Related Experiment Video
Updated: Aug 11, 2025

Author Spotlight: A Battery of Highly Reproducible Behavioral Tests to Validate an Angelman Syndrome Murine Model
Published on: October 20, 2023
Sleep problems in children with Angelman Syndrome: The effect of a behavioral intervention program
Karen G C B Bindels-de Heus1, Maartje Ten Hooven-Radstaake2, Jeroen S Legerstee3
1Erasmus MC Sophia Children's Hospital, Dept. of Pediatrics, the Netherlands; ENCORE Expertise Center for Neurodevelopmental Disorders, the Netherlands.
Insights
Behavioral intervention significantly improves sleep problems in children with Angelman Syndrome (AS), showing persistent positive effects on total sleep time and sleep hygiene. This approach offers a valuable solution for managing sleep disturbances in AS.
Area of Science:
- Pediatric Neurology
- Behavioral Science
- Sleep Medicine
Background:
- Sleep problems are prevalent and unmet clinical needs in children with Angelman Syndrome (AS).
- Effective interventions for AS-related sleep disturbances are crucial for improving quality of life.
Purpose of the Study:
- To investigate the efficacy of a behavioral intervention program for sleep problems in children with AS.
- To assess the persistent effects of the intervention on sleep parameters and related outcomes.
Main Methods:
- Randomized controlled trial involving children (2-18 years) with AS and sleep issues.
- Intervention included home visits, psycho-education, behavioral therapy, and video feedback.
- Outcomes measured via questionnaires, diaries, actigraphy, and videosomnography.
Main Results:
- Significant improvements in wake after sleep onset (videosomnography) and total sleep time (diary, actigraphy) were observed.
- Single-case analysis revealed positive and persistent effects on sleep duration and wake after sleep onset.
- Improvements in sleep hygiene and quality of life domains were significant and sustained.
Conclusions:
- Behavioral intervention demonstrates a positive and persistent effect on sleep problems in children with AS.
- Psycho-education, tailored behavioral advice, and objective sleep monitoring are recommended for managing sleep issues in AS.
- This intervention offers a promising strategy for addressing sleep disturbances in this population.
Background & Aims:
The aim of this study was to investigate the effect of a behavioral intervention on sleep problems, which are significant and an unmet clinical need in children with Angelman Syndrome (AS).
Methods & Procedures:
Children (2-18 years) with AS and sleep problems were randomized to a behavioral intervention program or a control group. Intervention consisted of a standardized program including home visits, psycho-education, feedback based on direct observation of bedtime routine and video footage of the night and behavioral treatment techniques by a behavioral therapist. Change in sleep duration (primary) and parental sleep, nighttime visits, sleep hygiene, daytime behavior, parental stress and quality of life (secondary) were assessed post-intervention and at follow-up using questionnaires, diary, actigraphy and videosomnography.
Outcomes & Results:
The groups, 9 children in each, did not differ at baseline. We found a significant effect of intervention on wake after sleep onset with classical statistical analysis (videosomnography). With single case analysis we found a positive effect on total sleep time (diary and actigraphy) and wake after sleep onset (diary) with a persistent effect on total sleep time (actigraphy) and wake after sleep onset (diary). On secondary outcome there was a significant and persistent effect on sleep hygiene and several quality of life domains.
Conclusions & Implications:
Behavioral intervention has a positive and persistent effect on sleep problems in children with AS. We advise psycho-education for all parents and use of videosomnography for both evaluation of and feedback on sleep behavior patterns, individual behavioral advice and specific behavioral techniques for children with sleep problems.
More Related Videos
Related Concept Videos
Nightmares and Night Terrors
Nightmares...
Management of Insomnia
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.
REM Sleep Behavior Disorder
RBD is significantly associated with...
Insomnia
Multiple factors contribute...
Operant Conditioning Intervention
In operant conditioning, behaviors that are...

