An Open-Label Study of Controlled-Release Melatonin in Treatment of Sleep Disorders in Children with Autism
Long-term effectiveness of controlled-release melatonin in 25 children, aged 2.6-9.6 years with autism without other coexistent pathologies was evaluated openly. Sleep patterns were studied using Children's Sleep Habits Questionnaire (CSHQ) and sleep diaries at baseline, after 1-3-6 months mela...
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Veröffentlicht in: | Journal of autism and developmental disorders 2006-08, Vol.36 (6), p.741-752 |
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creator | Giannotti, F Cortesi, F Cerquiglini, A Bernabei, P |
description | Long-term effectiveness of controlled-release melatonin in 25 children, aged 2.6-9.6 years with autism without other coexistent pathologies was evaluated openly. Sleep patterns were studied using Children's Sleep Habits Questionnaire (CSHQ) and sleep diaries at baseline, after 1-3-6 months melatonin treatment and 1 month after discontinuation. Sleep diary and CSHQ showed a more problematic sleep in autistic children compared with controls. During treatment sleep patterns of all children improved. After discontinuation 16 children returned to pre-treatment score, readministration of melatonin was again effective. Treatment gains were maintained at 12 and 24-month follow-ups. No adverse side effects were reported. In conclusion, controlled-release melatonin may provide an effective and well-tolerated treatment for autistic children with chronic sleep disorders. |
doi_str_mv | 10.1007/s10803-006-0116-z |
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Sleep patterns were studied using Children's Sleep Habits Questionnaire (CSHQ) and sleep diaries at baseline, after 1-3-6 months melatonin treatment and 1 month after discontinuation. Sleep diary and CSHQ showed a more problematic sleep in autistic children compared with controls. During treatment sleep patterns of all children improved. After discontinuation 16 children returned to pre-treatment score, readministration of melatonin was again effective. Treatment gains were maintained at 12 and 24-month follow-ups. No adverse side effects were reported. In conclusion, controlled-release melatonin may provide an effective and well-tolerated treatment for autistic children with chronic sleep disorders.</description><identifier>ISSN: 0162-3257</identifier><identifier>EISSN: 1573-3432</identifier><identifier>DOI: 10.1007/s10803-006-0116-z</identifier><identifier>PMID: 16897403</identifier><identifier>CODEN: JADDDQ</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Administration, Oral ; Anatomy ; Autism ; Autistic Disorder - diagnosis ; Autistic Disorder - drug therapy ; Autistic Disorder - epidemiology ; Biological and medical sciences ; Child ; Child, Preschool ; Children ; Comorbidity ; Comparative Analysis ; Cross-Sectional Studies ; Delayed-Action Preparations ; Developmental Disabilities ; Diaries ; Drug Therapy ; Female ; Follow-Up Studies ; Heterogeneous Grouping ; Humans ; Hypnotics. Sedatives ; Interpersonal Relationship ; Italy ; Long-Term Care ; Male ; Medical sciences ; Melatonin ; Melatonin - administration & dosage ; Neurology ; Neuropharmacology ; Outcomes of Treatment ; Pathology ; Pharmacology. Drug treatments ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopharmacology ; Questionnaires ; Sleep ; Sleep disorders ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - drug therapy ; Sleep Wake Disorders - epidemiology ; Treatment ; Treatment Outcome ; Young Children</subject><ispartof>Journal of autism and developmental disorders, 2006-08, Vol.36 (6), p.741-752</ispartof><rights>2007 INIST-CNRS</rights><rights>Springer Science+Business Media, Inc. 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-f5c7ea32e62a7f0e33a3e00ec2a77c7f67c40cd1c4ed03f6cea7b58807f822933</citedby><cites>FETCH-LOGICAL-c439t-f5c7ea32e62a7f0e33a3e00ec2a77c7f67c40cd1c4ed03f6cea7b58807f822933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,12825,27901,27902,30976,30977</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ748042$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18129832$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16897403$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giannotti, F</creatorcontrib><creatorcontrib>Cortesi, F</creatorcontrib><creatorcontrib>Cerquiglini, A</creatorcontrib><creatorcontrib>Bernabei, P</creatorcontrib><title>An Open-Label Study of Controlled-Release Melatonin in Treatment of Sleep Disorders in Children with Autism</title><title>Journal of autism and developmental disorders</title><addtitle>J Autism Dev Disord</addtitle><description>Long-term effectiveness of controlled-release melatonin in 25 children, aged 2.6-9.6 years with autism without other coexistent pathologies was evaluated openly. Sleep patterns were studied using Children's Sleep Habits Questionnaire (CSHQ) and sleep diaries at baseline, after 1-3-6 months melatonin treatment and 1 month after discontinuation. Sleep diary and CSHQ showed a more problematic sleep in autistic children compared with controls. During treatment sleep patterns of all children improved. After discontinuation 16 children returned to pre-treatment score, readministration of melatonin was again effective. Treatment gains were maintained at 12 and 24-month follow-ups. No adverse side effects were reported. In conclusion, controlled-release melatonin may provide an effective and well-tolerated treatment for autistic children with chronic sleep disorders.</description><subject>Administration, Oral</subject><subject>Anatomy</subject><subject>Autism</subject><subject>Autistic Disorder - diagnosis</subject><subject>Autistic Disorder - drug therapy</subject><subject>Autistic Disorder - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Comorbidity</subject><subject>Comparative Analysis</subject><subject>Cross-Sectional Studies</subject><subject>Delayed-Action Preparations</subject><subject>Developmental Disabilities</subject><subject>Diaries</subject><subject>Drug Therapy</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heterogeneous Grouping</subject><subject>Humans</subject><subject>Hypnotics. Sedatives</subject><subject>Interpersonal Relationship</subject><subject>Italy</subject><subject>Long-Term Care</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melatonin</subject><subject>Melatonin - administration & dosage</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Outcomes of Treatment</subject><subject>Pathology</subject><subject>Pharmacology. Drug treatments</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopharmacology</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Sleep disorders</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - drug therapy</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Young Children</subject><issn>0162-3257</issn><issn>1573-3432</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqF0VFrFDEQB_AgFnutfgBBJAj1LTrJ7G6yj8dZtXJSsPV5yWVn6dZs9kx2kfbTN8cdFvpSCIQwvwnM_Bl7K-GTBNCfkwQDKAAqAVJW4v4FW8hSo8AC1Uu2AFkpgarUx-wkpVsAqI1Sr9ixrEytC8AF-7MM_HJLQazthjy_mub2jo8dX41hiqP31Ipf5Mkm4j_J22kMfeD5XEey00Bh2uErT7TlX_o0xpZi2tVXN71vIwX-r59u-HKe-jS8Zked9YneHO5T9vvr-fXqu1hffrtYLdfCFVhPoiudJouKKmV1B4RokQDI5ad2uqu0K8C10hXUAnaVI6s3pTGguzxdjXjKPu7_3cbx70xpaoY-OfLeBhrn1FRGayzU87DUsgTIe3oOKlCo6qLM8MMTeDvOMeRpsykRsDB1RnKPXBxTitQ129gPNt41EppdsM0-2CYH2-yCbe5zz_vDx_NmoPax45BkBmcHYJOzvos2uD49OiNVbVBl927vKPbuf_n8hy4M5J08AILPs6s</recordid><startdate>20060801</startdate><enddate>20060801</enddate><creator>Giannotti, F</creator><creator>Cortesi, F</creator><creator>Cerquiglini, A</creator><creator>Bernabei, P</creator><general>Springer</general><general>Springer Nature B.V</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8A4</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>POGQB</scope><scope>PPXIY</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PRQQA</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20060801</creationdate><title>An Open-Label Study of Controlled-Release Melatonin in Treatment of Sleep Disorders in Children with Autism</title><author>Giannotti, F ; Cortesi, F ; Cerquiglini, A ; Bernabei, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-f5c7ea32e62a7f0e33a3e00ec2a77c7f67c40cd1c4ed03f6cea7b58807f822933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Administration, Oral</topic><topic>Anatomy</topic><topic>Autism</topic><topic>Autistic Disorder - diagnosis</topic><topic>Autistic Disorder - drug therapy</topic><topic>Autistic Disorder - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Comorbidity</topic><topic>Comparative Analysis</topic><topic>Cross-Sectional Studies</topic><topic>Delayed-Action Preparations</topic><topic>Developmental Disabilities</topic><topic>Diaries</topic><topic>Drug Therapy</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heterogeneous Grouping</topic><topic>Humans</topic><topic>Hypnotics. 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Academic</collection><jtitle>Journal of autism and developmental disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Giannotti, F</au><au>Cortesi, F</au><au>Cerquiglini, A</au><au>Bernabei, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ748042</ericid><atitle>An Open-Label Study of Controlled-Release Melatonin in Treatment of Sleep Disorders in Children with Autism</atitle><jtitle>Journal of autism and developmental disorders</jtitle><addtitle>J Autism Dev Disord</addtitle><date>2006-08-01</date><risdate>2006</risdate><volume>36</volume><issue>6</issue><spage>741</spage><epage>752</epage><pages>741-752</pages><issn>0162-3257</issn><eissn>1573-3432</eissn><coden>JADDDQ</coden><abstract>Long-term effectiveness of controlled-release melatonin in 25 children, aged 2.6-9.6 years with autism without other coexistent pathologies was evaluated openly. Sleep patterns were studied using Children's Sleep Habits Questionnaire (CSHQ) and sleep diaries at baseline, after 1-3-6 months melatonin treatment and 1 month after discontinuation. Sleep diary and CSHQ showed a more problematic sleep in autistic children compared with controls. During treatment sleep patterns of all children improved. After discontinuation 16 children returned to pre-treatment score, readministration of melatonin was again effective. Treatment gains were maintained at 12 and 24-month follow-ups. No adverse side effects were reported. In conclusion, controlled-release melatonin may provide an effective and well-tolerated treatment for autistic children with chronic sleep disorders.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>16897403</pmid><doi>10.1007/s10803-006-0116-z</doi><tpages>12</tpages></addata></record> |
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subjects | Administration, Oral Anatomy Autism Autistic Disorder - diagnosis Autistic Disorder - drug therapy Autistic Disorder - epidemiology Biological and medical sciences Child Child, Preschool Children Comorbidity Comparative Analysis Cross-Sectional Studies Delayed-Action Preparations Developmental Disabilities Diaries Drug Therapy Female Follow-Up Studies Heterogeneous Grouping Humans Hypnotics. Sedatives Interpersonal Relationship Italy Long-Term Care Male Medical sciences Melatonin Melatonin - administration & dosage Neurology Neuropharmacology Outcomes of Treatment Pathology Pharmacology. Drug treatments Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopharmacology Questionnaires Sleep Sleep disorders Sleep Wake Disorders - diagnosis Sleep Wake Disorders - drug therapy Sleep Wake Disorders - epidemiology Treatment Treatment Outcome Young Children |
title | An Open-Label Study of Controlled-Release Melatonin in Treatment of Sleep Disorders in Children with Autism |
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