Using a Behavioral Treatment Package for Sleep Problems in Children With Autism Spectrum Disorders

Abstract

This study investigated the effectiveness of a behavioral treatment package for sleep problems in children diagnosed with Autism Spectrum Disorders. Treatment consisted of four behaviorally based components: circadian rhythm management, positive bedtime routines, white noise, and graduated extinction. A multiple-baseline design across three participants was used. Families completed a baseline of various lengths followed by 1 month of intervention. Results indicated the treatment package was effective in decreasing sleep onset latency and the frequency of night awakenings. A week of follow-up data showed continued improvement. Parents reported their children slept better and satisfaction with the four intervention components.

KEYWORDS:

• autism spectrum disorders
• behavioral treatment
• sleep disorders

Notes

Note. An autism index of 85 or higher on the GARS-2 indicates a “very likely” probability of autism.

Note. Compliance with wake, bed, and mealtimes was defined as being within 30 minutes of the scheduled time. Naps were not part of any child's schedule.

Note. The Evaluation of Treatment Package (CRM, Bedtime Routines, White Noise, and Graduated Extinction). Research questionnaire was rated using a 5-point Likert scale (1 = Strongly Agree; 5 = Strongly Disagree).

Additional information

Notes on contributors

Rachel M. Knight

Rachel M. Knight, PhD, is now at the University of Michigan Health System, Department of Pediatrics, Division of Child Behavioral Health, Ann Arbor, Michigan, USA.