Department of Psychology, Dalhousie University, Halifax, NS, Canada B3H 4J1.
J Pediatr Psychol. 2011 Oct;36(9):1017-29. doi: 10.1093/jpepsy/jsr044. Epub 2011 Jul 10.
To examine behavioral interventions for sleep problems in children with autism spectrum disorders (ASD).
A systematic review evaluating all published studies examining the effectiveness of behavioral treatment of sleep problems in children with ASD is presented.
Based on the Chambless criteria for treatment efficacy, both standard extinction and scheduled awakenings met criteria for possibly efficacious interventions for sleep problems in children with ASD. Some positive outcomes have been reported, but there has not been enough research examining graduated extinction, faded bedtime, stimulus fading and chronotherapy to make any firm conclusions regarding treatment efficacy for children with ASD.
Although more rigorous research is required in order for any sleep interventions for children with ASD to be considered probably efficacious or well-established, the current literature should be used to guide clinical decisions and direct research questions.
研究自闭症谱系障碍（ASD）儿童睡眠问题的行为干预措施。
本文对所有已发表的研究进行了系统回顾，评估了行为治疗 ASD 儿童睡眠问题的有效性。
根据 Chambless 治疗效果标准，标准消退和定时唤醒均符合 ASD 儿童睡眠问题可能有效的干预措施标准。一些研究报告了积极的结果，但对于逐渐消退、逐渐减少睡前时间、刺激消退和时间疗法等干预措施，还没有足够的研究来确定其对 ASD 儿童的治疗效果。
尽管需要更严格的研究，才能使任何针对 ASD 儿童的睡眠干预措施被认为是可能有效的或成熟的，但目前的文献应该被用来指导临床决策和指导研究问题。
