Pick Topic
Review Topic
List Experts
Examine Expert
Save Expert
  Site Guide ··   
Sleep Initiation and Maintenance Disorders: HELP
Articles by Margaret Carno
Based on 1 article published since 2010
(Why 1 article?)
||||

Between 2010 and 2020, Margaret Carno wrote the following article about Sleep Initiation and Maintenance Disorders.
 
+ Citations + Abstracts
1 Article Sleep Difficulties and Medications in Children With Autism Spectrum Disorders: A Registry Study. 2016

Malow, Beth A / Katz, Terry / Reynolds, Ann M / Shui, Amy / Carno, Margaret / Connolly, Heidi V / Coury, Daniel / Bennett, Amanda E. ·Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, Nashville, Tennessee; beth.malow@vanderbilt.edu. · Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado; · Biostatistics Center, Massachusetts General Hospital, Boston, Massachusetts; · Department of Pediatrics, University of Rochester, Rochester, New York; · Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio; and. · Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. ·Pediatrics · Pubmed #26908483.

ABSTRACT: OBJECTIVES: Sleep difficulties are common in children with autism spectrum disorders, with wide-ranging effects on the child's daytime behavior. We reviewed data within our Autism Speaks Autism Treatment Network Registry to determine the prevalence of sleep difficulties and patterns of medication use. METHODS: Data from 1518 children ages 4 to 10 years were analyzed to determine the number of children documented to have sleep difficulties by parent-completed questionnaires and clinician-completed forms and how these findings related to the use of sleep medications. RESULTS: The Children's Sleep Habits Questionnaire total score was ≥41 (associated with clinically significant sleep problems in past research) in 71% of children. The prevalence of sleep diagnoses was less frequent (30% of children aged 4-10 years; P < .0001). Medications for sleep were prescribed in 46% of 4- to 10-year-olds given a sleep diagnosis. The most common medication used for sleep was melatonin followed by α-agonists, with a variety of other medications taken for sleep (anticonvulsants, antidepressants, atypical antipsychotics, and benzodiazepines). Children taking medications for sleep had worse daytime behavior and pediatric quality of life than children not taking sleep medications. CONCLUSIONS: Parent concerns about sleep may not be reflected in the information gathered during a clinic visit, supporting the need to develop screening practice pathways for sleep in autism spectrum disorders. Furthermore, many medications taken for sleep have adverse effects, supporting the need for evidence-based interventions in this population.