Sleep Disturbance in Kids and Teens on the Autism Spectrum
“Any advice for helping our HFA child (age 6) with sleep difficulties? She has a hard time getting to sleep, will wake up numerous times through the night. We have a real chore with trying to wake her up in the morning, and we are getting reports from her teacher that she frequently doses off during class.” Sleep disturbance is common in kids and teens with Asperger’s (AS) and High Functioning Autism (HFA) at all levels of cognitive functioning. Sleep disturbance correlates with family distress and may have significant effects on daytime functioning and quality of life for these young people. In some cases, there may be an identifiable cause (e.g., obstructive sleep apnea, gastroesophageal reflux). Assessment and treatment for sleep problems are guided by history and physical examination. When there is not an identifiable medical cause, behavioral interventions often are effective (e.g., sleep-hygiene measures, restriction of daytime sleep, positive bedtime routines, extinc