Parental Perception of Sleep Problems in Children of Normal Intelligence With Pervasive Developmental Disorders: Prevalence, Severity, and Pattern

Couturier, Jennifer; Speechley, Kathy N.; Steele, Margaret; Norman, Ross; Stringer, Bernadette; Nicolson, Rob

doi:10.1097/01.chi.0000166377.22651.87

Cited by 227 publications

(134 citation statements)

References 22 publications

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“…[1][2][3] The report of sleep diagnoses captured on a clinician report was much lower (30%), and when examined at a site level, was even more variable. There are several possible reasons for this discrepancy.…”

Section: Discussionmentioning

confidence: 99%

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Sleep Difficulties and Medications in Children With Autism Spectrum Disorders: A Registry Study

et al. 2016

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OBJECTIVES: Sleep difficulties are common in children with autism spectrum disorders, with wide-ranging effects on the child's daytime behavior. We reviewed data within our Autism Speaks Autism Treatment Network Registry to determine the prevalence of sleep difficulties and patterns of medication use. METHODS:Data from 1518 children ages 4 to 10 years were analyzed to determine the number of children documented to have sleep difficulties by parent-completed questionnaires and clinician-completed forms and how these findings related to the use of sleep medications. RESULTS:The Children's Sleep Habits Questionnaire total score was ≥41 (associated with clinically significant sleep problems in past research) in 71% of children. The prevalence of sleep diagnoses was less frequent (30% of children aged 4-10 years; P < .0001). Medications for sleep were prescribed in 46% of 4-to 10-year-olds given a sleep diagnosis. The most common medication used for sleep was melatonin followed by α-agonists, with a variety of other medications taken for sleep (anticonvulsants, antidepressants, atypical antipsychotics, and benzodiazepines). Children taking medications for sleep had worse daytime behavior and pediatric quality of life than children not taking sleep medications. CONCLUSIONS:Parent concerns about sleep may not be reflected in the information gathered during a clinic visit, supporting the need to develop screening practice pathways for sleep in autism spectrum disorders. Furthermore, many medications taken for sleep have adverse effects, supporting the need for evidence-based interventions in this population.

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Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Within the Autism Speaks Autism Treatment Network (ATN) Registry, sleep disturbance was found to be a prominent parent-reported concern from early childhood through adolescence. 4 Sleep has been the focus of several other ATN registry studies.…”

Section: S99 Pediatrics Volume 137 Number S2 February 2016mentioning

confidence: 99%

Sleep Difficulties and Medications in Children With Autism Spectrum Disorders: A Registry Study

et al. 2016

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“…Parent-reported sleep problem rates ranging from 50% to 80% have been reported for children with an ASD, compared with 9 to 50% among comparison groups (Allik, Larsson, & Smedje, 2006;Couturier et al, 2005;Malow et al, 2006;Polimeni, Richdale, & Francis, 2005). Compared with typically developing children, children with ASD have trouble falling asleep, wake more often during the night, wake earlier in the morning, and sleep less, and they have more sleep walking and talking, nightmares, and bed wetting episodes (Hering, Epstein, Elroy, Iancu, & Zelnik, 1999;Honomichl, Goodlin- The ASD group had more sleep disturbance than the typically developing group.…”

Section: Anxiety and Sleep Problemsmentioning

confidence: 99%

An investigation of anxiety in children and adolescents with autism spectrum disorder

Williams

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Mannion

et al. 2015

Research in Autism Spectrum Disorders

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“…1 Approximately 40% to 80% of parents of children with ASD report sleep problems compared with 9% to 50% of parents of typically developing children. [2][3][4][5] The most common reported parental concern is insomnia, defined as having difficulty falling asleep. Behavioral and pharmacologic interventions have been advocated to address these parental sleep concerns 6,7 In an earlier study, we reported success in an open-label study of 20 children with ASD with parent-based sleep education workshops using a small-group format with 6 hours of education.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Standardized Pamphlet on Insomnia in Children With Autism Spectrum Disorders

et al. 2012

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OBJECTIVE Sleep difficulties are common reasons why parents seek medical intervention in children with autism spectrum disorders (ASDs). We determined whether a pamphlet alone could be used by parents to help their child’s insomnia. METHODS Thirty-six children with ASD, ages 2 to 10 years, were enrolled. All had prolonged sleep latency confirmed by actigraphy showing a mean sleep latency of 30 minutes or more. Parents were randomly assigned to receive the sleep education pamphlet or no intervention. Children wore an actigraphy device to record baseline sleep parameters, with the primary outcome variable being change in sleep latency. Actigraphy data were collected a second time 2 weeks after the parent received the randomization assignment and analyzed by using Student’s t test. Parents were also asked a series of questions to gather information about the pamphlet and its usefulness. RESULTS Although participants randomized to the 2 arms did not differ statistically in age, gender, socioeconomic status, total Children’s Sleep Habits Questionnaire score, or actigraphy parameters, some differences may be large enough to affect results. Mean change in sleep-onset latency did not differ between the randomized groups (pamphlet versus no pamphlet). Parents commented that the pamphlet contained good information, but indicated that it would have been more useful to be given specific examples of how to take the information and put it into practice. CONCLUSIONS A sleep education pamphlet did not appear to improve sleep latency in children with ASDs.

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Parental Perception of Sleep Problems in Children of Normal Intelligence With Pervasive Developmental Disorders: Prevalence, Severity, and Pattern

Cited by 227 publications

References 22 publications

Sleep Difficulties and Medications in Children With Autism Spectrum Disorders: A Registry Study

Sleep Difficulties and Medications in Children With Autism Spectrum Disorders: A Registry Study

An investigation of anxiety in children and adolescents with autism spectrum disorder

Effects of a Standardized Pamphlet on Insomnia in Children With Autism Spectrum Disorders

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