Abstract
Children with neurodevelopmental disorders (NDD) are at increased risk for having sleep problems, including sleep-related breathing disorders such as obstructive sleep apnea (OSA). Because of their increased risk for OSA, children with NDD may require a polysomnogram (PSG, or sleep study). PSG involves a number of sensors that may be difficult for children with NDD to tolerate because of their difficulties with anxiety, behavioral regulation, communication, and increased sensitivity to environmental stimulation. When trying to help a child complete a PSG, sedation and restraint are not preferred ways to gain cooperation and compliance. Behavioral interventions using simulated medical procedures, exposure therapy, distraction, and counterconditioning can help children succeed with a variety of challenging medical procedures. This case series describes a behavioral intervention used to help 3 children with autism spectrum disorders learn to tolerate PSG without the use of sedation or restraint. All 3 participants successfully completed the behavioral desensitization sessions, as well as their PSG. The results are discussed in terms of their apparent utility, limitations of the case studies presented, need for empirical validation in future experimental studies, and recommendations for future practice and research.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 153-163 |
| Number of pages | 11 |
| Journal | Clinical Practice in Pediatric Psychology |
| Volume | 4 |
| Issue number | 2 |
| DOIs | |
| State | Published - 2016 |
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Keywords
- Autism spectrum disorder
- Behavioral pediatrics
- Overnight sleep study
- Polysomnogram
- Procedural preparation
ASJC Scopus subject areas
- Clinical Psychology
- Developmental and Educational Psychology
- Applied Psychology
- Pediatrics, Perinatology, and Child Health
Cite this
Preparing children with autism spectrum disorders for overnight sleep studies : A case series. / Paasch, Valerie; Leibowitz, Lucy; Accardo, Jennifer; Slifer, Keith.
In: Clinical Practice in Pediatric Psychology, Vol. 4, No. 2, 2016, p. 153-163.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Preparing children with autism spectrum disorders for overnight sleep studies
T2 - Clinical Practice in Pediatric Psychology
AU - Paasch,Valerie
AU - Leibowitz,Lucy
AU - Accardo,Jennifer
AU - Slifer,Keith
PY - 2016
Y1 - 2016
N2 - Children with neurodevelopmental disorders (NDD) are at increased risk for having sleep problems, including sleep-related breathing disorders such as obstructive sleep apnea (OSA). Because of their increased risk for OSA, children with NDD may require a polysomnogram (PSG, or sleep study). PSG involves a number of sensors that may be difficult for children with NDD to tolerate because of their difficulties with anxiety, behavioral regulation, communication, and increased sensitivity to environmental stimulation. When trying to help a child complete a PSG, sedation and restraint are not preferred ways to gain cooperation and compliance. Behavioral interventions using simulated medical procedures, exposure therapy, distraction, and counterconditioning can help children succeed with a variety of challenging medical procedures. This case series describes a behavioral intervention used to help 3 children with autism spectrum disorders learn to tolerate PSG without the use of sedation or restraint. All 3 participants successfully completed the behavioral desensitization sessions, as well as their PSG. The results are discussed in terms of their apparent utility, limitations of the case studies presented, need for empirical validation in future experimental studies, and recommendations for future practice and research.
AB - Children with neurodevelopmental disorders (NDD) are at increased risk for having sleep problems, including sleep-related breathing disorders such as obstructive sleep apnea (OSA). Because of their increased risk for OSA, children with NDD may require a polysomnogram (PSG, or sleep study). PSG involves a number of sensors that may be difficult for children with NDD to tolerate because of their difficulties with anxiety, behavioral regulation, communication, and increased sensitivity to environmental stimulation. When trying to help a child complete a PSG, sedation and restraint are not preferred ways to gain cooperation and compliance. Behavioral interventions using simulated medical procedures, exposure therapy, distraction, and counterconditioning can help children succeed with a variety of challenging medical procedures. This case series describes a behavioral intervention used to help 3 children with autism spectrum disorders learn to tolerate PSG without the use of sedation or restraint. All 3 participants successfully completed the behavioral desensitization sessions, as well as their PSG. The results are discussed in terms of their apparent utility, limitations of the case studies presented, need for empirical validation in future experimental studies, and recommendations for future practice and research.
KW - Autism spectrum disorder
KW - Behavioral pediatrics
KW - Overnight sleep study
KW - Polysomnogram
KW - Procedural preparation
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UR - http://www.scopus.com/inward/citedby.url?scp=85026322683&partnerID=8YFLogxK
U2 - 10.1037/cpp0000139
DO - 10.1037/cpp0000139
M3 - Article
VL - 4
SP - 153
EP - 163
JO - Clinical Practice in Pediatric Psychology
JF - Clinical Practice in Pediatric Psychology
SN - 2169-4826
IS - 2
ER -