sleep disorders and their treatment for children with autism spectrum disorders v. mark durand,...
TRANSCRIPT
![Page 1: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/1.jpg)
Sleep Disorders and their Sleep Disorders and their Treatment for Children with Treatment for Children with Autism Spectrum DisordersAutism Spectrum Disorders
V. Mark Durand, Ph.D.V. Mark Durand, Ph.D.
USF St. PetersburgUSF St. Petersburg
![Page 2: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/2.jpg)
![Page 3: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/3.jpg)
![Page 4: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/4.jpg)
![Page 5: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/5.jpg)
![Page 6: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/6.jpg)
Developmental IssuesDevelopmental Issues
By 3 months - you can fade nighttime By 3 months - you can fade nighttime feedingsfeedings
By 6 months - infants can sleep through the By 6 months - infants can sleep through the nightnight
![Page 7: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/7.jpg)
![Page 8: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/8.jpg)
Bright Light TherapyBright Light Therapy
Different devicesDifferent devices Brightness Brightness
controversialcontroversial
![Page 9: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/9.jpg)
MelatoninMelatonin
Can effect circadian Can effect circadian rhythms and initiate rhythms and initiate sleepsleep
Temporary effectsTemporary effects No long-term outcome No long-term outcome
studiesstudies
![Page 10: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/10.jpg)
Assessing Sleep ProblemsAssessing Sleep Problems
Polysomnographic (PSG) evaluation - Polysomnographic (PSG) evaluation - includes assessment of airflow, leg includes assessment of airflow, leg movements, brain wave activity, eye movements, brain wave activity, eye movements, muscle movements, and heart movements, muscle movements, and heart activityactivity
![Page 11: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/11.jpg)
------------------------------------- A.M. ------------------------------------- ------------------------------------- P.M. -------------------------------------Midnight 2:00 4:00 6:00 8:00 10:00 Noon 2:00 4:00 6:00 8:00 10:00 Midnight
Day Date
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
![Page 12: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/12.jpg)
------------------------------------- A.M. ------------------------------------- ------------------------------------- P.M. -------------------------------------Midnight 2:00 4:00 6:00 8:00 10:00 Noon 2:00 4:00 6:00 8:00 10:00 Midnight
Day Date
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
MON
TUE
WED
THU
FRI
SAT
SUN
26-Aug
22-Aug
23-Aug
24-Aug
25-Aug
3-Sep
4-Sep
5-Sep
27-Aug
28-Aug
29-Aug
30-Aug
31-Aug
1-Sep
2-Sep
![Page 13: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/13.jpg)
The Good Sleep Habits ChecklistThe Good Sleep Habits Checklist
Establish a set Establish a set bedtime routinebedtime routine
Develop a regular Develop a regular bedtime and a regular bedtime and a regular time to awakentime to awaken
Eliminate caffeine 6 Eliminate caffeine 6 hours before bedhours before bed
Limit alcoholLimit alcohol Try milkTry milk Eat a balanced dietEat a balanced diet Do not exercise at Do not exercise at
bedtimebedtime Exercise earlierExercise earlier Restrict activities in Restrict activities in
bedbed
![Page 14: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/14.jpg)
The Good Sleep Habits ChecklistThe Good Sleep Habits Checklist
Reduce noise in the Reduce noise in the bedroombedroom
Reduce light in the Reduce light in the bedroombedroom
Avoid extreme Avoid extreme temperature changes temperature changes in the bedroomin the bedroom
![Page 15: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/15.jpg)
Graduated ExtinctionGraduated Extinction
Gradually increase the time between visits Gradually increase the time between visits to the child’s room. to the child’s room.
Parents are still allowed to check on their Parents are still allowed to check on their child, but are not allowed to pick up their child, but are not allowed to pick up their child.child.
They are asked to keep They are asked to keep interactions to a minimum.interactions to a minimum.
![Page 16: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/16.jpg)
Scheduled AwakeningScheduled Awakening
The parent arouses and consoles the child The parent arouses and consoles the child 15-60 minutes before a typical sleep 15-60 minutes before a typical sleep interruption.interruption.
Upon elimination of the sleep problem, the Upon elimination of the sleep problem, the scheduled awakenings are gradually scheduled awakenings are gradually reduced.reduced.
![Page 17: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/17.jpg)
Sleep RestrictionSleep Restriction
The new sleep time for the child should be The new sleep time for the child should be approximately 90% of his/her previous approximately 90% of his/her previous average sleep time.average sleep time.
Adjust bedtime or time child is awakened to Adjust bedtime or time child is awakened to create new schedule.create new schedule.
For each successful week, adjust schedule For each successful week, adjust schedule by 15 minutes.by 15 minutes.
![Page 18: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/18.jpg)
![Page 19: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/19.jpg)
![Page 20: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/20.jpg)
Sleep Better!Sleep Better!
Comprehensive Comprehensive coverage of sleep coverage of sleep problems and their problems and their treatmentstreatments
Written for familiesWritten for families
![Page 21: Sleep Disorders and their Treatment for Children with Autism Spectrum Disorders V. Mark Durand, Ph.D. USF St. Petersburg](https://reader036.vdocument.in/reader036/viewer/2022062518/56649cb75503460f9497ca17/html5/thumbnails/21.jpg)