Abstract
Children with Autism Spectrum Disorder often display disrupted sleep patterns that may include fewer hours of total sleep, difficulty falling asleep, middle of the night awakenings, and high activity levels when waking at inappropriate times of the night. These sleep disturbances negatively affect children’s mood, activity levels, attention span, and safety. Family functioning is impaired by the associated effects on caregiver sleep and the stress associated with the possibility that the child might be harmed when engaging in unsupervised activities during the night. This chapter provides therapists with psychoeducation about incidence, characteristics, and etiology of sleep problems in this population. Information is also provided about behavioral and pharmacological treatments used to intervene with these challenging behaviors.
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References
Abel, E., Kim, S., Kellerman, A., & Brodhead, M. (2017). Recommendations for identifying sleep problems and treatment resources for children with autism spectrum disorder. Behavior Analysis in Practice, 10(3), 261–269.
Ahn, Y. (2010). Treatment of obstructive sleep apnea in children. Korean Journal of Pediatrics, 53(10), 872–879.
Aman, M., Arnold, L., McDougle, C., Vitiello, B., Scahill, L., Davies, M., … Lindsay, R. (2005). Acute and long-term safety and tolerability of risperidone in children with autism. Journal of Child and Adolescent Psychopharmocology, 15(6), 869–884.
Andersen, I., Kaczmarska, J., McGrew, S., & Malow, B. (2008). Melatonin for insomnia in children with autism spectrum disorders. Journal of Child Neurology, 23(5), 482–485.
Byars, K., Gray, L., Loring, W., & Malow, B. (2014). Sleep strategies for teens with autism spectrum disorder: A guide for parents. Retrieved from https://www.autismspeaks.org/sites/default/files/docs/sciencedocs/atn/sleep_strategies_for_teens_tool_kit.pdf.
Cortesi, F., Giannotti, F., Ivanenko, A., & Johnson, K. (2010). Sleep in children with autistic spectrum disorder. Sleep Medicine, 11, 659–664.
Dosman, C., Brian, J., Drmic, I., Senthilselvan, A., Harford, M., Smith, R., … Roberts, S. (2007). Children with autism: Effect of iron supplementation on sleep and ferritin. Pediatric Neurology, 36(3), 152–158.
Evans, J. (2001). Evidence based management of nocturnal enuresis. British Medical Journal, 323(7322), 1167–1169.
Fleetham, J., & Fleming, J. (2014). Parasomnias. Canadian Medical Association Journal, 186(8), E273–E280.
Friman, P., Hoff, K., Schnoes, C., Freeman, K., Woods, D., & Blum, N. (1999). The bedtime pass. Archives of Pediatrics & Adolescent Medicine, (10).
Giannotti, F., Cortesi, F., Cerquiglini, A., & Bernabei, P. (2006). An open label study of controlled –release melatonin in treatment of sleep disorders in children with autism. Journal of Autism and Developmental Disorders, 36, 741–752.
Harris, J., Malow, B., & Werkhaven, J. (2018). Descriptive epidemiology of obstructive sleep apnea in children with autism spectrum disorder. Sleep, 41, A292–A293.
Johnson, C., Turner, K., Foldes, E., Brooks, M., Kronk, R., & Wiggs, L. (2013). Behavioral parent training to address sleep disturbances in young children with autism spectrum disorder: A pilot trial. Sleep Medicine, 14(10), 995–1004.
Liu, X., Hubbard, J., Fabes, R., & Adam, J. (2006). Sleep disturbances and correlates of children with autism spectrum disorders. Child Psychiatry and Human Development, 37(2), 179–191.
Lopez-Wagner, M., Hoffman, C., Sweeney, D., Hodge, D., & Gilliam, J. (2008). Sleep problems of parents of typically developing children and parents of children with autism. Journal of Genetic Psychology, 169(3), 245–259.
Mahowald, M. (2012). Disorders of sleep. In W. Arend et al. (Eds.), Goldman’s Cecil Medicine (Twenty-Fourth Edition). Retrieved from https://www.sciencedirect.com/science/article/pii/B9781437716047005121.
Malow, B., Byars, K., & Johnson, K. (2012). A practice pathway for the identification, evaluation, and management of insomnia in children and adolescents with autism spectrum disorders. Pediatrics, 130, S106.
Mclay, L., France, K., Blampied, N., Danna, K., & Hunter, J. (2017). Using functional behavioral assessment to develop a multicomponent treatment for sleep problems in a 3-Year-Old Boy with autism. Clinical Case Studies, 16(3), 254–270.
Melke, J., Goubran Botros, H., Chaste, P., Betancur, C., Nygren, G., Anckarsater, H., … Bourgeron, T. (2008). Abnormal melatonin synthesis in autism spectrum disorders. Molecular Psychiatry, 13(1), 90–98.
Ming, X., Brimacombe, M., Chaaban, J., Zimmerman-Bier, B., & Wagner, G. (2008). Autism spectrum disorders: Concurrent clinical disorders. Journal of Child Neurology, 23(1), 6–13.
Posey, D., Guenin, K., Swiezy, N., & McDougle, C. (2001). A naturalistic open-label study of mirtazapine in autistic and other pervasive developmental disorders. Journal of Child and Adolescent Psychopharmocology, 11(3), 267–277.
Richdale, A. (1999). Sleep problems in autism: Prevalence, cause, and intervention. Developmental Medicine and Child Neurology, 41, 60–66.
Richdale, A., & Schreck, K. (2009). Sleep problems in autism spectrum disorders: Prevalence, nature, and possible biopsychosocial aetiologies. Sleep Medicine Reviews, 13, 403–411.
Rossi, P., Posar, A., Parmeggiani, A., Pipitone, E., & D’Agata, M. (1999). Niaprazine in the treatment of autistic disorder. Journal of Child Neurology, 14(8), 547–550.
Schreck, K., Mulick, J., & Smith, A. (2004). Sleep problems as possible predictors of intensified symptoms of autism. Research in Developmental Disabilities, 25, 57–66.
Thiedke, C. (2003). Nocturnal enuresis. American Family Physician, 67(7), 1499–1506.
Turner, K., & Johnson, C. (2013). Behavioral interventions to address sleep disturbances in children with autism spectrum disorders: A review. Topics in Early Childhood Special Education, 33(3), 144–152.
Veatch, O., Maxwell-Horn, A., & Malow, B. (2015). Sleep in autism spectrum disorders. Current Sleep Medicine Reports, 1(2), 131–140.
Vriend, J., Corkum, P., Moon, E., & Smith, I. (2011). Behavioral interventions for sleep problems in children with autism spectrum disorders: Current finding and future directions. Journal of Pediatric Psychology, 36(9), 1017–1029.
Weiss, S., & Malow, B. (2012). A parent’s guide to improving sleep in children with autism. Autism Speaks Autism Treatment Network.
Wirojanan, J., Jacquemont, S., Diaz, R., Bacalman, S., Anders, T., Hagerman, R., & Goodlin-Jones, B. (2009). The efficacy of melatonin for sleep problems in children with autism, Fragile X Syndrome, or autism and Fragile X Syndrome. Journal of Clinical Sleep Medicine, 5(2), 145–151.
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Wallace, J., Lindsey, J., Lancaster, V., Stone-Heaberlin, M. (2018). Sleep Concerns in Children with Autism Spectrum Disorder. In: McNeil, C., Quetsch, L., Anderson, C. (eds) Handbook of Parent-Child Interaction Therapy for Children on the Autism Spectrum. Springer, Cham. https://doi.org/10.1007/978-3-030-03213-5_20
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DOI: https://doi.org/10.1007/978-3-030-03213-5_20
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