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Eye Tracking Young Children with Autism
Published on: March 27, 2012
Sleep in Children with Autism Spectrum Disorder
Margaret C Souders1, Stefanie Zavodny2, Whitney Eriksen2
1University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA, 19104, USA. souders@email.chop.edu.
Insights
Children with autism spectrum disorder (ASD) often experience chronic insomnia. This paper reviews sleep science in ASD and presents a practice pathway for improving sleep through education, behavioral changes, and melatonin.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
Background:
- Autism spectrum disorder (ASD) is frequently associated with chronic insomnia, affecting approximately two-thirds of affected children.
- Understanding the underlying mechanisms of sleep disturbances in ASD is crucial for effective intervention.
Purpose of the Study:
- To provide a comprehensive overview of current sleep science in children with ASD.
- To explore hypotheses regarding the high prevalence of insomnia in this population.
- To introduce a practical pathway for optimizing sleep in children with ASD.
Main Methods:
- Review of existing scientific literature on sleep in ASD.
- Development of a practice pathway by the Autism Treatment Network (ATN) Sleep Committee based on expert consensus.
- Presentation of an exemplar case to illustrate the application of the pathway.
Main Results:
- Strong evidence supports sleep education, environmental modifications, behavioral interventions, and melatonin for improving sleep in children with ASD.
- The ATN practice pathway offers a structured approach to screening, identification, and treatment of sleep problems.
- The pathway addresses complex issues like arousal and sensory dysregulation, particularly in co-occurring anxiety.
Conclusions:
- The developed practice pathway represents a consensus-based best practice for managing sleep issues in ASD.
- Dissemination of this pathway and further research into sleep problems in ASD are essential next steps.
- Targeted interventions are needed to address the unique sleep challenges faced by children with ASD.
Abstract:
The purposes of this paper are to provide an overview of the state of the science of sleep in children with autism spectrum disorder (ASD), present hypotheses for the high prevalence of insomnia in children with ASD, and present a practice pathway for promoting optimal sleep. Approximately two thirds of children with ASD have chronic insomnia, and to date, the strongest evidence on promoting sleep is for sleep education, environmental changes, behavioral interventions, and exogenous melatonin. The Sleep Committee of the Autism Treatment Network (ATN) developed a practice pathway, based on expert consensus, to capture best practices for screening, identification, and treatment for sleep problems in ASD in 2012. An exemplar case is presented to integrate key constructs of the practice pathway and address arousal and sensory dysregulation in a child with ASD and anxiety disorder. This paper concludes with next steps for dissemination of the practice pathway and future directions for research of sleep problems in ASD.
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