Tijdschrift voor psychiatrie · 2026
[Real-time monitoring of stress, sleep, and physical activity in adults with autism].
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Bonouvrié J, Hoogendoorn A W, Hoeberichts K, Roke Y
Аннотация
BACKGROUND: Sleep problems and stress are common among adults with autism and can affect physical activity, daily functioning, and quality of life. This study explores the relationships between perceived stress, sleep, and physical activity in adults with autism.
AIM: To examine whether there is a reciprocal relationship between perceived stress, physical activity, and sleep in adults with autism.
METHOD: Seventeen adults with autism participated in a cohort study using experience sampling. Perceived stress levels were measured four times a day for 28 days via the Stress Autism Mate (SAM) app. Sleep and physical activity, expressed as the number of steps, were measured with a smartwatch (Fitbit Sense).
RESULTS: Findings show substantial differences between individuals in how sleep, physical activity, and perceived stress are related. No consistent effect was found of sleep on stress the next day, nor of stress on sleep quality the following night. For some participants, better sleep was linked to lower stress, while others showed no relationship or the opposite pattern. Better sleep was significantly associated with higher physical activity the next day, whereas step count did not significantly affect stress.
CONCLUSION: These results highlight the complexity and variability of sleep, physical activity, and perceived stress interactions in adults with autism, emphasizing the need for personalized interventions. Further research should explore the interplay between perceived stress, activity, and sleep to guide individualized care.
AIM: To examine whether there is a reciprocal relationship between perceived stress, physical activity, and sleep in adults with autism.
METHOD: Seventeen adults with autism participated in a cohort study using experience sampling. Perceived stress levels were measured four times a day for 28 days via the Stress Autism Mate (SAM) app. Sleep and physical activity, expressed as the number of steps, were measured with a smartwatch (Fitbit Sense).
RESULTS: Findings show substantial differences between individuals in how sleep, physical activity, and perceived stress are related. No consistent effect was found of sleep on stress the next day, nor of stress on sleep quality the following night. For some participants, better sleep was linked to lower stress, while others showed no relationship or the opposite pattern. Better sleep was significantly associated with higher physical activity the next day, whereas step count did not significantly affect stress.
CONCLUSION: These results highlight the complexity and variability of sleep, physical activity, and perceived stress interactions in adults with autism, emphasizing the need for personalized interventions. Further research should explore the interplay between perceived stress, activity, and sleep to guide individualized care.