Background and Aim: Autism Spectrum Disorder (ASD) is a prevalent neurodevelopmental condition characterized by significant challenges in aggression, sleep disturbances, and executive functioning. This study aimed to predict aggression based on sleep problems and executive functions in children with ASD in Tehran during 2021-2022.
Research Method: In this descriptive-correlational study, 118 children with ASD were selected via convenience sampling from three centers in Tehran. Data were collected using the Child Aggression Questionnaire (Parent Form; Yavari et al., 2008), the Children’s Sleep Habits Questionnaire (CSHQ; Owens et al., 2000), and the Behavior Rating Inventory of Executive Function (BRIEF; Gioia et al., 2000). Data were analyzed using correlation matrices and multiple regression analysis via SPSS-23.
Results: Correlation analysis revealed significant positive relationships between aggression and sleep problem components, and significant negative relationships with executive function components. Multiple regression results indicated that working memory β=−0.111), emotional control (β=−0.120), inhibition (β=−0.128), resistance to sleep (β=0.132), nighttime awakenings (β=0.140), sleep anxiety (β=0.179), and sleep disorganization (β=0.350) were significant predictors of aggression in children with ASD.
Conclusion: Sleep disturbances significantly exacerbate aggression in children with ASD by undermining cognitive control, suggesting that effective interventions must simultaneously target sleep hygiene and executive function enhancement.
Type of Study:
Applicable |
Subject:
Special Received: 2025/11/7 | Accepted: 2026/03/21 | Published: 2026/03/21