Assessment and pharmacologic treatment of sleep disturbance in autism

Kyle P Johnson1, Beth A Malow

  • 1Department of Psychiatry, Oregon Health & Science University, DC-7P, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA. johnsoky@ohsu.edu

Insights

Children with autism spectrum disorder (ASD) experience more sleep problems than typically developing children. Addressing these sleep issues may improve daily functioning and reduce family stress.

Area of Science:

  • Pediatric Sleep Medicine
  • Developmental Neuroscience
  • Autism Spectrum Disorder Research

Background:

  • Children with autism spectrum disorder (ASD) exhibit higher prevalence of sleep disturbances compared to neurotypical children.
  • Sleep problems in ASD can significantly impact daily functioning and increase caregiver burden.
  • Effective management of sleep issues is crucial for improving quality of life for children with ASD and their families.

Purpose of the Study:

  • To discuss the spectrum of sleep problems commonly observed in children with autism spectrum disorder.
  • To outline appropriate assessment strategies for identifying sleep disorders in this population.
  • To review current pharmacologic treatment options for sleep disturbances in children with ASD.

Main Methods:

  • Literature review focusing on sleep disturbances in autism spectrum disorder.
  • Analysis of assessment tools for pediatric sleep problems.
  • Synthesis of evidence regarding pharmacologic interventions for sleep in ASD.

Main Results:

  • Children with ASD frequently experience insomnia, circadian rhythm disorders, and other sleep issues.
  • Comprehensive sleep assessment is vital for accurate diagnosis and targeted treatment.
  • Pharmacologic interventions, when used appropriately, can be effective in managing sleep problems in ASD.

Conclusions:

  • Sleep problems are a significant concern for children with autism spectrum disorder.
  • Tailored assessment and evidence-based pharmacologic treatments can effectively address sleep disturbances.
  • Improving sleep in children with ASD holds potential for enhancing daytime behavior and reducing family stress.

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