A Practice Pathway for the Treatment of Night Wakings in Children with Autism Spectrum Disorder

Anjalee W Galion1, Justin G Farmer2, Heidi V Connolly3

  • 1Division of Neurology, Children's Hospital of Orange County, 1201 W. La Veta Avenue, Orange, CA, 92868, USA. agalion@choc.org.

Insights

Children with autism spectrum disorder (ASD) experience frequent sleep issues, particularly night wakings. This study updates a clinical pathway to better identify and treat this common sleep problem in children with ASD.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Autism Spectrum Disorder Research

Background:

  • Children with autism spectrum disorder (ASD) exhibit high prevalence of sleep disturbances.
  • A previous clinical pathway by the Autism Treatment Network/Autism Intervention Research Network on Physical Health (ATN/AIR-P) Sleep Committee (2012) aimed to address these issues.
  • Clinicians and parents identified night wakings as a persistent problem not adequately covered by the existing pathway.

Purpose of the Study:

  • To review the existing literature on night waking in children with ASD.
  • To propose an updated practice pathway for the identification and treatment of night waking in this population.

Main Methods:

  • A comprehensive literature search was conducted to identify relevant studies.
  • Seventy-six scholarly articles containing data on night waking in children with ASD were reviewed.

Main Results:

  • The review synthesized existing data on night waking in children with ASD.
  • An updated practice pathway was developed based on the literature findings.

Conclusions:

  • Night waking is a significant and often refractory sleep problem in children with ASD.
  • The updated pathway provides a framework for clinicians to effectively manage night wakings in children with autism spectrum disorder.

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