수면정신생리

수면정신생리 (20권2호 53-58)

Sleep Problems in Autism Spectrum Disorder

자폐스펙트럼장애에서의 수면문제

Yang, Young-Hui;Kim, Ji-Hoon;Lee, Jin-Seong;

Department of Neuropsychiatry, Pusan National University Yangsan Hospital;Department of Neuropsychiatry, Pusan National University Yangsan Hospital;Department of Neuropsychiatry, Pusan National University Yangsan Hospital;

DOI : http://dx.doi.org/10.14401/KASMED.2013.20.2.53

Abstract

Autism Spectrum Disorder (ASD) is characterized by persistent deficits in social communication and restricted, repetitive patterns of behavior and interest. Sleep problems are not uncommon in children with autism spectrum disorders. Symptoms of insomnia are the most frequent sleep problems in individuals with ASD. Sleep problems can cause significant difficulties in the daily life of children with ASD and their families. Genetic factor, deregulations of melatonin synthesis, extraneous environmental stimuli and psychiatric and medical conditions may cause sleep problems. The first line treatment of sleep problems in ASD includes managements for potential contributing factors and parent education about sleep hygiene care for child and behavioral therapy. Supplementation with melatonin may be effective before considering other medications, such as risperidone, clonidine, and mirtazapine.

Keywords

Autism;Sleep;Genetics;Melatonin;