Related Experiment Video
Updated: Jul 25, 2025

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research
Published on: July 31, 2017
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.
Abstract:
Children with autism spectrum disorder (ASD) report high rates of sleep problems. In 2012, the Autism Treatment Network/ Autism Intervention Research Network on Physical Health (ATN/AIR-P) Sleep Committee developed a pathway to address these concerns. Since its publication, ATN/AIR-P clinicians and parents have identified night wakings as a refractory problem unaddressed by the pathway. We reviewed the existing literature and identified 76 scholarly articles that provided data on night waking in children with ASD. Based on the available literature, we propose an updated practice pathway to identify and treat night wakings in children with ASD.
Related Concept Videos
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...
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Management of Insomnia
Restless Leg Syndrome and Night Terrors
The exact cause of RLS is not fully understood, but it is believed to involve dopamine, a neurotransmitter that helps regulate muscle movement. Imbalances in dopamine levels...
Nightmares and Night Terrors
Nightmares...

