scale for Children and Adolescents (ESS-CHAD) and Paediatric Daytime Sleepiness Scale (PDSS) provided viable rapid-screening alternatives.

  • 5

    The findings suggest a tiered approach for sleep assessment in pediatric ASD care, prioritizing comprehensive and time-limited screening tools.

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