Department of Child and Adolescent Psychiatry and Psychotherapy, Medical Faculty Mannheim, Central Institute of Mental Health, University of Heidelberg, Mannheim, Germany.
Department of Developmental and Social Psychology, Sapienza University, Rome, Italy.
J Autism Dev Disord. 2022 Aug;52(8):3758-3768. doi: 10.1007/s10803-021-05236-w. Epub 2021 Aug 31.
Between 50-80% of children with autism spectrum disorder (ASD) have insomnia, which adversely affects their mental and physical health. However, there is no consensus to-date on suitable tools for insomnia screening and monitoring in daily clinical practice. An expert panel of child neuropsychiatry and sleep specialists, with expertise in children with neurodevelopmental disabilities, recommends: (1) performing insomnia screening of all children with ASD; (2) considering discussion or referral to a sleep specialist when comorbid sleep disorders are suspected. The panel further developed structured, brief screening and monitoring tools to facilitate insomnia screening and management in daily practice, monitor treatment effectiveness and standardize and compare outcomes across clinical settings to improve care and well-being of children with ASD and their families.
50%-80%的自闭症谱系障碍（ASD）儿童存在失眠，这对他们的身心健康有不利影响。然而，目前在日常临床实践中，还没有针对失眠筛查和监测的共识工具。一个由儿童神经精神病学和睡眠专家组成的专家小组，具有神经发育障碍儿童方面的专业知识，建议：（1）对所有 ASD 儿童进行失眠筛查；（2）当怀疑存在共病睡眠障碍时，考虑进行讨论或转介至睡眠专家。该小组进一步开发了结构化的、简短的筛查和监测工具，以方便在日常实践中进行失眠筛查和管理，监测治疗效果，并在临床环境中对结果进行标准化和比较，从而改善 ASD 儿童及其家庭的护理和幸福感。
