Internet-delivered Cognitive Behaviour Therapy for Sleep Problems in ASD

Internet-delivered Cognitive Behaviour Therapy for Sleep Problems in Adolescents with Autism Spectrum Disorder

This trial investigates the behavioural effects of Internet-based Cognitive behaviour therapy for insomnia (CBT-I) in adolescents with autism spectrum disorder with sleep problems. This is a randomised controlled trial.

Sleep problems are common in adolescents with autism spectrum disorder (ASD)1. Internet-based Cognitive behaviour therapy for insomnia (iCBT-I) is considered as an evidence-based treatment for insomnia 2. To date, no Internet-based CBT-I delivered treatment for sleep problems in adolescents with ASD has been undertaken. The objective of the study is to investigate the efficacy and effectiveness of the Internet-based CBT-I for sleep problems in adolescents with ASD.

Inclusion Criteria:

• Adolescents with a clinical ASD diagnosis based on the Diagnostic and Statistical Manual-fifth edition (DSM-5). Participants have been investigated with the Autism Diagnostic Observation Schedule (ADOS).
• Insomnia diagnosis or sleep problems according to DSM-5
• Intelligence quotient (IQ) > 70 according to Wechsler Intelligence Scale for Children - fourth edition
• Psychiatric comorbidities according to DSM-5: anxiety disorders or depression.

Exclusion Criteria:

• The presence of clinically assessed self-injury
• High risk of suicidal behaviour
• borderline personality disorder or any form of schizophrenia or related disorders;
• substance abuse as well as physical illness or condition that was largely influence sleep condition.