Autism and sleep disorders
Preeti A Devnani1, Anaita U Hegde2
1Sleep Disorders Clinic, Jaslok Hospital, Mumbai, Maharashtra, India; Department of Neurology and Clinical Neurophysiology, Jaslok Hospital, Mumbai, Maharashtra, India.
Insights
Sleep problems are common in Autism Spectrum Disorder (ASD), significantly impacting daily life. Behavioral interventions and targeted treatments can improve sleep quality and overall well-being for children with ASD.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Sleep Medicine
Background:
- Autism Spectrum Disorders (ASDs) are characterized by social interaction and communication impairments.
- Sleep disturbances are a prominent feature in ASD, affecting daily functioning and family well-being.
Purpose of the Study:
- To review sleep abnormalities in children with ASD.
- To explore nonpharmacotherapeutic and pharmacotherapeutic interventions for ASD-related sleep issues.
Main Methods:
- PubMed search for English language articles (1995-2015).
- Keywords included: Autism spectrum disorder, sleep disorders, REM sleep, cognitive behavioral therapy, sleep-wise approach, melatonin.
Main Results:
- Polysomnography studies in ASD children reveal abnormalities in Rapid Eye Movement (REM) sleep, including decreased quantity and altered sleep stages.
- Nonpharmacotherapeutic measures like bedtime routines are key behavioral management strategies.
Conclusions:
- Sleep problems significantly impact quality of life for children with ASD and their families.
- Integrated treatment strategies, including behavioral approaches and limited pharmacotherapy, can improve outcomes.
Abstract:
"Autism Spectrum Disorders" (ASDs) are neurodevelopment disorders and are characterized by persistent impairments in reciprocal social interaction and communication. Sleep problems in ASD, are a prominent feature that have an impact on social interaction, day to day life, academic achievement, and have been correlated with increased maternal stress and parental sleep disruption. Polysomnography studies of ASD children showed most of their abnormalities related to rapid eye movement (REM) sleep which included decreased quantity, increased undifferentiated sleep, immature organization of eye movements into discrete bursts, decreased time in bed, total sleep time, REM sleep latency, and increased proportion of stage 1 sleep. Implementation of nonpharmacotherapeutic measures such as bedtime routines and sleep-wise approach is the mainstay of behavioral management. Treatment strategies along with limited regulated pharmacotherapy can help improve the quality of life in ASD children and have a beneficial impact on the family. PubMed search was performed for English language articles from January 1995 to January 2015. Following key words: Autism spectrum disorder, sleep disorders and autism, REM sleep and autism, cognitive behavioral therapy, sleep-wise approach, melatonin and ASD were used. Only articles reporting primary data relevant to the above questions were included.
Related Concept Videos
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Sleep-Wake Cycles
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Sleepwalking and Sleep Talking
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
Narcolepsy
REM Sleep Behavior Disorder
RBD is significantly associated with...
Insomnia
Multiple factors contribute...


