Division of Developmental and Behavioral Pediatrics, The Children's Hospital of Philadelphia, 3550 Market Street, 3rd Floor, Philadelphia, PA 19104, USA.
The Children's Hospital of Philadelphia, Center for Autism Research, Sidney Kimmel Medical College, Thomas Jefferson University.
Pediatr Clin North Am. 2024 Apr;71(2):253-268. doi: 10.1016/j.pcl.2024.01.006. Epub 2024 Jan 30.
Sleep problems are common in children with autism spectrum disorder (ASD), with 40% to 80% prevalence. Common disorders include insomnia, parasomnias, and circadian rhythm sleep-wake disorders. These problems have a multifactorial etiology and can both exacerbate and be exacerbated by core ASD symptoms. Sleep problems also impact the health and quality of life of both patients and their caregivers. All children with autism should be regularly screened for sleep problems and evaluated for co-occurring medical contributors. Behavioral interventions with caregiver training remain first-line treatment for sleep disorders in both neurotypical and neurodiverse youth.
睡眠问题在自闭症谱系障碍(ASD)儿童中很常见,患病率为 40%至 80%。常见的疾病包括失眠、睡眠障碍和昼夜节律睡眠-觉醒障碍。这些问题具有多因素病因,既可以加重也可以被核心 ASD 症状加重。睡眠问题也会影响患者及其照顾者的健康和生活质量。所有自闭症儿童都应定期筛查睡眠问题,并评估是否存在共同的医学诱因。对于神经典型和神经多样性的青少年,行为干预和照顾者培训仍然是治疗睡眠障碍的一线治疗方法。