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Why Do Children With Autism Struggle With Sleep? Essay

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Wide awake: Why do children with autism struggle with sleep? Sleep-related difficulties are one of the major concerns among parents with autistic children. About 43-84% of parents have reported that their children face problems with either sleep initiation, maintenance or early awakenings in a study in 1990s1,2. This distressing condition affects not only the child but also the well-being of the entire family. Sleep is essential for restoration and rejuvenation of bodily functions; but most notably, it affects long-term memory formation. Early investigations in this field have suggested a crucial link between poor sleep patterns and impairment in social functioning in autism spectrum disorder3,4,5. In addition, autistic children also suffer from sleep disorders in a manner a similar to developmentally normal counterparts. These findings have led to a robust exploration in the science of sleep dysregulation among children with autism spectrum disorder. Scientists hypothesize that several mechanisms underpin sleep disruption in autism: 1). Neurochemical disturbances that include abnormalities in brain chemicals like serotonin and acetylcholine; 2). Dysregulation of the normal sleep-wake cycle (also called circadian rhythm) caused by low levels of melatonin; 3). Presence of coexisting sleep issues such as insomnia, sleep apnea, restless leg syndrome (RLS), REM sleep behavior disorder, periodic limb movement disorder, and other parasomnias; 4).

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