Comparing CBT and sleep hygiene education for insomnia in children aged 6-12 with autism

You may qualify if

• 6-12a yrs
• Verbal IQ >= 70
• Participation of child's parent or legal guardian living in the same home
• Parent/guardian ability to read and understand English at the 5th-grade level
• Child diagnosed with ASD and insomnia ASD:; previous DSM diagnosis of ASD; evaluation using gold-standard diagnostic tools (i.e., Autism Diagnostic Observation Schedule (ADOS) and/or Autism Diagnostic Interview-Revised [ADI-R]) Insomnia:; complaints of difficulties falling asleep, staying asleep, or early morning awakening by child report or parent observation for 3+ mos; daytime dysfunction (mood, cognitive, social, academic) due to insomnia; baseline diaries and actigraphy indicate >30 mins. of sleep onset latency, wake after sleep onset, or early morning awakening (time between last awakening and out of bed time) on 6+ nights

You can't join if

• Parent unable to provide informed consent or child unable to provide assent
• Unwilling to accept random assignment
• Participation in another randomized research project
• Parent unable to complete forms or implement treatment procedures due to cognitive impairment
• Untreated medical comorbidity, including other sleep disorders (e.g., apnea, epilepsy, psychotic disorders, suicidal ideation/intent, [frequent] parasomnias)
• Psychotropic or other medications that alter sleep with the exceptions of stimulants, sleep medications, and/or melatonin as described in #7 (see Notes below for details)
• Stimulants, sleep medications (prescribed or OTC), and/or melatonin within the last 1 month (unless stabilized on medication for 3+ months)
• Participation in non-pharmacological treatment (including CBT) for sleep outside current trial
• Parent report of inability to undergo Holter Monitoring or actigraphy (e.g., extreme sensitivity, behavioral outbursts)
• Other conditions adversely affecting trial participation