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Sleep Initiation and Maintenance Disorders: HELP
Articles by Ann M. Reynolds
Based on 6 articles published since 2009
(Why 6 articles?)
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Between 2009 and 2019, Ann Reynolds wrote the following 6 articles about Sleep Initiation and Maintenance Disorders.
 
+ Citations + Abstracts
1 Article Modification of the Children's Sleep Habits Questionnaire for Children with Autism Spectrum Disorder. 2018

Katz, Terry / Shui, Amy M / Johnson, Cynthia R / Richdale, Amanda L / Reynolds, Ann M / Scahill, Lawrence / Malow, Beth A. ·Department of Pediatrics, University of Colorado Denver School of Medicine, 13123 E. 16th Street, B-140, Aurora, CO, 80045, USA. terry.katz@ucdenver.edu. · Biostatistics Center, Massachusetts General Hospital, Boston, MA, USA. · STAR Center for ASD & NDDs, Department of Psychiatry, University of California, San Francisco, CA, USA. · Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA. · Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Melbourne, Australia. · Department of Pediatrics, University of Colorado Denver School of Medicine, 13123 E. 16th Street, B-140, Aurora, CO, 80045, USA. · Marcus Autism Center, Emory University School of Medicine, Atlanta, GA, USA. · Sleep Disorders Division, Department of Neurology, Vanderbilt University School of Medicine, Nashville, TN, USA. ·J Autism Dev Disord · Pubmed #29500758.

ABSTRACT: Sleep problems are common in children with autism spectrum disorder (ASD) and adversely impact daytime functioning. Although no questionnaires have been developed to assess sleep in children with ASD, the 33-item Children's Sleep Habits Questionnaire (CSHQ) is widely used in this population. We examined the factor structure of the CSHQ in 2872 children (age 4-10 years) enrolled in the Autism Treatment Network. A four-factor solution (Sleep Initiation and Duration, Sleep Anxiety/Co-Sleeping, Night Waking/Parasomnias, and Daytime Alertness) with 5-6 items per factor explained 75% of the total variation. Ten items failed to load on any factor. This abbreviated 23-item four-factor version of this measure may be useful when assessing sleep in children with ASD.

2 Article The Pediatric Sleep Clinical Global Impressions Scale-A New Tool to Measure Pediatric Insomnia in Autism Spectrum Disorders. 2016

Malow, Beth A / Connolly, Heidi V / Weiss, Shelly K / Halbower, Ann / Goldman, Suzanne / Hyman, Susan L / Katz, Terry / Madduri, Niru / Shui, Amy / Macklin, Eric / Reynolds, Ann M. ·*Sleep Disorders Division, Department of Neurology, Vanderbilt University Medical Center, Nashville, TN; †Department of Pediatrics, University of Rochester, Rochester, NY; ‡Department of Neurology, Hospital for Sick Children, University of Toronto, Toronto, ON; §Department of Pediatrics, University of Colorado Denver, Aurora, CO; ‖Biostatistics Center, Massachusetts General Hospital, Boston, MA. ·J Dev Behav Pediatr · Pubmed #27244298.

ABSTRACT: OBJECTIVE: To pilot a clinician-based outcome measure that provides complementary information to objective measures and parent-based questionnaires for insomnia in children with autism spectrum disorders (ASD). METHOD: The authors developed a Pediatric Sleep Clinical Global Impressions Scale (CGI). Questions included (1) the child's ability to fall asleep and remain sleeping independently (i.e., apart from parents); (2) bedtime resistance; (3) sleep onset delay; (4) night awakening; (5) parental satisfaction with their child's current sleep patterns; (6) family functioning as affected by their child's current sleep patterns; and (7) clinician's overall concern with the child's sleep. After refining the instrument through the evaluation of vignettes by ASD and sleep experts, the authors piloted the Pediatric Sleep CGI in a 12-week randomized trial of iron supplementation in children with ASD. Clinicians completed Pediatric Sleep CGIs and structured sleep histories, parents completed the Children's Sleep Habits Questionnaire (CSHQ), and children wore actigraphy watches. RESULTS: In repeated measures models, the Pediatric Sleep CGI and CSHQ were correlated for sleep onset delay (r = .66, p < .001), night wakings (r = .40, p < .001), and total score (r = .29, p < .001). The CGI-S sleep onset delay and actigraphy sleep onset delay scores (r = .75, p = .0095) were also correlated. The overall CGI-S showed improvement with therapy (p = .047). CONCLUSION: The Pediatric Sleep CGI shows promise in measuring clinician-rated outcomes in pediatric insomnia in children with ASD. Larger samples will be necessary to examine reliability, validity, and measure to change, as well as applicability to other populations with pediatric insomnia.

3 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.

4 Article Sleep in Children With Autism Spectrum Disorders: How Are Measures of Parent Report and Actigraphy Related and Affected by Sleep Education? 2016

Veatch, Olivia J / Reynolds, Ann / Katz, Terry / Weiss, Shelly K / Loh, Alvin / Wang, Lily / Malow, Beth A. ·a Sleep Disorders Division, Department of Neurology , Vanderbilt University Medical Center , Nashville , Tennessee , USA. · b Department of Pediatrics , Anschutz Medical Campus, University of Colorado School of Medicine, University of Colorado Denver , Aurora , Colorado , USA. · c Hospital for Sick Children, University of Toronto , Toronto , Ontario , Canada. · d Surrey Place Centre , Toronto , Ontario , Canada. · e Department of Biostatistics , Vanderbilt University , Nashville , Tennessee , USA. ·Behav Sleep Med · Pubmed #26619899.

ABSTRACT: Sleep disturbance is common in children with autism, resulting in a great need for effective treatments. To evaluate treatments for sleep disturbance in this population, it is critical to understand the relationship between measures of sleep captured by parent report and objective measures. The Children's Sleep Habits Questionnaire (CSHQ) and actigraphy-measured data from 80 children with autism and sleep-onset delay were evaluated. Reported problems with sleep-onset delay were concurrent with sleep duration problems in 66% of children, night wakings in 72% of children, and bedtime resistance in 66% of children; 38% of children were reported to have problems with all CSHQ insomnia domains. Actigraphy-measured sleep duration was correlated with estimates using CSHQ-reported bed and wake times.

5 Article Parent-based sleep education for children with autism spectrum disorders. 2014

Malow, Beth A / Adkins, Karen W / Reynolds, Ann / Weiss, Shelly K / Loh, Alvin / Fawkes, Diane / Katz, Terry / Goldman, Suzanne E / Madduri, Niru / Hundley, Rachel / Clemons, Traci. ·Sleep Disorders Division, Department of Neurology and Vanderbilt Kennedy Center, Vanderbilt University School of Medicine, 1161 21st Avenue South, Room A-0116, Nashville, TN, 37232, USA, beth.malow@vanderbilt.edu. ·J Autism Dev Disord · Pubmed #23754339.

ABSTRACT: This study provided sleep education to parents of children with autism spectrum disorder (ASD) to determine whether an individual or group format was more effective in improving sleep and aspects of daytime behavior and family functioning. Eighty children, ages 2-10 years, with ASD and sleep onset delay completed the study. Actigraphy and parent questionnaires were collected at baseline and 1 month after treatment. Mode of education did not affect outcomes. Sleep latency, insomnia subscales on the Children's Sleep Habits Questionnaire, and other outcomes related to child and family functioning improved with treatment. Parent-based sleep education, delivered in relatively few sessions, was associated with improved sleep onset delay in children with ASD. Group versus individualized education did not affect outcome.

6 Article Effects of a standardized pamphlet on insomnia in children with autism spectrum disorders. 2012

Adkins, Karen W / Molloy, Cindy / Weiss, Shelly K / Reynolds, Ann / Goldman, Suzanne E / Burnette, Courtney / Clemons, Traci / Fawkes, Diane / Malow, Beth A. ·Sleep Disorders Division, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA. ·Pediatrics · Pubmed #23118244.

ABSTRACT: OBJECTIVE: Sleep difficulties are common reasons why parents seek medical intervention in children with autism spectrum disorders (ASDs). We determined whether a pamphlet alone could be used by parents to help their child's insomnia. METHODS: Thirty-six children with ASD, ages 2 to 10 years, were enrolled. All had prolonged sleep latency confirmed by actigraphy showing a mean sleep latency of 30 minutes or more. Parents were randomly assigned to receive the sleep education pamphlet or no intervention. Children wore an actigraphy device to record baseline sleep parameters, with the primary outcome variable being change in sleep latency. Actigraphy data were collected a second time 2 weeks after the parent received the randomization assignment and analyzed by using Student's t test. Parents were also asked a series of questions to gather information about the pamphlet and its usefulness. RESULTS: Although participants randomized to the 2 arms did not differ statistically in age, gender, socioeconomic status, total Children's Sleep Habits Questionnaire score, or actigraphy parameters, some differences may be large enough to affect results. Mean change in sleep-onset latency did not differ between the randomized groups (pamphlet versus no pamphlet). Parents commented that the pamphlet contained good information, but indicated that it would have been more useful to be given specific examples of how to take the information and put it into practice. CONCLUSIONS: A sleep education pamphlet did not appear to improve sleep latency in children with ASDs.