"Children with ASD who also had comorbid sleep problems were more likely to have withdrawal problems, somatizing problems, internalizing problems, and overall total behavior problems than children with ASD who did not have sleep problems. This is supported by Sikora et al. (2012) who found that children with ASD and sleep problems had more internalizing and externalizing behavior problems than those with ASD and no sleep problems. "
[Show abstract][Hide abstract] ABSTRACT: The purpose of this literature review is to provide an overview of the research on sleep problems in autism spectrum disorder. Topics explored are the prevalence of sleep problems, the importance of studying sleep problems, as well as the objective and subjective measures used to measure sleep. Research on the relationships between sleep problems and parental stress and psychological distress, developmental regression, language and communication, adaptive behavior, autism severity, challenging behavior, comorbid psychopathology, attention deficit/hyperactivity disorder, gastrointestinal symptoms, epilepsy, and sensory issues is also discussed. Age-related variations in sleep problems are also examined. Finally, recommendations for treatment are given as well as areas where future research is needed.
[Show abstract][Hide abstract] ABSTRACT: Autism spectrum disorders (ASD), once thought rare, are now commonly encountered in clinical practice. Academic pediatricians may be expected to teach medical students and pediatric residents about ASD, but most likely received limited exposure to ASD during their training. In recent years, research that informs the clinical guidance provided to pediatricians regarding surveillance, screening, and ongoing management of children with ASD has accelerated. By 24 months of age, children with ASD exhibit delays across multiple domains of development, yet the diagnosis is frequently made much later. Careful developmental surveillance lowers the age of identification of children with ASD. Several screening tools appropriate for use in primary care settings can aid in early identification. Improved surveillance and screening is of benefit because early intensive behavioral intervention has the potential to improve the developmental trajectory of children with ASD. Providing appropriate medical care for children with ASD improves both child and family outcomes. Recent research regarding sleep disturbances, gastrointestinal problems, and epilepsy in children with ASD has led to clinical pathways to evaluate and address these issues within the context of primary care. By being aware of and disseminating these research findings, academic pediatricians can help future and current clinicians improve the care of children with ASD.
[Show abstract][Hide abstract] ABSTRACT: This review describes recent research in pediatric behavioral insomnias in neurodevelopmental disorders and their treatment.
Insomnia in children with autism spectrum disorder (ASD) and other neurodevelopmental disorders (NDDs) is typically complex, chronic, and difficult to adequately control. Abnormalities in genetic and/or epigenetic regulation of sleep/wakefulness and its timing predispose patients with NDD to insomnia, although poor sleep hygiene, maladaptive associations, and limit-setting are likely to contribute. Parents are agents for change in problematic sleep behaviors in patients with NDD. We review the benefits of behavioral therapies and melatonin to treat sleep problems in children with NDD. Problematic sleep is so prevalent in some neurodevelopmental syndromes (Rett, Angelman, Williams, and Smith-Magenis) that it is part of their diagnostic criteria.
Children and adolescents with neurological disorders frequently have complex sleep disorders that require treatment. Understanding the basic pathology and treatment strategies provides an opportunity to improve well being and quality of life in those affected by NDD and their families.
Current opinion in pulmonary medicine 09/2013; 19. DOI:10.1097/MCP.0b013e328365ab89
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