THERAPEUTIC APPROACHES TO SLEEP DISORDERS IN CHILDREN WITH AUTISM SPECTRUM DISORDER: AN INTEGRATIVE REVIEW (Atena Editora)

Abstract

Sleep disturbances are a significant issue that affects the quality of life of children with autism spectrum disorders (ASD). These sleep difficulties can have a negative impact on the cognitive, behavioral and emotional development of these children. In this article, we performed an integrative review to compile and analyze treatment approaches for sleep disorders in children with ASD. We used a systematic search strategy in scientific databases, including PubMed and Scopus, using the terms "sleep disorders", "child", "autistic spectrum disorder" and "therapy". We selected studies that addressed therapeutic interventions to improve sleep quality in children with ASD. The selected studies point to several treatment approaches, including pharmacological interventions, behavioral therapies and multidisciplinary approaches. Pharmacological treatments included the use of melatonin as an adjunctive treatment in children with ASD and severe insomnia. Behavioral therapies included routine-based interventions, cognitive-behavioral therapy, and behavior modification therapy. Additionally, some research has explored the relationship between co-sleeping and sleep disturbances in children with ASD. The integrative review suggests that there are several treatment approaches for sleep disorders in children with ASD, with varying results in terms of effectiveness. Pharmacological approaches, such as the use of melatonin, have been investigated, as well as behavioral interventions aimed at improving the sleep routine and the sleeping environment. Multidisciplinary interventions have also shown promising results. However, it is important to emphasize the need for more research to assess the long-term efficacy and safety of these approaches.