Sleep in Children with Autism Spectrum Disorder.

Sleep in Children with Autism Spectrum Disorder.
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DOI:
10.1007/s11920-017-0782-x
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发表时间:
2017-06
影响因子:
6.7
通讯作者:
Pinto-Martin J
Pinto-Martin J
中科院分区:
医学2区
文献类型:
--
作者:
Souders MC;Zavodny S;Eriksen W;Sinko R;Connell J;Kerns C;Schaaf R;Pinto-Martin J

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本文的目的是概述自闭症谱系障碍 (ASD) 儿童的睡眠科学状况,提出自闭症谱系障碍儿童失眠高发的假设,并提出促进最佳睡眠的实践途径。大约三分之二的自闭症儿童患有慢性失眠,迄今为止,促进睡眠的最有力证据是睡眠教育、环境变化、行为干预和外源性褪黑激素。自闭症治疗网络 (ATN) 睡眠委员会在 2012 年根据专家共识制定了一个实践途径,以获取筛查、识别和治疗自闭症谱系障碍 (ASD) 睡眠问题的最佳实践。本文提供了一个范例案例,以整合该实践途径的关键结构,并解决患有自闭症谱系障碍 (ASD) 和焦虑症的儿童的唤醒和感觉失调问题。本文最后提出了传播自闭症谱系障碍睡眠问题的实践途径和未来研究方向的后续步骤。
The purposes of this paper are to provide an overview of the state of the science of sleep in children with autism spectrum disorder (ASD), present hypotheses for the high prevalence of insomnia in children with ASD, and present a practice pathway for promoting optimal sleep. Approximately two thirds of children with ASD have chronic insomnia, and to date, the strongest evidence on promoting sleep is for sleep education, environmental changes, behavioral interventions, and exogenous melatonin. The Sleep Committee of the Autism Treatment Network (ATN) developed a practice pathway, based on expert consensus, to capture best practices for screening, identification, and treatment for sleep problems in ASD in 2012. An exemplar case is presented to integrate key constructs of the practice pathway and address arousal and sensory dysregulation in a child with ASD and anxiety disorder. This paper concludes with next steps for dissemination of the practice pathway and future directions for research of sleep problems in ASD.
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