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      Case study: A case-series evaluation of a behavioral sleep intervention for three children with autism and primary insomnia.

      Journal of Pediatric Psychology
      Actigraphy, Autistic Disorder, complications, Behavior Therapy, methods, Child, Female, Humans, Male, Parents, Questionnaires, Sleep Initiation and Maintenance Disorders, therapy, Treatment Outcome

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          Abstract

          To assess the effectiveness of a manualized multi-component behavioral sleep intervention for children with autism spectrum disorder (ASD) and primary insomnia. Three children (2 males and 1 female, aged 8-9 years) participated. The intervention consisted of a treatment handbook for parents; a distance treatment approach was used in which parents had weekly telephone contact with a therapist. The main behavioral strategies employed were Faded Bedtime with Response Cost and positive reinforcement. Within a case-series design, both subjective (parent-report questionnaires and sleep diaries) and objective (actigraphy) measures were used to record changes in children's sleep and daytime behavior. For all 3 children, mean sleep onset latency was reduced following the intervention. These improvements were generally maintained at follow-up 12 weeks later. The current study provides preliminary evidence for the effectiveness of a manualized behavioral sleep intervention program for improving insomnia in children with ASD.

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