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Insomnia Severity in Adults with Autism Spectrum Disorder is Associated with sensory Hyper-Reactivity and Social Skill Impairment / V. D. HOHN in Journal of Autism and Developmental Disorders, 49-5 (May 2019)
[article]
Titre : Insomnia Severity in Adults with Autism Spectrum Disorder is Associated with sensory Hyper-Reactivity and Social Skill Impairment Type de document : Texte imprimé et/ou numérique Auteurs : V. D. HOHN, Auteur ; Danielle M. J. DE VELD, Auteur ; K. J. S. MATAW, Auteur ; E. J. W. VAN SOMEREN, Auteur ; Sander BEGEER, Auteur Article en page(s) : p.2146-2155 Langues : Anglais (eng) Mots-clés : Adults Autism spectrum disorder Insomnia Sensory hyper-reactivity Sleep problems Social skills Index. décimale : PER Périodiques Résumé : Insomnia is a common source of distress in adults with autism spectrum disorder (ASD). Two characteristics of ASD could be relevant to insomnia complaints by hampering the entrainment of a circadian sleep-wake rhythm. First, sensory hyper-reactivity could lead to bright light avoidance and thus affect photoperiodic input to the circadian system. Second, impaired social skills complicate the establishment of a social interactions and thus affect scheduled social-behavioral input to the circadian system. We investigated the association of insomnia severity with sensory reactivity and social skills in 631 adults (18-65 years) with ASD. Results revealed positive associations of insomnia severity with general and visual sensory hyper-reactivity and with impairment of social skills. The findings warrant further studies which (1) directly assess whether a suboptimal functioning of the biological clock underlies these associations and (2) identify other factors that could contribute to observed sleep problems. En ligne : http://dx.doi.org/10.1007/s10803-019-03891-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2146-2155[article] Insomnia Severity in Adults with Autism Spectrum Disorder is Associated with sensory Hyper-Reactivity and Social Skill Impairment [Texte imprimé et/ou numérique] / V. D. HOHN, Auteur ; Danielle M. J. DE VELD, Auteur ; K. J. S. MATAW, Auteur ; E. J. W. VAN SOMEREN, Auteur ; Sander BEGEER, Auteur . - p.2146-2155.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2146-2155
Mots-clés : Adults Autism spectrum disorder Insomnia Sensory hyper-reactivity Sleep problems Social skills Index. décimale : PER Périodiques Résumé : Insomnia is a common source of distress in adults with autism spectrum disorder (ASD). Two characteristics of ASD could be relevant to insomnia complaints by hampering the entrainment of a circadian sleep-wake rhythm. First, sensory hyper-reactivity could lead to bright light avoidance and thus affect photoperiodic input to the circadian system. Second, impaired social skills complicate the establishment of a social interactions and thus affect scheduled social-behavioral input to the circadian system. We investigated the association of insomnia severity with sensory reactivity and social skills in 631 adults (18-65 years) with ASD. Results revealed positive associations of insomnia severity with general and visual sensory hyper-reactivity and with impairment of social skills. The findings warrant further studies which (1) directly assess whether a suboptimal functioning of the biological clock underlies these associations and (2) identify other factors that could contribute to observed sleep problems. En ligne : http://dx.doi.org/10.1007/s10803-019-03891-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393 Cognitive behavioral treatment of insomnia in school-aged children with autism spectrum disorder: A pilot feasibility study / Christina S. MCCRAE in Autism Research, 13-1 (January 2020)
[article]
Titre : Cognitive behavioral treatment of insomnia in school-aged children with autism spectrum disorder: A pilot feasibility study Type de document : Texte imprimé et/ou numérique Auteurs : Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur Article en page(s) : p.167-176 Langues : Anglais (eng) Mots-clés : autism behavior child cognitive behavioral therapy insomnia parent Index. décimale : PER Périodiques Résumé : Insomnia is common in autism and associated with challenging behavior and worse parent sleep. Cognitive behavioral treatment for childhood insomnia (CBT-CI) is efficacious in typically developing children, but not yet tested in school-aged children with autism. This single arm pilot tested 8-session CBT-CI in 17 children with autism and insomnia (M age = 8.76 years, SD = 1.99) and their parent(s) (M age = 39.50 years, SD = 4.83). Treatment integrity was assessed for each session [delivery (by therapist), receipt (participant understanding), and enactment (home practice)]. Children and parents wore actigraphs and completed electronic diaries for 2-weeks to obtain objective and subjective sleep onset latency (SOL), total sleep/wake times (TST/TWT), and sleep efficiency (SE) at pre/post/1-month follow-up. Parents also completed the Aberrant Behavior Checklist [irritability, lethargy, stereotypy, hyperactivity, inappropriate speech (e.g., excessive/repetitive, loud self-talk)] at pre/post/1-month. Fifteen children completed all sessions. Average integrity scores were high [90%-delivery/receipt, 87.5%-enactment]. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. Paired samples t-tests (family-wise error controlled) found CBT-CI improved child sleep (objective SOL-18 min, TWT- 34 min, SE-5%; subjective SOL-29 min, TST-63 min, TWT-45 min, SE-8%), and decreased irritability, lethargy, stereotypy, and hyperactivity. At 1-month, objective TST improved, inappropriate speech decreased, but hyperactivity was no longer decreased. Other gains were maintained. Parent sleep (objective SOL-12 min, TST-35 min, TWT-21 min, SE-4%; subjective SOL-11 min, TWT- 31min, SE-11%) and fatigue also improved. At 1-month, gains were maintained. This pilot shows CBT-CI is a feasible treatment that holds promise for improving child and parent sleep and functioning and suggests a randomized controlled trial in school-aged children with autism is worth conducting. Autism Res 2020, 13: 167-176. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Insomnia is common in autism and associated with challenging behaviors and poor parent sleep and stress. Cognitive behavioral treatment for childhood insomnia (CBT-CI) has not been tested in school-aged children with autism. This pilot study shows therapists, parents, and children were able to use CBT-CI to improve child and parent sleep, child behavior, and parent fatigue. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1002/aur.2204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415
in Autism Research > 13-1 (January 2020) . - p.167-176[article] Cognitive behavioral treatment of insomnia in school-aged children with autism spectrum disorder: A pilot feasibility study [Texte imprimé et/ou numérique] / Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur . - p.167-176.
Langues : Anglais (eng)
in Autism Research > 13-1 (January 2020) . - p.167-176
Mots-clés : autism behavior child cognitive behavioral therapy insomnia parent Index. décimale : PER Périodiques Résumé : Insomnia is common in autism and associated with challenging behavior and worse parent sleep. Cognitive behavioral treatment for childhood insomnia (CBT-CI) is efficacious in typically developing children, but not yet tested in school-aged children with autism. This single arm pilot tested 8-session CBT-CI in 17 children with autism and insomnia (M age = 8.76 years, SD = 1.99) and their parent(s) (M age = 39.50 years, SD = 4.83). Treatment integrity was assessed for each session [delivery (by therapist), receipt (participant understanding), and enactment (home practice)]. Children and parents wore actigraphs and completed electronic diaries for 2-weeks to obtain objective and subjective sleep onset latency (SOL), total sleep/wake times (TST/TWT), and sleep efficiency (SE) at pre/post/1-month follow-up. Parents also completed the Aberrant Behavior Checklist [irritability, lethargy, stereotypy, hyperactivity, inappropriate speech (e.g., excessive/repetitive, loud self-talk)] at pre/post/1-month. Fifteen children completed all sessions. Average integrity scores were high [90%-delivery/receipt, 87.5%-enactment]. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. Paired samples t-tests (family-wise error controlled) found CBT-CI improved child sleep (objective SOL-18 min, TWT- 34 min, SE-5%; subjective SOL-29 min, TST-63 min, TWT-45 min, SE-8%), and decreased irritability, lethargy, stereotypy, and hyperactivity. At 1-month, objective TST improved, inappropriate speech decreased, but hyperactivity was no longer decreased. Other gains were maintained. Parent sleep (objective SOL-12 min, TST-35 min, TWT-21 min, SE-4%; subjective SOL-11 min, TWT- 31min, SE-11%) and fatigue also improved. At 1-month, gains were maintained. This pilot shows CBT-CI is a feasible treatment that holds promise for improving child and parent sleep and functioning and suggests a randomized controlled trial in school-aged children with autism is worth conducting. Autism Res 2020, 13: 167-176. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Insomnia is common in autism and associated with challenging behaviors and poor parent sleep and stress. Cognitive behavioral treatment for childhood insomnia (CBT-CI) has not been tested in school-aged children with autism. This pilot study shows therapists, parents, and children were able to use CBT-CI to improve child and parent sleep, child behavior, and parent fatigue. Parents found CBT-CI helpful, age-appropriate, and autism-friendly. CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1002/aur.2204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=415 Telehealth cognitive behavioral therapy for insomnia in children with autism spectrum disorder: A pilot examining feasibility, satisfaction, and preliminary findings / Christina S. MCCRAE in Autism, 25-3 (April 2021)
[article]
Titre : Telehealth cognitive behavioral therapy for insomnia in children with autism spectrum disorder: A pilot examining feasibility, satisfaction, and preliminary findings Type de document : Texte imprimé et/ou numérique Auteurs : Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Neetu NAIR, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Deija MCLEAN, Auteur ; Mattina DAVENPORT, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur Article en page(s) : p.667-680 Langues : Anglais (eng) Mots-clés : autism child cognitive behavioral therapy insomnia parent telehealth Index. décimale : PER Périodiques Résumé : Insomnia is common in children with autism. Cognitive behavioral treatment for childhood insomnia (CBT-CI) may improve sleep and functioning in children with autism and their parents, but typical delivery involving multiple office visits can make it difficult for some children to get this treatment. This pilot study tested telehealth delivery of CBT-CI using computers, which allowed children and their parents to get the treatment at home. This pilot shows therapists that parents and children were able to use telehealth CBT-CI to improve child and parent sleep, child behavior and arousal, and parent fatigue. Parents found telehealth CBT-CI helpful, age-appropriate, and autism-friendly. Telehealth CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1177/1362361320949078 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444
in Autism > 25-3 (April 2021) . - p.667-680[article] Telehealth cognitive behavioral therapy for insomnia in children with autism spectrum disorder: A pilot examining feasibility, satisfaction, and preliminary findings [Texte imprimé et/ou numérique] / Christina S. MCCRAE, Auteur ; Wai Sze CHAN, Auteur ; Ashley F. CURTIS, Auteur ; Neetu NAIR, Auteur ; Chelsea B. DEROCHE, Auteur ; Melissa MUNOZ, Auteur ; Stephanie TAKAMATSU, Auteur ; Deija MCLEAN, Auteur ; Mattina DAVENPORT, Auteur ; Julie E. MUCKERMAN, Auteur ; Nicole TAKAHASHI, Auteur ; Dillon MCCANN, Auteur ; Kevin MCGOVNEY, Auteur ; Pradeep SAHOTA, Auteur ; Micah O MAZUREK, Auteur . - p.667-680.
Langues : Anglais (eng)
in Autism > 25-3 (April 2021) . - p.667-680
Mots-clés : autism child cognitive behavioral therapy insomnia parent telehealth Index. décimale : PER Périodiques Résumé : Insomnia is common in children with autism. Cognitive behavioral treatment for childhood insomnia (CBT-CI) may improve sleep and functioning in children with autism and their parents, but typical delivery involving multiple office visits can make it difficult for some children to get this treatment. This pilot study tested telehealth delivery of CBT-CI using computers, which allowed children and their parents to get the treatment at home. This pilot shows therapists that parents and children were able to use telehealth CBT-CI to improve child and parent sleep, child behavior and arousal, and parent fatigue. Parents found telehealth CBT-CI helpful, age-appropriate, and autism-friendly. Telehealth CBT-CI holds promise for treating insomnia in school-aged children with autism and deserves further testing. En ligne : http://dx.doi.org/10.1177/1362361320949078 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 Assessing a hyperarousal hypothesis of insomnia in adults with autism spectrum disorder / E. K. BAKER in Autism Research, 12-6 (June 2019)
[article]
Titre : Assessing a hyperarousal hypothesis of insomnia in adults with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : E. K. BAKER, Auteur ; A. L. RICHDALE, Auteur ; Agnes HAZI, Auteur ; Luke A. PRENDERGAST, Auteur Année de publication : 2019 Article en page(s) : p.897-910 Langues : Anglais (eng) Mots-clés : anxiety autism cortisol hyperarousal insomnia sleep Index. décimale : PER Périodiques Résumé : This study aimed to investigate the relationship between sleep, psychopathology (anxiety, depression and presleep arousal) symptoms, and cortisol in adults with autism spectrum disorder (ASD). The sample composed of 29 adults with ASD (51.7% males) and 29 control adults (51.7% males) aged 21-44 years. Thirteen adults with ASD were medicated for a comorbid diagnosis of anxiety and/or depression (ASD-Med), while the remaining 16 adults with ASD were not medicated for such diagnoses (ASD-Only). Participants completed a questionnaire battery, 14-day sleep/wake diary and 14-day actigraphy assessment. On one day during the data collection period, participants collected five saliva samples, hourly, prior to sleep and two morning samples; immediately upon waking and 30 min thereafter for the analysis of cortisol. Cortisol 1 hr prior to habitual sleep onset time was associated with poorer sleep efficiency in both ASD groups and increased wake after sleep onset duration (ASD-Only). Higher subjective somatic arousal was also associated with increased sleep onset latency, regardless of group, and poorer sleep efficiency in the ASD-Only group. ASD-Only participants had significantly greater reductions in evening cortisol concentrations compared to both ASD-Med and control participants. No significant group differences were found for the cortisol awakening response. Findings suggest a hyperarousal hypothesis of insomnia in adults with ASD. Moreover, the low cortisol levels observed in ASD-Only adults suggest dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. Longitudinal studies exploring the interplay between insomnia, anxiety and HPA axis regulation across the lifespan in those with ASD are warranted. Autism Res 2019, 12: 897-910. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Both objective (cortisol) and subjective (somatic) physiological arousal were associated with poor sleep quality in adults on the autism spectrum. Adults with autism spectrum disorder (ASD) who were not medicated for a comorbid diagnosis of anxiety and/or depression also had dampened cortisol secretion, suggesting a dysregulation of the hypothalamic pituitary axis. Longitudinal studies investigating the relationship between sleep, psychopathology symptoms and physiological arousal in autistic individuals are warranted. Autism Res 2019. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. En ligne : https://dx.doi.org/10.1002/aur.2094 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400
in Autism Research > 12-6 (June 2019) . - p.897-910[article] Assessing a hyperarousal hypothesis of insomnia in adults with autism spectrum disorder [Texte imprimé et/ou numérique] / E. K. BAKER, Auteur ; A. L. RICHDALE, Auteur ; Agnes HAZI, Auteur ; Luke A. PRENDERGAST, Auteur . - 2019 . - p.897-910.
Langues : Anglais (eng)
in Autism Research > 12-6 (June 2019) . - p.897-910
Mots-clés : anxiety autism cortisol hyperarousal insomnia sleep Index. décimale : PER Périodiques Résumé : This study aimed to investigate the relationship between sleep, psychopathology (anxiety, depression and presleep arousal) symptoms, and cortisol in adults with autism spectrum disorder (ASD). The sample composed of 29 adults with ASD (51.7% males) and 29 control adults (51.7% males) aged 21-44 years. Thirteen adults with ASD were medicated for a comorbid diagnosis of anxiety and/or depression (ASD-Med), while the remaining 16 adults with ASD were not medicated for such diagnoses (ASD-Only). Participants completed a questionnaire battery, 14-day sleep/wake diary and 14-day actigraphy assessment. On one day during the data collection period, participants collected five saliva samples, hourly, prior to sleep and two morning samples; immediately upon waking and 30 min thereafter for the analysis of cortisol. Cortisol 1 hr prior to habitual sleep onset time was associated with poorer sleep efficiency in both ASD groups and increased wake after sleep onset duration (ASD-Only). Higher subjective somatic arousal was also associated with increased sleep onset latency, regardless of group, and poorer sleep efficiency in the ASD-Only group. ASD-Only participants had significantly greater reductions in evening cortisol concentrations compared to both ASD-Med and control participants. No significant group differences were found for the cortisol awakening response. Findings suggest a hyperarousal hypothesis of insomnia in adults with ASD. Moreover, the low cortisol levels observed in ASD-Only adults suggest dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. Longitudinal studies exploring the interplay between insomnia, anxiety and HPA axis regulation across the lifespan in those with ASD are warranted. Autism Res 2019, 12: 897-910. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Both objective (cortisol) and subjective (somatic) physiological arousal were associated with poor sleep quality in adults on the autism spectrum. Adults with autism spectrum disorder (ASD) who were not medicated for a comorbid diagnosis of anxiety and/or depression also had dampened cortisol secretion, suggesting a dysregulation of the hypothalamic pituitary axis. Longitudinal studies investigating the relationship between sleep, psychopathology symptoms and physiological arousal in autistic individuals are warranted. Autism Res 2019. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. En ligne : https://dx.doi.org/10.1002/aur.2094 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400 Improvements of adolescent psychopathology after insomnia treatment: results from a randomized controlled trial over 1 year / E. J. DE BRUIN in Journal of Child Psychology and Psychiatry, 59-5 (May 2018)
[article]
Titre : Improvements of adolescent psychopathology after insomnia treatment: results from a randomized controlled trial over 1 year Type de document : Texte imprimé et/ou numérique Auteurs : E. J. DE BRUIN, Auteur ; Susan M. BOGELS, Auteur ; F. J. OORT, Auteur ; A. M. MEIJER, Auteur Article en page(s) : p.509-522 Langues : Anglais (eng) Mots-clés : Adhd Cognitive behavioural therapy adolescents anxiety depression insomnia psychopathology sleep Index. décimale : PER Périodiques Résumé : BACKGROUND: Adolescent insomnia can be treated effectively with cognitive behavioural therapy for insomnia (CBTI). However, little is known about effects of CBTI on psychopathology in adolescents. This study aimed to investigate whether (a) CBTI improves psychopathology in Internet- (IT) and face-to-face group treatment (GT) compared to waitlist (WL), (b) improvement in psychopathology can be attributed to reduced insomnia, (c) improvement in psychopathology remains stable for up to 1 year. METHODS: One hundred and sixteen participants (age = 15.6 years, 25% males) with DSM-5 insomnia, were randomly assigned to IT, GT or WL. CLINICAL TRIAL REGISTRATION: http://www.controlledtrials.com (ISRCTN33922163). Assessments of psychopathology, insomnia and objectively and subjectively measured sleep occurred at baseline, post-treatment, and at 2-, 6- and 12-month follow-up. Multilevel and mediation analyses were run to test hypotheses. The CBTI protocol, 'Sleeping Smart' for both IT and GT consisted of six weekly sessions and a booster session after 2 months. RESULTS: Psychopathology symptoms, insomnia and sleep problems as measured by actigraphy and sleep logs decreased substantially in IT and GT compared with WL at 2-month follow-up with medium to large effect sizes (ESs). Psychopathology symptoms remained stable or further improved for up to 12-month follow-up. ESs at 12-month follow-up for IT and GT were respectively: affective (d = -0.87 and -0.97), anxiety (d = -0.81 for IT), somatic (d = -0.38 and d = -0.52), oppositional (d = -0.42 for GT) and attention deficit hyperactivity disorder (ADHD) problems (d = -0.47 and -0.46). Mediation analyses indicated that reduction of insomnia symptoms after CBTI fully mediated the effects of CBTI on affective and anxiety problems, and partially mediated the effect on ADHD problems. CONCLUSIONS: This is the first study demonstrating that Internet and face-to-face CBT for insomnia achieves long-term reduction in adolescent psychopathology and does so by improving insomnia. This finding can have profound implications for youth mental health care. En ligne : http://dx.doi.org/10.1111/jcpp.12834 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=359
in Journal of Child Psychology and Psychiatry > 59-5 (May 2018) . - p.509-522[article] Improvements of adolescent psychopathology after insomnia treatment: results from a randomized controlled trial over 1 year [Texte imprimé et/ou numérique] / E. J. DE BRUIN, Auteur ; Susan M. BOGELS, Auteur ; F. J. OORT, Auteur ; A. M. MEIJER, Auteur . - p.509-522.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 59-5 (May 2018) . - p.509-522
Mots-clés : Adhd Cognitive behavioural therapy adolescents anxiety depression insomnia psychopathology sleep Index. décimale : PER Périodiques Résumé : BACKGROUND: Adolescent insomnia can be treated effectively with cognitive behavioural therapy for insomnia (CBTI). However, little is known about effects of CBTI on psychopathology in adolescents. This study aimed to investigate whether (a) CBTI improves psychopathology in Internet- (IT) and face-to-face group treatment (GT) compared to waitlist (WL), (b) improvement in psychopathology can be attributed to reduced insomnia, (c) improvement in psychopathology remains stable for up to 1 year. METHODS: One hundred and sixteen participants (age = 15.6 years, 25% males) with DSM-5 insomnia, were randomly assigned to IT, GT or WL. CLINICAL TRIAL REGISTRATION: http://www.controlledtrials.com (ISRCTN33922163). Assessments of psychopathology, insomnia and objectively and subjectively measured sleep occurred at baseline, post-treatment, and at 2-, 6- and 12-month follow-up. Multilevel and mediation analyses were run to test hypotheses. The CBTI protocol, 'Sleeping Smart' for both IT and GT consisted of six weekly sessions and a booster session after 2 months. RESULTS: Psychopathology symptoms, insomnia and sleep problems as measured by actigraphy and sleep logs decreased substantially in IT and GT compared with WL at 2-month follow-up with medium to large effect sizes (ESs). Psychopathology symptoms remained stable or further improved for up to 12-month follow-up. ESs at 12-month follow-up for IT and GT were respectively: affective (d = -0.87 and -0.97), anxiety (d = -0.81 for IT), somatic (d = -0.38 and d = -0.52), oppositional (d = -0.42 for GT) and attention deficit hyperactivity disorder (ADHD) problems (d = -0.47 and -0.46). Mediation analyses indicated that reduction of insomnia symptoms after CBTI fully mediated the effects of CBTI on affective and anxiety problems, and partially mediated the effect on ADHD problems. CONCLUSIONS: This is the first study demonstrating that Internet and face-to-face CBT for insomnia achieves long-term reduction in adolescent psychopathology and does so by improving insomnia. This finding can have profound implications for youth mental health care. En ligne : http://dx.doi.org/10.1111/jcpp.12834 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=359 Practitioner Review: Treatment of chronic insomnia in children and adolescents with neurodevelopmental disabilities / O. BRUNI in Journal of Child Psychology and Psychiatry, 59-5 (May 2018)
PermalinkEmployment status is related to sleep problems in adults with autism spectrum disorder and no comorbid intellectual impairment / E. K. BAKER in Autism, 23-2 (February 2019)
PermalinkMelatonin for Sleep in Children with Autism: A Controlled Trial Examining Dose, Tolerability, and Outcomes / Beth A. MALOW in Journal of Autism and Developmental Disorders, 42-8 (August 2012)
PermalinkMelatonin in Children with Autism Spectrum Disorders: Endogenous and Pharmacokinetic Profiles in Relation to Sleep / Suzanne E. GOLDMAN in Journal of Autism and Developmental Disorders, 44-10 (October 2014)
PermalinkParent-Based Sleep Education for Children with Autism Spectrum Disorders / Beth A. MALOW in Journal of Autism and Developmental Disorders, 44-1 (January 2014)
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