Case study: A case-series evaluation of a behavioral sleep intervention for three children with autism and primary insomnia

Journal of Pediatric Psychology
Erin C MoonIsabel M Smith

Abstract

To assess the effectiveness of a manualized multi-component behavioral sleep intervention for children with autism spectrum disorder (ASD) and primary insomnia. Three children (2 males and 1 female, aged 8-9 years) participated. The intervention consisted of a treatment handbook for parents; a distance treatment approach was used in which parents had weekly telephone contact with a therapist. The main behavioral strategies employed were Faded Bedtime with Response Cost and positive reinforcement. Within a case-series design, both subjective (parent-report questionnaires and sleep diaries) and objective (actigraphy) measures were used to record changes in children's sleep and daytime behavior. For all 3 children, mean sleep onset latency was reduced following the intervention. These improvements were generally maintained at follow-up 12 weeks later. The current study provides preliminary evidence for the effectiveness of a manualized behavioral sleep intervention program for improving insomnia in children with ASD.

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Citations

Dec 18, 2015·Research in Developmental Disabilities·Ikuko HirataMasako Taniike
Mar 20, 2012·Sleep Medicine Reviews·Lisa J MeltzerColleen M Walsh
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Aug 9, 2017·Children·Makeda MooreCynthia Johnson
Jul 30, 2019·Developmental Neurorehabilitation·Amarie CarnettRussell Lang
Oct 1, 2019·Autism Research : Official Journal of the International Society for Autism Research·Christina S McCraeMicah O Mazurek
Oct 18, 2019·Behavioral Sleep Medicine·Brett R KuhnBrandy M Roane
Jun 23, 2018·Journal of Autism and Developmental Disorders·Sela Ann SanbergAbigail E Kennedy
Jan 3, 2021·Sleep Medicine Reviews·Lisa J MeltzerJodi A Mindell
Sep 21, 2017·International Journal of Developmental Disabilities·Laurie McLayJolene Hunter

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