Impact of a Brief Behavioral Intervention for Insomnia on Daytime Behaviors in Adolescents with Autism Spectrum Disorders

Loring, Whitney; Johnston, Rebecca L.; Shui, Amy; Malow, Beth A.

doi:10.1007/s10879-018-9381-3

Cited by 26 publications

(12 citation statements)

References 45 publications

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“…do show CBT-based interventions to be effective in improving a range of sleep variables. Sleep interventions for adults with autism could therefore be beneficial, though the normative ranges of sleep duration for people with autism are unknown (Loring et al 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Examining the Relationship Between Autism Traits and Sleep Duration as Predictors of Suicidality

Hochard

Pendrous

Mari

et al. 2020

J Autism Dev Disord

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Short sleep duration is a known risk factor for suicidality in the general population, yet it is unclear how short sleep interacts with autism traits in predicting suicidality. In this cross-sectional online study, a general population sample (N = 650) completed measures assessing autism traits, suicidal ideation, and sleep duration. Moderated hierarchical regressions demonstrated that higher autism traits and shorter sleep were independent predictors of increased suicide ideation. However, sleep duration did not significantly moderate the autism trait to suicide ideation relationship. Future work should explore this relationship longitudinally using objective measures before considering intervention work to increase sleep duration in those with elevated autism traits.

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Section: Discussionmentioning

confidence: 99%

Examining the Relationship Between Autism Traits and Sleep Duration as Predictors of Suicidality

Hochard

Pendrous

Mari

et al. 2020

J Autism Dev Disord

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“…The lifetime prevalence estimates for an anxiety disorder or a depressive disorder in people with ASD are 27–43% and 23–37% respectively, which are higher than the general population (Hollocks 2019). Evidence indicates that, when sleep is improved in ASD, there are reported improvements in anxiety and depression (Loring 2018). Rates of obsessive–compulsive disorder in individuals with ASD were also significantly higher than in the general population, at 22–24% (Hollocks 2019).…”

Section: Autism Spectrum Disordermentioning

confidence: 99%

“…Sleep problems are reported in an estimated 25–50% of individuals who have ADHD (Corkum 1998). A systematic review of sleep disorders in adolescents with ADHD identified overall association between sleep disorders and poorer outcomes in clinical, cognitive and functional domains (Lunsford-Avery 2016). Comorbidities in ADHD such as circadian rhythm sleep–wake disorders, sleep-related breathing disorders, narcolepsy and insomnia are often missed and left untreated.…”

Section: Attention-deficit Hyperactivity Disordermentioning

confidence: 99%

“…Training programmes include providing information about normal sleep, recommendations for establishing good stimulus control in the bedroom environment, sleep scheduling and managing maladaptive behaviour at night-time (Johnson 2013). Providing two educational sessions covering sleep hygiene and relaxation strategies to adolescents with ASD and their carers resulted in improvements in sleep latency and efficiency (Loring 2018). In all interventions outlined above, homework tasks are set and reviewed at subsequent sessions (Cortesi 2012; Loring 2018).…”

Section: Treatment Optionsmentioning

confidence: 99%

“…Providing two educational sessions covering sleep hygiene and relaxation strategies to adolescents with ASD and their carers resulted in improvements in sleep latency and efficiency (Loring 2018). In all interventions outlined above, homework tasks are set and reviewed at subsequent sessions (Cortesi 2012; Loring 2018). Online parent training has also shown promising short-term sleep improvements in children with ASD (Roberts 2019).…”

Section: Treatment Optionsmentioning

confidence: 99%

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Sleep disorders in attention-deficit hyperactivity disorder and autism spectrum disorder: a pragmatic approach to assessment and management

Shanahan

Isaac

Blackwell³

2020

BJPsych advances

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SUMMARY Sleep is essential for survival and humans spend approximately one-third of their life asleep. Adequate sleep is needed to maintain both physical and psychological health. Routinely getting less than the recommended amount of sleep for your age can have profound negative effects on health, such as increasing the likeliness of psychiatric illness, diabetes, cardiovascular disease and stroke. In children and adults with neurodevelopmental disorders, the prevalence of sleep disorders is significantly higher than in the general population. Given the relationship between sleep and psychiatric disorders, it is essential that psychiatrists have knowledge of the principles of sleep medicine. In this article, we focus on the common sleep disorders found in those with attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) and give an overview of screening, diagnosis and management.

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Associations between sleep problems and domains relevant to daytime functioning and clinical symptomatology in autism: A meta‐analysis

et al. 2022

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Autistic individuals experience significantly higher rates of sleep problems compared to the general population, which negatively impacts various aspects of daytime functioning. The strength of associations across domains of functioning has not yet been summarized across studies. The present meta-analysis examined the strength of associations between sleep problems and various domains of daytime functioning in autistic individuals. Searches were conducted in EMBASE, PubMed, Web of Science, and Google Scholar through May 2020. Inclusion criteria were: an index of sleep disturbance in individuals diagnosed with autism spectrum disorder (ASD); data collected prior to any sleep-related intervention; statistical data indicating relations between sleep problems and outcomes relevant to behavior, cognition, and physical or mental health. Exclusion criteria were: statistics characterizing the relationship between sleep disturbance and outcome variables that partialled out covariates; studies examining correlations between different measures of sleep disturbance. Participants totaled 15,074 from 49 published articles and 51 samples, yielding 209 effect sizes. Sleep problems were significantly associated with more clinical symptomatology and worse daytime functioning. Subgroup analyses demonstrated that sleep problems were most strongly associated with internalizing and externalizing symptoms and executive functioning, followed by core autism symptoms, family factors, and adaptive functioning. Findings highlight the far-reaching consequences of sleep problems on daytime functioning for autistic individuals and support the continued prioritization of sleep as a target for intervention through integrated care models to improve wellbeing. Lay SummaryAutistic individuals experience higher rates of sleep problems, such as difficulty falling asleep and staying asleep, compared to the general population. We quantitatively summarized the literature about how sleep problems are related to different aspects of daytime functioning to identify areas that may be most affected by sleep. Sleep problems were related to all areas assessed, with the strongest associations for mood and anxiety symptoms. We recommend prioritizing sleep health in autistic individuals to improve wellbeing and quality of life.

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Impact of a Brief Behavioral Intervention for Insomnia on Daytime Behaviors in Adolescents with Autism Spectrum Disorders

Cited by 26 publications

References 45 publications

Examining the Relationship Between Autism Traits and Sleep Duration as Predictors of Suicidality

Examining the Relationship Between Autism Traits and Sleep Duration as Predictors of Suicidality

Sleep disorders in attention-deficit hyperactivity disorder and autism spectrum disorder: a pragmatic approach to assessment and management

Associations between sleep problems and domains relevant to daytime functioning and clinical symptomatology in autism: A meta‐analysis

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