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Practice Guideline: Treatment for Insomnia and Disrupted Sleep Behavior in Children and Adolescents with Autism Spectrum Disorder

Practice Guideline, February 2020

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Autism spectrum disorders (ASD) are complex neurodevelopmental disorders characterized by social interaction/communication challenges and restrictive, stereotyped behavior patterns. Sleep disturbances in ASD are common. This guideline addresses the following question: In children and adolescents with ASD, which pharmacologic, behavioral, and CAM interventions improve (1) bedtime resistance, (2) sleep onset latency (SOL), (3) sleep continuity, (4) total sleep time (TST), and (5) daytime behavior?

Reaffirmed on February 25, 2023.

Endorsed by the American Academy of Sleep Medicine, Autism Speaks, the Child Neurology Society, and the Society for Developmental and Behavioral Pediatrics. The American Epilepsy Society affirmed the value of this guideline to epileptologists.

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