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Sleep and Sleep-Related Problems

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Part of the book series: Evidence-Based Practices in Behavioral Health ((EBPBH))

Abstract

Poor sleep and sleep-related problems are common among people with intellectual and developmental disabilities, affect daytime performance, and have health implications. This chapter reviews behavioral assessment and intervention for sleep concerns, including delayed sleep onset, disruptive bedtime routines, night awakenings, diurnal sleeping, and sleep terror. Different measurement methods are explained such as direct observation, sleep-specific assessment protocols, and actigraphy. The chapter emphasizes programs to improve sleep hygiene as well as targeted interventions that incorporate stimulus control, prompting, extinction, and positive reinforcement procedures. Several research-to-practice recommendations are presented.

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References

  • Adams, L. A., & Rickert, V. I. (1989). Reducing bedtime tantrums: Comparison between positive routines and graduated extinction. Pediatrics, 84, 756–761.

    PubMed  Google Scholar 

  • Allen, K. D., Kuhn, B. R., DeHaai, K. A., & Wallace, D. P. (2013). Evaluation of a behavioral treatment package to reduce sleep problems in children with Angelman syndrome. Research in Developmental Disabilities, 34, 676–686.

    Article  PubMed  Google Scholar 

  • Allik, H., Larsson, J., & Smedje, H. (2006). Insomnia in school-age children with Asperger syndrome or high-functioning autism. BMC Psychiatry, 6, 6–18.

    Article  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Google Scholar 

  • Chevrin, R. D., Hedger, K., Dillon, J. E., & Pituch, K. J. (2000). Pediatric sleep questionnaire (PSQ): Validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Medicine, 1, 21–32.

    Article  Google Scholar 

  • Chu, J., & Richdale, A. L. (2009). Sleep quality and psychological wellbeing in mothers of children with developmental disabilities. Research in Developmental Disabilities, 30, 1512–1522.

    Article  PubMed  Google Scholar 

  • Colton, H. R., & Altevogt, V. M. (Eds.). (2006). Sleep disorders and sleep deprivation: An unmet health problem. Washington, DC: National Academics Press.

    Google Scholar 

  • Cortesi, F., Giannotti, F., Sebastiani, T., Panunzi, S., & Valente, D. (2012). Controlled-release melatonin, singly and combined with cognitive behavioral therapy, for persistent insomnia in children with autism spectrum disorders: A placebo-controlled trial. Journal of Sleep Research, 21, 700–709.

    Article  PubMed  Google Scholar 

  • Cotton, S., & Richdale, A. (2010). Brief report: Parental descriptions of sleep problems in children with autism, Down syndrome, and Prader-Willi syndrome. Research in Developmental Disabilities, 27, 151–161.

    Article  Google Scholar 

  • Didden, R., Curfs, L. M. G., Sikkema, S. P. E., & de Moor, J. (1998). Functional assessment and treatment of sleeping problems with developmentally disabled children: Six case studies. Journal of Behavior Therapy and Experimental Psychiatry, 29, 85–97.

    Article  PubMed  Google Scholar 

  • Doran, S. M., Harvey, M. T., & Horner, R. H. (2006). Sleep and developmental disabilities: Assessment, treatment, and outcome measures. Mental Retardation, 44, 13–27.

    Article  PubMed  Google Scholar 

  • Durand, V. M. (2002). Treating sleep terrors in children with autism. Journal of Positive Behavioral Interventions, 4, 66–72.

    Article  Google Scholar 

  • Durand, V. M. (2014a). Sleep problems. In J. K. Luiselli (Ed.), Children and youth with autism spectrum disorder (ASD): Recent advances and innovations in assessment, education, and intervention (pp. 174–192). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Durand, V. M. (2014b). Sleep better! A guide to improving sleep for children with special needs (revised ed.). Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Durand, V. M., & Crimmins, D. (1992). The motivation assessment scale administrative guide. Topeka, KS: Monaco & Associates.

    Google Scholar 

  • Eshbaugh, B., Martin, W., Cunningham, K., & Luiselli, J. K. (2004). Evaluation of bedtime medication regimen on daytime sleep and challenging behaviors of an adult with intellectual disabilities. Mental Health Aspects of Developmental Disabilities, 7, 21–25.

    Google Scholar 

  • Ferber, R. (2006). Solve your child’s sleep problems (2nd ed.). New York: Fireside Books.

    Google Scholar 

  • Forquer, L. M., & Johnson, C. M. (2005). Continuous white noise to reduce resistance going to sleep and night wakings in toddlers. Child & Family Behavior Therapy, 27, 1–10.

    Article  Google Scholar 

  • Freidman, A., & Luiselli, J. K. (2008). Excessive daytime sleep: Behavioral assessment and intervention in a child with autism. Behavior Modification, 32, 548–555.

    Article  Google Scholar 

  • Friman, P. C., Hoff, K. E., Schnoes, C., Freeman, K. A., Woods, D. W., & Blum, N. (1999). The bedtime pass: An approach to bedtime crying and leaving the room. Archives of Pediatric and Adolescent Medicine, 153, 1027–1029.

    Article  Google Scholar 

  • Gallagher, S., Phillips, A. C., & Carroll, D. (2010). Parental stress is associated with poor sleep quality in parents caring for children with developmental disabilities. Journal of Pediatric Psychology, 35, 728–737.

    Article  PubMed  Google Scholar 

  • Garcia, J., & Wills, L. (2000). Sleep disorders in children and teens: Helping patients and their families get some rest. Postgraduate Medicine, 107, 161–178.

    Article  PubMed  Google Scholar 

  • Goldman, S. E., Mcgraw, S., Johnson, K. P., Richdale, A. L., Clemons, T., & Malow, A. (2011). Sleep is associated with problem behaviors in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 1223–1229.

    Article  Google Scholar 

  • Harvey, M. T., Baker, D. J., Horner, R. H., & Blackford, J. U. (2003). A brief report on the prevalence of sleep problems in individuals with mental retardation living in the community. Journal of Positive Behavioral Interventions, 5, 195–200.

    Article  Google Scholar 

  • Hodge, D., Parnell, A. M. N., Hoffman, C. D., & Sweeney, D. P. (2012). Methods for assessing sleep in children with autism spectrum disorders: A review. Research in Autism Spectrum Disorders, 6, 1337–1344.

    Article  Google Scholar 

  • Iwata, B. A., DeLeon, I. G., & Roscoe, E. M. (2013). Reliability and validity of the functional analysis screening tool. Journal of Applied Behavior Analysis, 46, 271–284.

    Article  PubMed  Google Scholar 

  • Kennedy, C. H., & Meyer, K. A. (1996). Sleep deprivation, allergy symptoms, and negatively reinforced problem behavior. Journal of Applied Behavior Analysis, 29, 133–135.

    Article  PubMed Central  PubMed  Google Scholar 

  • Knight, R. M., & Johnson, C. M. (2014). Using a behavioral treatment package for sleep problems in children with autism spectrum disorders. Child & Family Behavior Therapy, 36, 204–221.

    Article  Google Scholar 

  • Kuhn, B. R., & Eliot, A. J. (2003). Treatment efficacy in behavioral pediatric sleep medicine. Journal of Psychosomatic Research, 54, 587–597.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., O’Reilly, M. F., & Basili, G. (1999). Review of strategies for treating sleep problems in persons with severe and profound mental retardation or multiple handicaps. American Journal of Mental Deficiency, 104, 170–186.

    Google Scholar 

  • Liu, X., Hubbard, J. A., Fabes, R. A., & Adam, J. B. (2006). Sleep disturbances and correlates of children with autism spectrum disorders. Child Psychiatry and Human Development, 37, 179–191.

    Article  PubMed  Google Scholar 

  • Luiselli, J. K. (1995). Behavioral assessment and treatment of sleep disorders in persons with developmental disabilities. Habilitative Mental Healthcare Newsletter, 14, 68–73.

    Google Scholar 

  • Luiselli, J. K. (2008). Antecedent (preventive) intervention. In J. K. Luiselli, S. Wilczynski, D. C. Russo, & W. P. Christian (Eds.), Effective practices for children with autism: Educational and behavior support interventions that work (pp. 393–412). New York, NY: Oxford University Press.

    Chapter  Google Scholar 

  • Luiselli, J. K., MaGee, C., Sperry, J. M., & Parker, S. (2005). Descriptive assessment of sleep patterns among community-living adults with mental retardation. Mental Retardation, 43, 416–420.

    Article  PubMed  Google Scholar 

  • Malow, B. A., Adkins, K. W., Reynolds, A., Weiss, S. K., Loh, A., & Fawkes, D. et al. (2014). Parent-based sleep education for children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44, 216–228.

    Article  PubMed  Google Scholar 

  • Mannion, A., & Leader, G. (2013). Sleep problems in autism spectrum disorder: A literature review. Review Journal of Autism and Developmental Disorders, 1, 101–109.

    Article  Google Scholar 

  • Meltzer, L. J., & Mindell, J. A. (2004). Non-pharmacologic treatments for pediatric sleeplessness. Pediatric Clinics of North America, 51, 135–151.

    Article  PubMed  Google Scholar 

  • Meltzer, L. J., & Mindell, J. A. (2007). Relationship between child sleep disturbances and maternal sleep, mood, and parenting stress: A pilot study. Journal of Family Psychology, 21, 67–73.

    Article  PubMed  Google Scholar 

  • Meltzer, L. J., Montgomery-Downs, H. E., Insana, S. P., & Walsh, C. M. (2012). Use of actigraphy for assessment in pediatric sleep research. Sleep Medicine Reviews, 16, 463–475.

    Article  PubMed Central  PubMed  Google Scholar 

  • Moore, B. A., Friman, P. C., Fruzzetti, A. E., & MacAleese, K. (2007). Brief report: Evaluating the bedtime pass program for child resistance to bedtime—a randomized, controlled trial. Journal of Pediatric Psychology, 32, 283–287.

    Article  PubMed  Google Scholar 

  • O’Neill, R. E., Horner, R. H., Albin, R. W., Sprague, J. R., Storey, K., & Newton, J. S. (1997). Functional assessment and program development for problem behavior: A practical handbook. Pacific Grove, CA: Brookes/Cole.

    Google Scholar 

  • O’Reilly, M. F. (1995). Functional analysis and treatment of escape-maintained aggression correlated with sleep deprivation. Journal of Applied Behavior Analysis, 28, 225–226.

    Article  PubMed Central  PubMed  Google Scholar 

  • O’Reilly, M. F., Lancioni, G. E., & Sigafoos, J. (2004). Using paired-choice assessment to identify variables maintaining sleep problems in a child with severe disabilities. Journal of Applied Behavior Analysis, 37, 209–212.

    Article  PubMed Central  PubMed  Google Scholar 

  • Owens, J. A., Spirito, A., & Mcguinn, M. (2000). The children’s sleep habits questionnaire (CSHQ): Psychometric properties of a survey instrument for school-age children. Sleep, 23, 1043–1052.

    PubMed  Google Scholar 

  • Paclawskyi, T. R., Matson, J. L., Rush, K. S., Smalls, Y., & Vollmer, T. R. (2000). Questions about behavior function (QABF): A behavioral checklist for functional assessment of aberrant behavior. Research in Developmental Disabilities, 21, 223–229.

    Article  Google Scholar 

  • Piazza, C. C., & Fisher, W. (1991). A faded bedtime with response cost protocol for treatment of multiple sleep problems in children. Journal of Applied Behavior Analysis, 24, 129–140.

    Article  PubMed Central  PubMed  Google Scholar 

  • Reed, D. D., & Azulay, R. (2011). Functional behavioral assessment. In J. K. Luiselli (Ed.), Teaching and behavior support for children and adults with autism spectrum disorder: A practitioner’s guide (pp. 13–21). New York: Oxford University Press.

    Google Scholar 

  • Reed, G. K., Dolezal, D. N., Cooper-Brown, L. J., & Wacker, D. P. (2005). The effects of sleep disruption on the treatment of a feeding disorder. Journal of Applied Behavior Analysis, 38, 243–245.

    Article  PubMed Central  PubMed  Google Scholar 

  • Richdale, A. L. (2013). Autism and other developmental disabilities. In A. R. Wofson & H. Montgomery-Downs (Eds.), The oxford handbook of infant, child, and adolescent sleep (pp. 471–494). New York: Oxford University Press.

    Google Scholar 

  • Richdale, A. L., & Baker, E. K. (2014). Sleep in individuals with an intellectual or developmental disability: Recent research reports. Current Developmental Disorders Reports, 1, 74–85.

    Article  Google Scholar 

  • Rzepecka, H., McKenzie, K., McClure, I., & Murphy, S. (2011). Sleep, anxiety, and challenging behavior in children with intellectual disability and/or autism spectrum disorder. Research in Developmental Disabilities, 16, 2758–2766.

    Article  Google Scholar 

  • Sadeh, A. (2011). The role and validity of actigraphy in sleep medicine: An update. Sleep Medicine Reviews, 15, 259–267.

    Article  PubMed  Google Scholar 

  • Sanetti, L. M. H., & Kratochwill, T. R. (2014). Treatment integrity: A foundation for evidence-based practice in applied psychology. Washington, DC: American Psychological Press.

    Book  Google Scholar 

  • Schreck, K. A., Mulick, J. A., & Rojahn, J. (2003). Development of the behavioral evaluation of disorders of sleep scale. Journal of Child and Family Studies, 12, 349–359.

    Article  Google Scholar 

  • Sitnick, S. L., Goodline-Jones, B. L., & Anders, T. F. (2008). The use of actigraphy to study sleep disorders in preschoolers: Some concerns about detection of nighttime awakenings. Sleep, 31, 395–401.

    PubMed Central  PubMed  Google Scholar 

  • Souders, M. C., Mason, T. B. A., Valladares, O., Bucan, M., Levy, S. E., & Mandell, D. S. (2009). Sleep behaviors and sleep quality in children with autism spectrum disorders. Sleep, 32, 1566–1578.

    PubMed Central  PubMed  Google Scholar 

  • Stores, G. (2002). Annotation: Children’s sleep disorders: Modern approaches, developmental effects, and children at special risk. Developmental Medicine and Child Neurology, 41, 568–573.

    Article  Google Scholar 

  • Stores, G., & Stores, R. (2013). Sleep disorders and their clinical significance in children with Down syndrome. Developmental Medicine and Child Neurology, 30, 126–130.

    Article  Google Scholar 

  • Taylor, M. A., Schreck, K. A., & Mulick, J. A. (2012). Sleep disruption as a correlate to cognitive and adaptive behavior problems in autism spectrum disorders. Research in Developmental Disabilities, 33, 1408–1417.

    Article  PubMed  Google Scholar 

  • Thiele, T., Blew, P., & Luiselli, J. K. (2001). Antecedent control of sleep awakening disruption. Research in Developmental Disabilities, 22, 399–406.

    Article  PubMed  Google Scholar 

  • Van de Wouw, E., Evenhuis, H. M., & Echtld, M. A. (2012). Prevalence, associated factors, and sleep problems in adults with intellectual disability: A systematic review. Research in Developmental Disabilities, 33, 1310–1332.

    Article  PubMed  Google Scholar 

  • Wiggs, L., & Stores, G. (2004). Sleep patterns and sleep disorders in children with autistic spectrum disorders: Insights using parent report and actigraphy. Developmental Medicine and Child Neurology, 46, 372–380.

    Article  PubMed  Google Scholar 

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Luiselli, J.K. (2016). Sleep and Sleep-Related Problems. In: Luiselli, J. (eds) Behavioral Health Promotion and Intervention in Intellectual and Developmental Disabilities. Evidence-Based Practices in Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-319-27297-9_8

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