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Purpose <p>Autism spectrum disorder (ASD) is a neurodevelopmental condition that often results in sleep disturbance. Japanese individuals tend to consume alcohol when they experience sleep difficulties. Therefore, to achieve satisfactory sleep, participants with ASD may engage in risky drinking. This study aimed to clarify the satisfactory sleep-specific association between ASD status and risky drinking behavior.</p> Methods <p>A cross-sectional study of 3,823 Japanese individuals aged 20 to 64&#xa0;years was performed. ASD status was categorized into non-ASD, ASD without post-traumatic stress disorder (PTSD), and ASD with PTSD because PTSD, a well-known psychiatric comorbidity, is also associated with a high risk of sleep disturbance and alcohol use disorder. Participants who responded “yes” to the question “Over the past 30&#xa0;days, did you ever have a morning drink to eliminate a hangover?” were classified as engaging in risky drinking behaviors.</p> Results <p>No significant association between ASD categories and risky drinking behavior among participants without satisfactory sleep was observed. However, a significant positive association between ASD and risky drinking was observed among those with satisfactory sleep. The potential confounder-adjusted odds ratios (95% confidence intervals) of risky drinking behavior were 0.77 (0.55, 1.09) for participants without satisfactory sleep and 2.29 (1.22, 4.29) for those with satisfactory sleep.</p> Conclusion <p>ASD status was revealed to be significantly positively associated with risky drinking behaviors among participants with satisfactory sleep quality. To achieve satisfactory sleep, participants with ASD may have a tendency to engage in risky drinking behaviors; however, further investigation is necessary.</p>

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Influence of Autism Spectrum Disorder and Post-traumatic Stress Disorder on Risky Drinking Behavior in Relation to Satisfactory Sleep Status Among the General Population

  • 期刊论文

  • 发表日期：

    2025年10月4日

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  • Yuji Shimizu,
  • Tomokatsu Yoshida,
  • Kumiko Terada,
  • Nagisa Sasaki,
  • Eiko Honda,
  • Kazushi Motomura

摘要

Purpose

Autism spectrum disorder (ASD) is a neurodevelopmental condition that often results in sleep disturbance. Japanese individuals tend to consume alcohol when they experience sleep difficulties. Therefore, to achieve satisfactory sleep, participants with ASD may engage in risky drinking. This study aimed to clarify the satisfactory sleep-specific association between ASD status and risky drinking behavior.

Methods

A cross-sectional study of 3,823 Japanese individuals aged 20 to 64 years was performed. ASD status was categorized into non-ASD, ASD without post-traumatic stress disorder (PTSD), and ASD with PTSD because PTSD, a well-known psychiatric comorbidity, is also associated with a high risk of sleep disturbance and alcohol use disorder. Participants who responded “yes” to the question “Over the past 30 days, did you ever have a morning drink to eliminate a hangover?” were classified as engaging in risky drinking behaviors.

Results

No significant association between ASD categories and risky drinking behavior among participants without satisfactory sleep was observed. However, a significant positive association between ASD and risky drinking was observed among those with satisfactory sleep. The potential confounder-adjusted odds ratios (95% confidence intervals) of risky drinking behavior were 0.77 (0.55, 1.09) for participants without satisfactory sleep and 2.29 (1.22, 4.29) for those with satisfactory sleep.

Conclusion

ASD status was revealed to be significantly positively associated with risky drinking behaviors among participants with satisfactory sleep quality. To achieve satisfactory sleep, participants with ASD may have a tendency to engage in risky drinking behaviors; however, further investigation is necessary.