Autism is a relatively common developmental disability that has neurobiological origins and is characterized by pervasive deficits in social interaction, communication and range of interests. In a previously published article, the authors described commonly occurring sleep problems in children with autism [Williams, P. G., Sears, L. L., and Allard, A. (2004). J. Sleep Res. 13: 265–268.] Current estimates of sleep disorders in this population range from 44 to 83% [Richdale, A. (1999). Develop. Med. Child Neurol. 41: 60–66]. Parents often have to devise their own strategies for dealing with sleep problems. This study surveyed interventions being used by families of children with autism. Likert-based surveys were sent out to 500 families of autistic children with 210 returned. Based on records of psychological testing, survey responses for these children were categorized into mental retardation (MR) or not mental retardation (not MR) groups. Among the most frequently used behavior interventions for both groups were establishing a regular bedtime and waking time, providing a darkened room, reading to the child, and providing toys to play with in bed. Behavioral strategies considered most effective included establishing a regular bedtime, bringing the child into the parents’ bed, wrap** the child, using a noise masker, and allowing the child to have toys in his bed. When surveys were divided into MR/not MR groups, some differences in perceived effectiveness of behavioral interventions for sleep were noted. Reading a story and using a nightlight were perceived as much less effective for the MR group as compared to those in the not MR group. In general, medications were used much less frequently than behavioral interventions to help with sleep. When comparisons between the MR/not MR groups were made, no statistically significant differences were seen for perceived effectiveness of medications. This study points to the need for more systematic study of sleep problems and interventions for children with autism.
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REFERENCES
American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed. text revision), Author, Washington, DC.
Durand, V. (2002). Treating sleep terrors in children with autism. J. Positive Behav. Interv. 4(2): 66–72.
Gozal, D. (1998). Sleep disordered breathing and school performance in children. Pediatrics 102: 616–620.
Hering, E., Epstein, R., Elroy, S., Ianco, D. R., and Zelnik, N. (1999). Sleep patterns in autistic children. J. Autism Develop. Disord. 29(2): 143–147.
Honomichl, R., Goodlin-Jones, B., Burnham, M., Gaylor, E., and Anders, T. (2002). Sleep patterns of children with pervasive developmental disorders. J. Autism Develop. Disord. 32(6): 553–561.
Horne, J. A. (1988). Sleep loss and divergent thinking ability. Sleep 11: 528–536.
Johnson, C. R. (1996). Sleep problems in children with mental retardation and autism. Child Adolesc. Psychiatr. Clin. North America 5(3): 673–683.
Patzold, L. M., Richdale, A. L., and Jonge, B. J. (1998). An investigation into sleep characteristics of children with autism and Asperger's disorder. J. Pediatr. Child Health 34(6): 528–533.
Quine, L. (1991). Sleep problems in children with mental handicap. J. Mental Def. Res. 35: 269–290.
Richdale, A. (1999). Sleep problems in autism: Prevalence, cause, and intervention. Develop. Med. Child Neurol. 41: 60–66.
Stores, G. and Wiggs, L. (1998). Abnormal sleep patterns associated with autism. Autism 157.
Tsai, L. Y. (1999). Psychopharmacology in autism. Psychosom. Med. 61(5): 651–665.
Weiskop, S., Richdale, A., and Matthews, J. (2005). Behavioral treatment to reduce sleep problems in children with autism or fragile X syndrome. Develop. Med. Child Neurol. 47(2): 94–104.
Wiggs, L., and Stores, G. (1996). Severe sleep disturbance and daytime challenging behavior in children with severe learning disabilities. J. Intell. Disab. Res. 40(6): 518–528.
Wiggs, L. and Stores, G. (2004). Sleep patterns and sleep disorders in children with autistic spectrum disorders: insights using parent report and actigraphy. Develop. Med. Child Neurol. 46(6): 372–380.
Williams, P. G., Sears, L. L., and Allard, A. (2004). Sleep problems in children with autism. J. Sleep Res. 13: 265–268.
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Williams, G., Sears, L. & Allard, A. Parent Perceptions of Efficacy for Strategies used to Facilitate Sleep in Children with Autism. J Dev Phys Disabil 18, 25–33 (2006). https://doi.org/10.1007/s10882-006-9003-y
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DOI: https://doi.org/10.1007/s10882-006-9003-y