Browsing by Subject "Sleep Wake Disorders"
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Item Evaluation of Social Stories in Sleep Treatment for Children with Autism Spectrum Disorder: A Feasibility Study(2020-12-01T06:00:00.000Z) Israelsen, Lora Jane; Brown, William David; Germann, Julie; Kao, Yungfei; Bellone, Katherine; Nakonezny, PaulA majority of children with autism spectrum disorders (ASD) experience sleep disturbances which are apt to negatively impact cognition, behavioral functioning, and the general trajectory of psychosocial development. Additionally, pediatric sleep disorders may contribute to disordered sleep in parents and reduced quality of life for family members. While children with ASD often respond positively to general standard of care in pediatric sleep medicine, there are few sleep treatments that address ASD-specific factors that contribute to sleep disturbances. This limitation may be addressed through the development of a treatment that incorporates sleep behavioral strategies in a format developed for children with ASD, such as a social story. This study evaluated the feasibility and acceptability of using a social story on bedtime routine developed for children as a complementary intervention for standard of care in a pediatric sleep clinic. Results from this study indicated social stories are acceptable as a complementary tool to sleep treatment. All participants approached for the study gave consent. Of those enrolled in the treatment group, all participants randomized to the treatment group read the story for at least one week as part of the bedtime routine (100%) with a mean utilization of 19.4 days during the month. Participants reported the social story was easy to implement and well received by the children, though feedback indicated the need for personalization and flexibility in the implementation of social stories. There were no significant differences in pediatric sleep outcomes between treatment groups. There were significant challenges related to the feasibility of the study in terms of gathering follow-up data, partially due to the impact of the COVID-19 worldwide pandemic that occurred during the study. Secondary analyses found no significant differences in parental sleep outcomes or psychosocial functioning between treatment groups. These findings suggest that social stories may be a promising tool in pediatric sleep treatment for children with ASD, but additional research is warranted to clarify its efficacy.Item [News](1989-02-22) Harrell, Ann; Seay, GingerItem [News](1989-02-22) Harrell, Ann; Seay, GingerItem [News](1982-06-10) Williams, AnnItem [Southwestern News](2002-11-21) Maier, Scott; Haduch, BillItem [Southwestern News](2003-06-25) Harrell, Ann; Morrison, SusanItem [Southwestern News](1999-06-30) Manley, Jennifer HaighItem Treatment Considerations for Comorbid Insomnia and Chronic Pain: A Biopsychosocial Approach to Clinical Care(2016-08-25) Van Ness, Olivia Elizabeth; Robinson, Richard C.; Gatchel, Robert J.; Noe, CarlBACKGROUND: Interdisciplinary pain management programs have proven to be quite effective in alleviating presenting patient symptoms. Sleep is a complex process not well understood and the effects it maintains on subsequent daytime function appear to influence pain and related symptoms. SUBJECTS: 134 qualifying participants were drawn from an interdisciplinary pain management program. The majority of subjects were females of Caucasian race with sample ages ranging from 20 to 86 years. Participants were compensated a small amount for their time. METHOD: Patients were administered computerized testing on measures of pain, mood, and function prior to and upon successful completion of the program. Participants were placed into groups based on their performance on sleep measures to be examined for differences. RESULTS: Time spent in the interdisciplinary program was shown to be effective across all measures administered, including sleep measures. The sleep improvement group showed significantly more change on measures of physical function and social satisfaction. DISCUSSION: This study further strengthens the argument for the use of interdisciplinary pain management by providing an example of global improvement among the sample. Particular attention should be paid to physical function and social satisfaction when observing differences in sleep disturbance and sleep-related impairment.Item [UT News](1987-07-07) Harrell, Ann; Adell, Diane; Waggoner, LoriItem [UT Southwestern Medical Center News](2009-02-24) Ladson, LaKishaItem [UT Southwestern Medical Center News](2008-05-20) McKenzie, Aline