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Effectiveness of non-pharmacological interventions for insomnia in children with Autism Spectrum Disorder: A

Sophie Keogh1, Christopher Bridle2, Niroshan A Siriwardena2

  • 1Lincolnshire Partnership Foundation Trust, Lincoln, United Kingdom.

Plos One
|August 23, 2019
PubMed

Insights

Behavioral interventions significantly improve sleep in children with autism spectrum disorder (ASD), increasing total sleep time and efficiency. These findings offer hope for better sleep quality in this population.

Area of Science:

  • Neurodevelopmental Disorders
  • Pediatric Sleep Medicine

Background:

  • Autism spectrum disorders (ASD) are neurodevelopmental conditions marked by social, communication, and behavioral challenges.
  • Sleep disturbances affect 40-80% of children with ASD, impacting their quality of life and that of their caregivers.

Purpose of the Study:

  • To systematically review and synthesize evidence on the effectiveness of behavioral interventions for improving sleep in children with ASD.

Main Methods:

  • A comprehensive search of multiple databases (MEDLINE, PsycINFO, CINAHL, etc.) was conducted for randomized controlled trials.
  • Included studies evaluated non-pharmacological interventions for insomnia in children diagnosed with ASD.

Main Results:

  • Meta-analyses of three studies showed significant improvements in total sleep time (24.41 min), reduced sleep latency (-18.31 min), and increased sleep efficiency (5.59%) based on actigraphy data.
  • Subjective data from the Children's Sleep Habits Questionnaire (CSHQ) also indicated a favorable intervention effect (-4.71).
  • The overall risk of bias in the included studies was low, though some reporting was unclear.

Conclusions:

  • This systematic review provides initial quantitative evidence supporting the effectiveness of behavioral interventions for sleep problems in children with ASD.
  • Despite a limited number of high-quality randomized controlled trials, the findings suggest that behavioral approaches are beneficial.
Abstract

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