Poor sleep quality is associated with discordant peer relationships among adolescents with Autism Spectrum Disorder

Adolescents' reports of more sleep problems and daytime sleepiness, but not actigraph indicators of sleep quality, were directly associated with discordant peer relationships. Adolescents who are already challenged in social interactions due to ASD may be especially vulnerable to intense negativity in peer relationships when they also experience poorer nighttime sleep and more daytime sleepiness. NT adolescents may be better able to regulate social interactions despite poor sleep and feeling tired.