Journal of Biomedical and Sustainable Healthcare Applications

Interventions for Disrupted Sleep Patterns and Insomnia in Pediatric and Adolescent Populations Diagnosed with ASD

Journal of Biomedical and Sustainable Healthcare Applications

Received On : 22 April 2022

Revised On : 10 September 2022

Accepted On : 10 November 2022

Published On : 05 July 2023

Volume 03, Issue 02

Pages : 153-164


The objective of this study is to develop a set of recommendations for effectively addressing sleep disturbance in adolescents and children with autism spectrum disorder (ASD). This will be achieved through a comprehensive evaluation of both pharmacological and non-pharmacological approaches utilised in the treatment of sleep disruptions in this specific population. Healthcare professionals who are providing care for adolescents and children with ASD and experiencing sleep disturbances should actively investigate potential underlying factors contributing to the disruption, such as medication usage or the presence of comorbid conditions. Subsequently, it is crucial for clinicians to address these identified causes in order to effectively manage the sleep disturbances. When managing sleep disturbance, it is advisable for clinicians to first suggest behavioural interventions, either independently or in combination with pharmacological or nutraceutical treatments, in order to facilitate improved sleep for children and their families. In cases where behavioural interventions prove ineffective and comorbid conditions and concurrent drug usage have been appropriately managed, healthcare professionals may contemplate the administration of melatonin, commencing with a conservative dosage. It is advisable to recommend melatonin of pharmaceutical grade if it is readily available for clinical use. It is incumbent upon healthcare professionals to engage in comprehensive discussions regarding the potential advantages and drawbacks associated with the utilisation of melatonin among paediatric patients, adolescents, and their guardians.


Autism Spectrum Disorder, Total Sleep Time, Sleep Onset Latency, Bedtime Resistance, Sleep Continuity, Daytime Behavior.

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Author(s) thanks to Dr.Amr Safwat for this research completion and support.


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Wael Akl and Amr Safwat, “Interventions for Disrupted Sleep Patterns and Insomnia in Pediatric and Adolescent Populations Diagnosed with ASD”, Journal of Biomedical and Sustainable Healthcare Applications, vol.3, no.2, pp. 153-164, July 2023. doi: 10.53759/0088/JBSHA202303015.


© 2023 Wael Akl and Amr Safwat. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.