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June. 04, 2026

June. 04, 2026

jRCT1030260193

Relationship Between Delayed Sleep-Wake Phase Disorder and Core Autism Symptoms in Adolescents with Autism Spectrum Disorder

Relationship Between DSWPD and Core Autism Symptoms in Adolescents with ASD

Fukunaga Hirotaka

Shinshu University Graduate School

3-1-1 Asahi, Matsumoto, Nagano

+81-263-37-3117

hrxfukunaga@gmail.com

Fukunaga Hirotaka

Akita Prefectural Center on Development and Disability

1-1-2 Minamigaoka, Akita, Akita

+81-18-826-2401

hrxfukunaga@gmail.com

Recruiting

Feb. 16, 2026

Feb. 16, 2026
40

Observational

non-randomized controlled trial

single blind

uncontrolled control

parallel assignment

treatment purpose

1. Outpatients diagnosed with autism spectrum disorder (ASD) according to the diagnostic criteria of DSM-5-TR.
2. Individuals aged 12 years or older and younger than 19 years at time informed consent was obtained.
3. Individuals currently enrolled in junior high school or high school.
4. Individuals who are able to provide written informed consent themselves or whose parent(s) or legally authorized representative(s) are able to provide written informed consent for study participation.

1. Individuals who are unable to discontinue hypnotic medications during the assessment period.
2. Individuals who are unable to wear the study measurement devices at home.
3. Individuals considered unsuitable for participation in the study by the principal investigator.

12age old over
19age old not

Both

Autism Spectrum Disorder, Delayed Sleep-Wake Phase Disorder

Autism Spectrum Disorder (ASD); Delayed Sleep-Wake Phase Disorder (DSWPD)

F03.625.164.113, F03.870.400.200

1. Difference in the Social Communication subscale score of the Social Responsiveness Scale, Second Edition (SRS-2) between participants with and without delayed sleep-wake phase disorder (DSWPD).
2. Difference in the Repetitive Behavior Scale-Revised (RBS-R) total score and the Restricted Interests and Repetitive Behavior subscale score of SRS-2 between participants with and without DSWPD.

Effects of the following variables on SRS-2 and RBS-R scores:
1. Presence or absence of DSWPD
2. Characteristics of circadian rhythm disturbance, including delayed circadian phase and severity of difficulty awakening
3. Sleep, behavioral, and physiological parameters measured and analyzed using wearable devices, including:
Sleep parameters (e.g., total sleep time, sleep efficiency, sleep latency, wake after sleep onset, sleep stages)
Rest-activity rhythm parameters (e.g., amplitude, phase, and circadian irregularity)
Lifestyle-related activity patterns (e.g., total daily activity, meal timing, exercise, and activity patterns across different periods of the day)
4. Intelligence quotient (IQ)
5. Screen time

No Sponsor
Shinshu University School of Medicine Biological and Medical Research Ethics Committee
3-1-1, Asahi, Matsumoto, Nagano

+81-263-37-2572

mdrinri@shinshu-u.ac.jp
Approval

Aug. 19, 2025

No

none