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Quantitative-Analysis of Behavioral Interventions to Treat Sleep Problems in Children with Autism
Amarie Carnett1, Sarah Hansen2, Laurie McLay3
1San Antonio Applied Behavior Analysis Research Consortium, University of Texas at San Antonio , San Antonio, TX, USA.
Insights
Behavioral interventions effectively treat sleep problems in children with autism spectrum disorder (ASD), addressing issues like night wakings and bedtime disturbances. Consistent bedtime routines are key components of these successful interventions.
Area of Science:
- Pediatric Sleep Medicine
- Developmental Psychology
- Autism Spectrum Disorder Research
Background:
- Sleep disturbances are prevalent in children with autism spectrum disorder (ASD).
- These sleep issues significantly impact child development and family well-being.
- Existing literature on sleep interventions for ASD requires systematic analysis.
Purpose of the Study:
- To systematically review and analyze studies on sleep interventions for children with ASD.
- To identify common sleep problems, intervention components, and treatment effectiveness.
- To provide evidence-based recommendations for practitioners and future research.
Main Methods:
- Systematic literature search across multiple databases and reference lists.
- Inclusion of 18 studies focusing on sleep interventions for children with ASD.
- Analysis of studies based on participants, sleep problems, intervention components, research design, and results.
Main Results:
- Night wakings and bedtime disturbances were the most frequently targeted sleep problems.
- Interventions consistently incorporated multiple components, notably bedtime routines.
- A moderate effect size was observed, suggesting intervention effectiveness, though limited by study numbers.
Conclusions:
- Behavioral interventions demonstrate overall effectiveness for treating sleep problems in children with ASD.
- Consistent bedtime routines are a crucial element in successful sleep interventions.
- Further research is needed to strengthen findings and refine intervention strategies.
Abstract:
Sleep is an essential activity for human development. Often, children with autism spectrum disorder (ASD) are affected by a lack of sleep due to various types of sleep problems. We identified and analyzed studies that were aimed at utilizing sleep interventions for children with ASD. A systematic search of databases, reference lists, and ancestral searches identified 18 studies for inclusion. Studies were summarized in terms of (a) participants, (b) targeted sleep problem and measures, (d) intervention components, (e) research design and rigor, and (f) results. The aim of this review was to analyze the literature by evaluating the most commonly treated sleep problems, the various treatment components, and strength of the results using a between case parametric effect size estimate. The most commonly treated sleep problems were night wakings and bedtime disturbance. For interventions, all the studies incorporated multiple treatment components, most often including the use of a consistent bedtime routine. Effect size calculations indicated a moderate effect size, however, limited due to the small number of studies. Results suggest the overall effectiveness of behavioral interventions for the treatment of sleep problems for children with ASD. Based on our analysis, suggestions for practitioners regarding current practices and future directions for research are discussed.
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