Sleep Problems in Autism Spectrum Disorder

Pediatr Clin North Am. 2024 Apr;71(2):253-268. doi: 10.1016/j.pcl.2024.01.006. Epub 2024 Jan 30.

Abstract

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.

Keywords: Assessment; Autism spectrum disorder; Children; Impact; Prevalence; Sleep disorders/disturbances; Treatment.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Autism Spectrum Disorder* / complications
  • Autism Spectrum Disorder* / therapy
  • Child
  • Humans
  • Prevalence
  • Quality of Life
  • Sleep
  • Sleep Wake Disorders* / epidemiology
  • Sleep Wake Disorders* / etiology
  • Sleep Wake Disorders* / therapy