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In children, insomnia typically is not a primary condition [ 2], but rather associated with psychological or medical conditions, such as anxiety [ 3], depression [ 4], pain [ 5], asthma and cystic fibrosis [ 6].
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Also, 4 children with insomnia versus 8 without insomnia displayed bedtime resistance 3 times per week.
One-week actigraphic monitoring compared children with insomnia (n = 10) and those without insomnia (n = 22) regarding their sleep patterns.
Much time and energy have been spent examining the characteristics that predispose children to insomnia and it is likely that equivalent factors influence sleep in PDDs.
The children with insomnia had more parent-reported autistic and emotional symptoms, and more teacher-reported emotional and hyperactivity symptoms than the children without insomnia.
Children with insomnia had also more parent-reported autistic and emotional symptoms, and more teacher-reported emotional and hyperactivity symptoms than those children without insomnia.
Our children with insomnia had higher scores of parent-rated autism-related symptoms, reflected in the higher ASSQ scores, than the children without insomnia.
With respect to the 3 children with insomnia, we did not find evidence of any other sleep disturbance than the difficulties initiating or maintaining sleep.
All of the children with insomnia were boys, their mean age was 10.8 yrs, 6 of them were diagnosed with AS, and 4 with HFA.
However, there is a lack of data regarding the efficacy of pharmacologic agents in the management of children with insomnia [ 14].
According to parent ratings, children with insomnia were significantly more frequently accompanied by someone at onset of sleep (40% vs 9.1%/≥ 3 times per week, p < 0.01), showed signs of anxiety at bedtime (40% vs 0%/≥ 3 times per week, p < 0.01), and signs of daytime sleepiness (30% vs 13.6%/≥ 3 times per week, p < 0.05) than those children without insomnia.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com