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Understanding the role of sleep and its disturbances in Autism spectrum disorder
Ramanujam Karthikeyan1, Daniel P Cardinali2, Venkat Shakunthala3
1Department of Animal Behavior & Physiology, School of Biological Sciences, Madurai Kamaraj University, Madurai, Tamil Nadu, India.
Insights
Sleep difficulties are common in children with autism spectrum disorder (ASD) and are linked to increased symptom severity. Addressing these sleep issues is crucial for improving overall well-being in ASD individuals.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Sleep Medicine
Background:
- Autism spectrum disorder (ASD) is frequently associated with sleep difficulties.
- These sleep problems significantly contribute to the overall symptomatology in children with ASD.
Purpose of the Study:
- To comprehensively review and discuss sleep disorders in individuals with ASD.
- To highlight the growing clinical and familial attention towards sleep disturbances in ASD.
Main Methods:
- A narrative overview based on extensive literature searches of standard research databases.
- Inclusion of articles from bibliographies of retrieved papers and author's curated collection.
- Qualitative comparison and summarization of selected manuscripts from an author's perspective.
Main Results:
- Sleep plays a vital role in brain and neural development, particularly in children.
- The severity of sleep problems in ASD individuals correlates with increased ASD symptom occurrence.
- Treatment of sleep problems is suggested as significant for managing ASD.
Conclusions:
- This review offers enhanced understanding of sleep problems in ASD, covering pathophysiology, mechanisms, and management.
- Implications for clinical practice and future research agendas are discussed.
- Provides a broader perspective on the connection between sleep and ASD.
Background:
Several studies have established a positive relationship between sleep difficulties and symptomatology in ASD children. The rationale for this review is to describe and discuss the sleep difficulties, which are one of the significant complications associated with autism spectrum disorder (ASD).
Purpose:
Many types of sleep disorders have been reported in ASD individuals, but still lack a comprehensive study and in-depth analysis. Despite the contribution of sleep problems to the overall symptoms of ASD, the symptoms of disturbed sleep experienced by many affected patients have only recently started to receive attention from clinicians and family members.
Materials And Methods:
This narrative overview has been prepared based on searching standard research databases with specific keywords; b. Additional search was made using the bibliographies of the retrieved articles; and c. author's collection of relevant peer-reviewed articles. Once selected, manuscripts are then compared and summarized based on the author's perspective. Results are based on a qualitative rather than a quantitative level.
Results:
This article highlights the role of sleep in the brain and neural development of children and emphasizes that the intensity of sleep problems is associated with an increased occurrence of ASD symptoms. It also suggests the significance of treating sleep problems in ASD individuals.
Conclusions:
The review provides broader perspectives and a better understanding of sleep problems in pathophysiology, mechanism, and management with respect to ASD individuals. Finally, the implications for clinical practice and future agendas have also been discussed.
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